Inspection Reports for
Qualicare Nursing Home

F 0684 Provide appropriate treatment and care according to orders, resident's preferences and goals: the facility failed to timely and appropriately assess a new onset leg pain for Resident R901, resulting in prolonged severe pain and hospitalization for hip fracture surgery.

F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights: the facility failed to ensure one resident (R12) was aided with eating in a dignified manner, with staff standing over the resident while feeding.

F 0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive: the facility failed to ensure two residents (R45 and R55) had completed advance directives upon admission, potentially resulting in inaccurate life sustaining or withholding medical treatment.

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: the facility failed to ensure that one resident's (R73) medications were properly stored during medication administration, with medications left unattended in a cup on top of the medication cart.

F 0761 Ensure drugs and biologicals used in the facility are labeled and stored in locked compartments: the facility failed to ensure that one resident (R73) had medications properly stored, with medications left unsecured on top of the medication cart.

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody: the facility failed to prevent verbal abuse when CNA A called resident R801 a mean hateful bitch during care delivery.

F 0645 PASARR screening for Mental disorders or Intellectual Disabilities: the facility failed to update a PASSAR Level 1 Screening form for one resident (R7), resulting in potential for the resident to not be screened for mental health services.

F 0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility: the facility failed to provide restorative services as ordered for one resident (R22), resulting in potential for decline in range of motion and mobility.

F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to consistently weigh and document weights for four consecutive weeks for one resident (R95).

F 0880 Provide and implement an infection prevention and control program: the facility failed to ensure proper storage of nasal cannula tubing for one resident (R8) and cover a linen cart during transport, resulting in potential for cross-contamination.

F 0677 Provide care and assistance to perform activities of daily living: the facility failed to provide showers for one resident (R101), missing 3 out of 7 scheduled shower days.

F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing: the facility failed to initiate a wound care consult order in a timely manner for one resident (R101).

F 0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder: the facility failed to provide indwelling catheter care and document urine output for one resident (R100).

F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to obtain weights and accurately complete a nutrition assessment for Resident #76, resulting in potential for weight loss to go undetected.