Inspection Reports for
The Care Center of Dequincy

The complaint investigation included allegations of failure to maintain resident dignity, physical abuse between residents, failure to timely report and investigate abuse, inaccurate resident assessments, improper respiratory care, medication storage violations, dietary preparation issues, hospice documentation lapses, and ineffective quality assurance processes. Some abuse incidents were substantiated with actual harm to residents. Reporting and investigation deficiencies were confirmed.

The facility was found deficient in multiple areas including failure to maintain resident dignity, failure to protect residents from physical abuse, failure to timely report and investigate abuse allegations, inaccurate resident assessments, improper respiratory equipment storage, unsecured controlled medications, failure to follow dietary recipes, failure to maintain updated hospice documentation, and lack of effective quality assurance and performance improvement activities.

The facility had multiple deficiencies including failure to maintain resident medical record privacy, inaccurate resident fall assessments, improper respiratory care practices, high medication error rates, and improper medication storage including expired medications and incomplete temperature logs.

The complaint investigation found substantiated failures in following physician orders for fall prevention and catheter care for sampled residents.

The facility failed to follow physician orders for a fall mat placement for one resident and failed to provide appropriate catheter care for two residents, including timely catheter changes, proper dressing application, and preventing catheter drainage bags from contacting the floor.

The complaint investigation substantiated that Resident #1 refused medications without physician notification and eloped while smoking due to inadequate supervision. The elopement incident occurred on 07/25/2023 and involved a resident being found at a local grocery store. The facility implemented a plan of correction including increased supervision and staff in-services.

The facility failed to notify the physician of a resident's refusal of medication and failed to provide adequate supervision during smoking, resulting in one resident eloping from the facility. The deficient practices had the potential to affect multiple residents.

No health deficiencies were found during the inspection.

The complaint investigation substantiated that Resident #5 bit Residents #1, #2, and #3 on multiple occasions causing physical injuries and psychosocial harm. Resident #2 was bitten on 01/20/2023, Resident #3 on 02/21/2023, and Resident #1 on 12/17/2022. Preventive measures including 1:1 supervision were implemented after each incident.

The facility failed to protect three residents from being bitten by another resident, resulting in physical and psychosocial harm. The incidents involved bite wounds causing redness, skin tears, and puncture marks, requiring medical treatment and supervision adjustments.

The visit was complaint-related, investigating issues including residents' access to personal funds, failure to provide quarterly statements, failure to notify the Ombudsman of transfers, improper feeding tube labeling, and infection control program deficiencies. Substantiation status is not explicitly stated.

The facility failed to ensure residents had access to personal funds during non-banking hours, did not provide quarterly statements for resident personal funds, failed to notify the Ombudsman of resident transfers, did not properly label feeding tubes, lacked a water management program to prevent Legionella, and had an unqualified infection preventionist. These deficiencies posed minimal harm but affected multiple residents.