Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Quail Ridge Living Center, Inc during CMS and state inspections, most recent first.
The facility did not inform residents and their representatives of their right to rescind an arbitration agreement within 30 days of signing. Instead, the admission packet stated that rescission was only possible within 3 business days. The administrator confirmed that residents were not given the required 30-day period.
The facility failed to provide written notices of transfer or discharge to three residents before their transfer to a hospital, as required by policy. The residents, with diagnoses including bipolar disorder, type 2 diabetes mellitus, and atherosclerotic heart disease, were transferred for behaviors and medical emergencies without receiving the necessary documentation. The DON admitted to being unaware of the requirement.
The facility failed to maintain required RN coverage on two specific days and submitted inaccurate PBJ staffing data. Despite having 84 residents, there was no RN coverage on certain dates, and HR could not provide punch details for these days. The administrator was unsure about the missing RN data.
The facility submitted inaccurate PBJ staffing data for a quarter, showing multiple days without RN coverage. HR could not provide punch details for two specific dates, acknowledging the data was incorrect. The administrator was unaware of the reasons for the inaccuracies.
A facility failed to submit required resident assessments to CMS. Despite having a policy to conduct and submit assessments within federal and state timeframes, a resident's 5-day and discharge assessments were completed but not transmitted. The resident had acute respiratory failure and diabetes mellitus. The MDS coordinator could not explain the oversight.
A facility failed to ensure a resident wore a smoking apron as per their care plan intervention. The resident, with hemiplegia and hemiparesis, was observed smoking without the apron, supervised by a CNA who was unaware of the requirement. The CNA did not know where to find the resident's care plan, and the DON acknowledged the lapse in following policy.
A resident with hemiplegia and tremors was observed smoking without a required non-flammable apron, despite facility policy. The CNA supervising was unaware of the requirement, as they were new to the facility. The DON confirmed the policy was not followed.
A facility failed to ensure a physician documented a rationale for not implementing a GDR for a resident on antidepressant medications. The resident, diagnosed with Alzheimer's and major depressive disorder, was on Mirtazapine and Trazadone. A pharmacist identified this as possible duplicate therapy and requested a review, but the physician did not make changes or provide a rationale. The DON acknowledged that a rationale was necessary.
A facility failed to ensure a resident receiving an antipsychotic medication had an appropriate diagnosis. The resident, diagnosed with Alzheimer's disease and major depressive disorder, was prescribed quetiapine fumarate ER for Alzheimer's disease. The facility's policy requires antipsychotic medications to be used only for specific diagnosed conditions, and the DON confirmed that Alzheimer's is not an appropriate diagnosis for such medication.
Failure to Inform Residents of Arbitration Agreement Rescission Rights
Penalty
Summary
The facility failed to inform residents and their representatives of their right to rescind an arbitration agreement within 30 calendar days of signing it. The facility's admission packet included an undated excerpt titled 'Arbitration,' which stated that the arbitration provision could be rescinded by written notice within 3 business days of signing. If not rescinded within this period, the arbitration provision would remain in effect. The facility's administrator confirmed that residents were not given 30 days to rescind the arbitration agreement, as required.
Failure to Provide Written Notices of Transfer or Discharge
Penalty
Summary
The facility failed to provide written notices of transfer or discharge to residents prior to their transfer or discharge to a hospital. This deficiency was identified for three of four sampled residents who were reviewed for hospitalizations. The facility's policy, dated 2001, required that residents be given notice as soon as practicable but before the transfer or discharge. However, this policy was not adhered to in the cases reviewed. Resident #2, diagnosed with bipolar disorder, was transferred to a hospital for behaviors without receiving a written notice. Similarly, Resident #9, with type 2 diabetes mellitus, was transferred for a medical emergency without a written notice. Resident #228, diagnosed with atherosclerotic heart disease, was also transferred for a medical emergency without receiving the required notice. The Director of Nursing (DON) acknowledged that these residents had not been given written notices because they were unaware of the requirement.
Failure to Maintain RN Coverage and Inaccurate PBJ Reporting
Penalty
Summary
The facility failed to maintain the required registered nurse (RN) coverage for two specific days, 01/22/24 and 01/26/24, as mandated by regulations. This deficiency was identified through a review of records and interviews, revealing that the facility did not have RN coverage on these dates. The administrator confirmed that 84 residents were living in the facility at the time. Additionally, the facility failed to submit accurate direct care staffing payroll data for the PBJ report covering the period from 01/01/24 to 03/31/24. During an interview on 08/22/24, HR personnel were unable to explain the absence of RN coverage on the PBJ report for several dates, including 01/22/24 and 01/26/24, and could not provide punch details for these dates. The administrator also expressed uncertainty regarding the lack of RN data for the specified dates.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to submit accurate direct care staffing payroll data for the PBJ report for the period from January 1, 2024, to March 31, 2024. The report indicated that there were four or more days within the quarter with no RN hours recorded. Upon review, it was found that the facility's HR department was unable to provide punch details for RN coverage on two specific dates, January 22 and January 26, 2024. The HR representative acknowledged that the data submitted for the PBJ was incorrect. The facility administrator was also unaware of the reasons for the submission of inaccurate data.
