Inspection Reports for
Quail Meadow Assisted Living and Memory Care

R432-270-9(3) One employee providing personal care to residents was not 18 years of age or a certified nurse aide.

R432-270-9(7) Four employees did not receive orientation and core competency training within 30 days of hire.

R432-270-9(8) Three direct care employees did not have 16 hours of documented one-on-one job training with a direct care employee.

R432-270-9(9) One employee did not receive annual in-service and core competency training.

R432-270-10(2) The resident's written legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility.

R432-270-16(3) Two direct-care employees who work in the secure unit did not have one-on-one job training of four hours of the 16 required training hours in the secure unit.

R432-270-19(8) One resident, who administers their own insulin, did not have documentation that they had been assessed to be able to do so.

R432-270-19(14) The licensed health care professional was not notified when medication errors occurred.

R432-270-21(2) The licensee did not ensure that records were protected against unauthorized individuals. The Narcotic record binder was left on the medication cart.

R432-270-22(3) The licensee did not document and retain for three months, any substitutions to the menu that were actually served to the resident.

R432-270-22(7) The licensee did not ensure dietitian consultation was provided at least quarterly for 2 residents who required a therapeutic diet.

R432-270-23(5) The laundry room and the maintenance room were not locked and cleaning agents, bleaches, poisonous, dangerous, and flammable materials were observed.

R432-270-23(6) The licensee did not ensure housekeeping personnel were trained on preparing and using cleaning solutions, cleaning procedures, proper use of equipment, proper handling of clean and soiled linen, and procedures for disposal of waste.

R432-270-25(1) Two light fixtures outside of rooms 12 and 16 were not working. One resident's maintenance request was not fulfilled regarding her light bulb.

R432-270-25(3) The licensee did not ensure that a pest control program was conducted in the facility buildings and on the grounds by a licensed pest control contractor or a qualified employee.

R432-270-25(4) The licensee did not document any maintenance work or pest control performed.

R432-270-25(5) One resident room and public bathroom water temperature was not between 105-120 degrees Fahrenheit.

R432-270-26(2) The emergency and disaster response plan was not developed and planned with state and local emergency disaster authorities.

R432-270-26(6) The emergency and disaster plan did not include instructions on how to recruit additional help, supplies and equipment; the delivery of essential care by alternate means; the delivery of essential care if additional persons are housed in the facility during an emergency or disaster; and the delivery of essential care if personnel is reduced by an emergency.

R432-270-26(8) The facility did not hold simulated fire drills during the 3rd quarter of 2023. Additionally, the fire drills that were observed did not include resident participants and their ability to evacuate.

R432-270-26(10) The licensee did not have emergency in-house equipment and supplies including emergency lighting, heating, and potable water. The licensee did not ensure the telephone numbers of emergency medical personnel, agencies, and appropriate communication and emergency transport systems were posted in public locations throughout the facility.