Regalcare at Quincy

In the surveyor’s words

From the most serious findings on record at Regalcare at Quincy, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 19, 2023

  Based on records reviewed, interviews, and observations for one of three sampled residents (Resident #1), who had severe cognitive impairment, poor safety awareness, was legally blind and required supervision to physical assistance of one staff member with wheelchair mobility, the Facility failed to ensure he/she was provided with an adequate level of supervision and staff assistance in effort to maintain his/her safety to prevent accidents/incidents resulting in serious injury. On 8/01/23 Resident #1, who resided on the Main side of his/her unit, wheeled him/herself towards the ramp on his/her unit that lead to the [NAME] side of the unit. […]

• Actual harm, isolatedF686Jun 8, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed by nursing to be at increased risk for skin breakdown, and had developed new areas of skin breakdown on his/her buttocks, the Facility failed to ensure he/she was provided care and treatment consistent with professional standards of practice to prevent the development or worsening of a pressure injury. -On 5/05/23, after the Wound Nurse Practitioner (NP) evaluated Resident #1 for skin breakdown to his/her buttocks, the Wound NP made a recommendation for ordering and placing Resident #1 on air mattress, as well as turning and repositioning per facility protocol, as a preventative measures in an effort to prevent further breakdown of the wound, however the recommendation for an air… […]

• Actual harm, isolatedF689Feb 22, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who had severe cognitive impairment, was inconsistent with the use of the call light, was dependent on staff for toilet use, required extensive assistance of one staff member for transfers, and had previously fallen in his/her bathroom (in the facility) and sustained a right hip fracture, the Facility failed to ensure he/she was provided with an adequate level of supervision and staff assistance in effort to maintain his/her safety to prevent incidents/accidents resulting in an injury. […]

• No harm, potential for more than minimal, patternF558Apr 8, 2025

  Based on observation, interview and record review, the facility failed to ensure four Residents (#11, #30, #33, #35), out of a total sample of 15 residents, had their call bell devices accessible and within reach to utilize them to call for staff assistance while in their rooms. Findings include: Review of the facility's policy titled Answering Call Lights, revised 3/2022, indicated but was not limited to the following: - The purpose of this procedure is to respond to the resident's requests and needs. - Guidelines: 4.) Be sure that the call light is plugged in at all times; 5.) When the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident. A. […]

• No harm, potential for more than minimal, patternF585Apr 8, 2025

  Based on observation, interviews, and document review, the facility failed to ensure that residents were fully aware of the grievance process. Specifically, for 10 of 10 residents attending the resident group meeting during the facility survey, the facility failed to ensure residents were aware of and had access to grievance forms, and were aware they could formulate grievances anonymously, should they choose not to alert a staff member of their concern(s). Findings include: Review of the facility's policy titled Grievance, last revised 3/2022, indicated but was not limited to: -The resident and/or resident representative will be made aware of the right to voice grievances orally, in writing, and anonymously. […]