Failure to Submit Resident Assessments to CMS
Penalty
Summary
The facility failed to ensure that resident assessments were submitted to CMS for a resident reviewed for assessments. The facility's policy, titled MDS Completion and Submission Timeframes, mandates that resident assessments be conducted and submitted in accordance with federal and state submission timeframes. However, a review of the medical record for a resident with diagnoses including acute respiratory failure and diabetes mellitus revealed that both the 5-day assessment and the discharge assessment were completed but never transmitted to CMS. The MDS coordinator was unable to provide an explanation for why the assessments had not been sent.
Failure to Implement Care Plan Intervention for Resident Smoking Safety
Penalty
Summary
The facility failed to ensure staff implemented interventions in a resident care plan for one of the sampled residents. The resident had diagnoses including hemiplegia and hemiparesis of the right dominant side, muscle weakness, and tremors. The comprehensive care plan for the resident, revised on 06/24/24, included an intervention requiring the resident to wear a smoking apron while smoking, initiated on 07/09/19. On 08/21/24, the resident was observed smoking without wearing a smoking apron, supervised by a CNA. The CNA stated they were unaware of the requirement for the resident to wear a smoking apron and did not know where to find the resident's care plan. The DON confirmed that the CNA had not been following policy and procedure.
Failure to Ensure Resident Wore Smoking Apron
Penalty
Summary
The facility failed to ensure that a resident who required a non-flammable apron while smoking was wearing one during a smoking session. This deficiency was identified for one of the three residents reviewed for accident hazards. The facility's Smoking Policy required residents who smoke to be assessed for supervision needs and safety measures, such as wearing a smoking apron. Resident #9, who had diagnoses including hemiplegia, hemiparesis, muscle weakness, and tremors, was documented in their care plan to wear a smoking apron while smoking. However, during an observation, Resident #9 was seen smoking without the apron, and their left hand, which was used to hold the cigarette, shook violently twice during the session. CNA #1, who was supervising the smoking session, was unaware that Resident #9 required a smoking apron. The CNA was a PRN employee and new to the facility, which contributed to the oversight. The Director of Nursing (DON) confirmed that the CNA had not followed the facility's policy by not ensuring the resident wore the apron. This incident highlights a lapse in communication and adherence to safety protocols for residents who require supervision and protective measures while smoking.
Failure to Document Rationale for Medication Regimen
Penalty
Summary
The facility failed to ensure that a physician documented a rationale for not implementing a gradual dose reduction (GDR) for a resident reviewed for unnecessary medications. The resident, who had diagnoses including Alzheimer's disease and major depressive disorder, was receiving Mirtazapine and Trazadone, both antidepressant medications, at bedtime. A pharmacist noted this as a possible duplicate therapy and requested the physician to consider using only one medication, changing the administration time, or providing a risk/benefit statement. However, the physician did not order any changes or provide a rationale for maintaining the current medication regimen. The Director of Nursing (DON) confirmed that a rationale should have been provided by the physician.
Inappropriate Use of Antipsychotic Medication for Alzheimer's Disease
Penalty
Summary
The facility failed to ensure that a resident receiving an antipsychotic medication had an appropriate diagnosis or indication for its use. Specifically, a resident with diagnoses of Alzheimer's disease and major depressive disorder was prescribed quetiapine fumarate ER, an antipsychotic medication, for Alzheimer's disease. The facility's policy on unnecessary and psychotropic drugs states that antipsychotic medications should not be administered unless necessary to treat a specific condition as diagnosed and documented in the clinical record. During an interview, the Director of Nursing (DON) acknowledged that Alzheimer's disease is not an appropriate diagnosis for the use of an antipsychotic medication.
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Illustrative
What surveyors actually found near you
We read the 43 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Siloam Healthcare, Llc | 1.1 mi | ★★★★★ | 0 | 0 |
| Apple Creek Health And Rehab, Llc | 18.9 mi | ★★★★★ | 0 | 0 |
| Prairie Grove Health And Rehabilitation, Llc | 20.2 mi | ★★★★★ | 5 | 0 |
| The Maples At Har-ber Meadows | 20.2 mi | ★★★★★ | 2 | 0 |
| Katherine's Place At Wedington | 20.6 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.