Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 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.
A resident who required two-person assistance was transferred by one CNA and fell to the floor during the transfer. Another resident who required supervision and a fire-resistant smoking apron was observed smoking without the apron in place, and an LPN stated they did not normally supervise smoke breaks or know which residents needed an apron. The facility also left an electrical room door unlocked, with paint, power tools, insect spray, electrical cords, and enabler bars inside.
Unsanitary ice machine observed with a black slimy substance on the underside of the plastic rim inside the ice compartment. The dietary manager stated the substance appeared to be grime and should not have been in the ice machine, and noted the unit was due for weekly cleaning. The kitchen provided nourishment to 85 residents.
Failure to Protect Resident from Physical Abuse: A resident reported that two CNAs were rough while moving them up in bed and bumped their head into the headboard, causing pain. Another resident heard the incident, and the DON and administrator later confirmed the abuse allegation and failure to report were substantiated after the facility investigation.
Failure to Report Alleged Physical Abuse: A resident alleged that two CNAs were rough while repositioning them in bed and that the resident’s head was bumped into the headboard, causing pain. One CNA confirmed the head bump occurred during care, and the administrator stated the abuse allegation and failure to report were substantiated because the staff did not report the incident immediately.
A resident's urinary catheter drainage bag was observed on the floor at the bedside on two occasions. The facility's policy stated catheter tubing and drainage bags should be kept off the floor, and CNAs, an LPN, and the DON all stated the bag should be hung on the bed frame or side of the bed and not touch the floor.
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.
Unsafe Transfers, Smoking Supervision, and Unsecured Electrical Room
Penalty
Summary
The facility failed to ensure a resident did not fall during a transfer when the resident required extensive assistance of two staff members to transfer between surfaces. The resident’s care plan and quarterly assessment showed the resident needed two-person assistance and maximal assistance for chair-to-bed transfers, and the resident had a brief interview for mental status score of 15, indicating intact cognition for daily decision making. An incident report showed CNA #1 transferred the resident without another staff member present, and the resident was assisted to the floor during the transfer. The resident later stated that CNA #1 was transferring them from a chair to the bed without assistance and that they lost their balance once they were on the side of the bed. The facility also failed to ensure safety interventions were in place while a resident was smoking and failed to keep the electrical room door secured. A resident who required a fire-resistant smoking apron and supervision while smoking was observed smoking in the designated area without the apron, and staff initially did not have the apron in place. An LPN stated they did not normally supervise smoke breaks and did not know which residents required a smoking apron, while the DON stated the resident was required to wear the apron and be supervised based on the smoking assessment. In addition, an electrical room door on E hall was observed unlocked with paint, power tools, insect spray, electrical cords, and enabler bars inside; the DON stated the door should have been locked and the maintenance supervisor stated the room had been accessed shortly before it was found unlocked.
Unsanitary Ice Machine
Penalty
Summary
The facility failed to ensure the ice machine was maintained in a sanitary manner. During observation on 06/29/26 at 10:03 a.m., the ice machine was found to have a black slimy substance on the underside of the plastic rim inside the ice compartment. A review of the Monthly Deep Cleaning Schedule 2026 showed the ice machine had been cleaned in March 2026, April 2026, and May 2026. At 10:15 a.m. the dietary manager stated the black substance appeared to be grime, that it should not have been in the ice machine, and that the ice machine was due for a weekly cleaning. The administrator identified that 85 residents received nourishment from the kitchen.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to ensure a resident was free from physical abuse when two CNAs moved the resident up in bed and the resident’s head was bumped against the headboard. Resident #76 wrote that a night shift CNA and her helper slid the resident up in bed and rammed the resident’s head into the headboard, causing the resident to holler out in pain. Another resident stated they were in the room and heard the head being bumped against the headboard by the CNAs. The resident later told staff the care had been rough and that the neck continued to hurt after the incident. During the investigation, CNA #8 stated that while changing Resident #76 and pulling the resident up in bed, the resident’s head bumped the headboard and the CNA apologized and asked if the resident was okay. The DON stated the resident reported the head was bumped into the headboard while care was being provided by CNA #8 and CNA #4, and the administrator stated the abuse allegations and failure to report abuse for both CNAs were substantiated after the facility investigation. The record also showed CNA #4 and CNA #8 were terminated for failure to report an allegation of abuse.
Failure to Report Alleged Physical Abuse
Penalty
Summary
The facility failed to ensure an allegation of physical abuse was reported for one resident. A written statement from the resident said that a night shift CNA and the CNA’s helper slid the resident up in bed and rammed the resident’s head into the headboard, causing the resident to holler out in pain. The resident later stated that the staff had hurt them by being rough. An email statement from one CNA said that the resident’s head bumped the headboard while the resident was being pulled up in bed after a change, and that the CNA apologized and asked several times if the resident was okay. Employee counseling records showed two CNAs were terminated for failure to report an allegation of abuse. The administrator stated the abuse allegation and failure to report were substantiated after the facility investigation, and stated the staff should have reported the incident immediately when the resident said they were hurt.
Urinary catheter drainage bag left on the floor
Penalty
Summary
The facility failed to ensure urinary catheter drainage bags were kept off the floor for Resident #41, one of five residents reviewed for urinary catheters. On 06/29/26 at 10:30 a.m. and again on 06/30/26 at 2:00 p.m., Resident #41's urinary catheter bag was observed on the floor at the bedside. The facility's undated policy titled Catheter Care, Urinary stated that the catheter tubing and drainage bag should be kept off the floor. During interviews on 07/01/26, multiple CNAs and an LPN stated that urinary catheter bags should be hung on the bed frame or side of the bed and not touch the floor, and the DON stated the bag should be hung on the bed frame and should not touch the floor.
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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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.
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How nearby facilities compare on the same public inspection record.
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| 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 | ★★★★★ | 0 | 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 October 2026) and official state health department websites.