Quinton Mem HC & Rehab Center

In the surveyor’s words

From the most serious findings on record at Quinton Mem HC & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 12, 2024

  Based on interviews, record review, and review of the facility policy titled Falls, the facility failed to provide the necessary supervision to prevent falls to the extent possible for one of three sampled residents (R) (R3) reviewed for falls. R3 sustained six falls at the facility from [DATE] through February 2024 when attempting to get out of bed unassisted and/or ambulating without assistance, with four of the first five falls resulting in injuries to the head. The facility documented contributing factors for the falls but failed to identify and address the need for increased supervision related to the resident's declining cognition and failed to conduct and document a root cause analysis for each fall to facilitate the ability to develop specific fall prevention interventions that… […]

• No harm, potential for more than minimal, widespreadF812Feb 23, 2023

  Based on observations, interviews, and review of the facility's policies titled, Food Receiving and Storage, Preventing Foodborne Illness-Food Handling, and Food Brought by Family/Visitors, the facility failed to ensure opened food items in the kitchen were labeled and dated; failed to discard expired food items, failed to monitor refrigerator temperatures in two of two resident pantries, and failed to properly date and store food left for a resident. These deficiencies had the potential to affect 74 residents receiving an oral diet. The census was 74. Findings include: Review of the policy titled, Food Receiving and Storage issued [DATE] revealed the following: Purpose: Foods shall be received and stored in a manner that complies with safe food handling practices. 7. […]

• No harm, potential for more than minimal, patternF761Feb 23, 2023

  Based on observations, staff interviews, review of the facility policy titled, [NAME] Long Term Care [HLTC] Non-Controlled and Controlled Medication Ordering, Receiving, and Storage, and review of the facility document titled, HLTC Medication Administration Competency Evaluation, the facility failed to ensure one of four medication carts were locked and secure when unattended that permitted only authorized personnel to have access on two occasions. The facility failed to ensure that narcotics were counted and documented at the beginning of each shift on two of four medications carts. In addition, the facility failed to ensure medications were stored with proper identification/labeling for three residents on one medication cart. […]

• No harm, potential for more than minimal, isolatedF684May 21, 2026

  Based on observations, staff and resident interviews, record review, and review of the License Practical Nurse and Registered Nurse (Charge Nurse) Job Descriptions, the facility failed to ensure residents received care in accordance with physician orders for one of 39 sampled residents (R) (R6). Specifically, the facility failed to ensure lab tests, and assessment of hemorrhoids were conducted as ordered by the physician. The deficient practice had the potential to place R6 at increased risk of adverse clinical outcomes related to blood loss.Findings include:Review of the facility's Licensed Practical Nurse (LPN) and Registered Nurse (RN) job descriptions documented, Reviews duties of collection of lab specimens and interpreting results. […]

• No harm, potential for more than minimal, isolatedF695May 21, 2026

  Based on observations, record review, staff interviews, and review of facility's electronic Work Order system's cleaning schedule titled, Oxygen Concentrators: In-House Maintenance, the facility failed to ensure respiratory equipment was maintained in a clean and sanitary manner by not cleaning the oxygen concentrator filter for two of 30 residents (R)(R58 and R67), on respiratory care. This deficient practice had the potential to cause ineffective oxygen delivery, respiratory complications, and increased risk of infection.Findings Include:Record review of facility's electronic Work Order System's cleaning schedule titled, Oxygen Concentrators: In-House Maintenance, dated 05/15/2026 documented under section titled, Cleaning the Cabinet Filter - Risk of Damage: To avoid damage to the… […]