Quality Living, Inc.

Inspectors wroteLicensure Reference Number NAC 175 12-006.11(E) Based on observations, record review and interview, the facility staff failed to complete hand washing between glove changes during meal preparation to prevent food-borne illness which had the potential to effect 50 residents in the Summit area of the facility and failed to ensure staff wore beard nets in the food preparation area in House 4. This had the potential to affect 10 residents that resided in that house and ate foods prepared in that facility house kitchen. The facility staff identified a census of 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) & 1-005.06 Based on observation, interview and record review the facility failed to perform hand hygiene between glove changes during wound care for Resident 39, failed to handle a urinary drainage bag for Resident 47 and failed to handle medications for Resident 35 and 39 in a manner to prevent cross contamination. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5) Based on record review and interview the facility failed to notify the medical practitioner of a change in wound condition for 1(Resident 39) of 1 residents sampled. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05 Based on Record observation, record review and interview revealed the facility failed to re-evaluate a protective device as a potential restraint for 1 (Resident 45) of 3 residents sampled. The facility identified a census of 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D2 Based on observation, record review and interview, the facility failed to evaluate the condition of an abrasion to the right heel at the time it was found and failed to ensure treatments were provided for 1 (Resident 76) of 1 resident sampled for non-pressure alteration in skin integrity. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(2) Based on observation, interview and record review the facility failed to evaluate, implement treatment orders, and monitor a pressure ulcer which resulted in a decline in the condition of the pressure ulcer for 1 (Resident 39) of 5 residents sampled. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(V) Based on record review and interview; the facility staff failed to provide Range of Motion (ROM) to maintain mobility for 1 of (Resident 29) of 3 sampled residents. The facility identified a census of 95.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(vi)(3)(a) Based on observation, interview, and record review, the facility failed to evaluate the gastrostomy tube (G-Tube, a tube inserted in the stomach to provide food, water and medications) for drainage or migration (movement of the G-tube) prior to administering tube feeding for 1 (Resident 58) of 6 sampled residents with a G-tube. The facility census was 95.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(B)(iii) Based on record review and interview; the facility failed to identify and monitor specific target behaviors for the continued use of as-needed antianxiety medications for 1 (Resident 67) of 5 sampled residents. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.07 Based on record review and interviews; the facility failed to ensure the Quality Assurance Performance Improvement Program [QAPIP, a facility process that identifies problems in the facility and works to correct the concerns] identified and addressed concerns related to deficient practice identified on the annual survey 2025 (F 580, F 604, F 684, F 686, F 688, F 693, F 758, F 812, F 867, F 880) and to ensure correction for repeat deficient practice from a previous survey 2024 (F 880) was maintained. This had the potential to affect 95 residents that resided in the facility. The facility census was 95.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B1 Based on record review and interview, the facility failed to complete a annual Minimum Data Set (MDS, a federally mandated assessment tool use for care planning) for 1 of 4 sampled residents (Resident 6) in the required time frames. The facility census was 93.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B2 Based on record review and interview the facility failed to complete quarterly Minimum Data Set (MDS, a federally mandated assessment tool use for care planning) for 2 (Resident 3 and Resident 41) of 4 sampled residents in the required time frames. The facility census was 93.

Inspectors wroteLicensure Reference Numbers 175 NAC 12.006.09B The facility failed to ensure a quarterly Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) was coded to reflect the care and services for 1 (Resident 3) of 4 sampled residents. The facility census was 93.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D. Based on observation, record review, and interview, the facility failed to ensure hand hygiene and gloving were performed in a manner to prevent cross contamination for 2 (Resident 248, 44) of 6 residents reviewed during medication administration. The facility census was 93.

Inspectors wrote175 NAC 12-006.09C1c Based on record review and interviews, the facility failed to include the resident or the resident's representative when performing the quarterly review and revision of Care Plan (CCP- written instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care.) This affected 1 of (Resident 39) of 1 resident sampled for care plan conferences. The facility census was 99.

Inspectors wrote175 NAC 12-006.09B Based on observations, record review, and interviews, the facility failed to evaluated and implement a individulized activity program for 1 (Resident 30) of 3 sampled residents. The facility census was 99.