Inspection Reports for
The Neighborhoods at Quail Creek

The facility was found deficient in multiple areas including failure to timely complete Employee Disqualification List and Nurse Aide Registry checks for staff, inadequate assistance with resident meals, unsafe hot water temperatures, failure to provide ordered dietary supplements, medication administration and storage issues, infection control lapses including hand hygiene and PPE use, and poor sanitation in kitchen and food service areas.

The complaint involved an allegation by Resident #1 of physical abuse, including staff pinching and stealing personal items. The resident had severe cognitive impairment and hallucinations. The facility's investigation found no evidence of abuse, and the allegation was deemed unsubstantiated. The Administrator did not report to the State Survey Agency within two hours because the allegation was disproved within that timeframe.

The facility failed to report allegations of possible abuse within the required two-hour timeframe. An investigation concluded that the resident's allegations were unsubstantiated and related to hallucinations. Staff interviews confirmed reporting procedures, but the Administrator did not report the allegation to the state agency because the investigation found no suspected abuse.

The complaint involved CNA A asking for and accepting $2,000 from Resident #1 purportedly to help pay for the CNA's child's surgery. The resident reported the incident after CNA A became defensive and tried to manipulate the situation. The facility self-reported to DHSS and notified police. CNA A was terminated. Multiple staff interviews confirmed the inappropriateness of the conduct and the violation of facility policy.

The facility failed to protect residents from misappropriation when CNA A accepted a $2,000 check from Resident #1 under questionable circumstances. The facility investigated, suspended, and terminated CNA A, provided staff training on abuse and neglect, and implemented ongoing monitoring and corrective actions.

The complaint investigation involved allegations of abuse and neglect concerning four residents (Residents #1, #32, #55, and #71), including verbal abuse by staff, refusal to provide care, failure to report allegations to the State Survey Agency within two hours, and failure to conduct timely investigations.

The facility failed to ensure residents were free from abuse and neglect, failed to timely report suspected abuse to authorities, failed to complete full investigations of abuse allegations within required timeframes, failed to notify residents or their representatives in writing of hospital transfers, and failed to ensure proper supervision and functioning of a wanderguard bracelet for a resident at risk of elopement.

The facility was found deficient in multiple areas including failure to document and resolve resident grievances, incomplete care plans for residents with exit-seeking behavior and seatbelt use, lack of physician orders for oxygen therapy, inadequate communication with dialysis center, medication administration errors including insulin pen priming and dosing errors, and failure to maintain infection control by not capping a PICC line.