Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Quality Life Services - Mercer during CMS and state inspections, most recent first.
A resident with multiple medical conditions, including diabetes, did not receive ordered Xultophy insulin on several days because the pharmacy did not supply the medication. The DON confirmed the medication was not administered as required by physician orders, resulting in a failure to follow facility policy.
An LPN failed to perform hand hygiene after removing a soiled dressing and before applying a new dressing during a wound care procedure for a resident with pressure ulcers. This action was not in accordance with the facility's infection control policy, as confirmed by the DON, and created the potential for cross contamination.
The facility did not have a staff member with specialized infection prevention and control training designated as the Infection Preventionist. After the previous IP left, the DON assumed the role without completing the required training, and there was no staff overseeing the infection control program at least part time.
The facility failed to document and assess pressure ulcers for two residents, leading to a deficiency. One resident developed a Stage 2 ulcer with inconsistent documentation, while another was admitted with a Stage 4 ulcer lacking initial and weekly assessments. The Regional Nurse confirmed the absence of required documentation.
Quality Life Services - Mercer failed to provide scheduled showers for three dependent residents, as required by their care plans. Despite facility policy and physician orders, these residents did not receive showers as scheduled, with one resident receiving only a single bed bath in 30 days. Interviews confirmed the lack of adherence to care plans, highlighting a deficiency in providing necessary personal hygiene services.
The facility did not meet the required nurse aide staffing ratios for day, evening, and overnight shifts over a 21-day period. Specific instances of shortages were documented, such as on January 13, 2025, when only 3.88 NAs worked during the day shift for 44 residents, falling short of the required 4.40. These deficiencies were confirmed by the Nursing Home Administrator.
The facility failed to meet the required LPN-to-resident ratios across various shifts, with significant shortages noted on the overnight shift for 20 out of 21 days reviewed. The day and evening shifts also experienced staffing deficiencies, confirmed by the Nursing Home Administrator.
The facility did not meet the required 3.2 hours of direct resident care per resident in a 24-hour period on seven days in early January 2025. The lowest recorded was 2.95 hours PPD. This was confirmed by the Nursing Home Administrator.
Failure to Administer Ordered Insulin Due to Pharmacy Non-Delivery
Penalty
Summary
The facility failed to follow physician orders for a resident who was admitted with multiple diagnoses, including a right femur fracture, metabolic encephalopathy, type 2 diabetes mellitus, and atrial fibrillation. According to the clinical record, there was a physician's order for the resident to receive Xultophy insulin subcutaneously at bedtime for diabetes management. The Medication Administration Record (MAR) indicated that this medication was not administered as ordered on four consecutive days. During an interview, the Director of Nursing confirmed that the insulin was not given because the pharmacy did not provide the medication. This failure to administer the prescribed medication was in direct violation of the facility's policy, which requires that physician orders be followed and carried out by authorized personnel to ensure residents receive all ordered medications and treatments in a timely manner.
Failure to Perform Hand Hygiene During Wound Dressing Change
Penalty
Summary
The facility failed to prevent potential cross contamination during a wound dressing change for a resident with pressure ulcers. According to the facility's wound dressing change policy, hand hygiene is required at multiple steps, including after removing the old dressing and before applying a new one. During an observed dressing change, an LPN cleansed the resident's coccyx wound and applied a new dressing without washing hands after removing the soiled dressing, contrary to the established protocol. The LPN later confirmed not performing hand hygiene during the procedure. The resident involved had a history of cellulitis of the left lower limb, anxiety, osteoarthritis of the knee, and diabetes mellitus. The Director of Nursing confirmed in an interview that hand hygiene should be performed several times during a wound dressing change to ensure proper infection control and prevent cross contamination. The failure to follow hand hygiene protocols during the dressing change constituted a deficiency in infection prevention and control practices.
Lack of Qualified Infection Preventionist for Infection Control Program
Penalty
Summary
The facility failed to ensure that a qualified Infection Preventionist (IP) was designated to be responsible for the infection prevention and control program. Review of the infection control program showed no evidence of any staff member with specialized training in infection prevention and control to fulfill the IP role. The Director of Nursing (DON) reported that the previous IP left the facility on 6/02/25, and since then, the DON had been covering the position without having completed the required specialized IP training. Additionally, the DON confirmed that as of 6/18/25, there were no staff members overseeing the infection control program who worked at least part time at the facility.
Failure to Document and Assess Pressure Ulcers
Penalty
Summary
The facility failed to ensure proper documentation and assessment of pressure ulcers for two residents, leading to a deficiency in compliance with professional standards of practice. Resident R1, who was admitted with conditions including obesity, reduced mobility, and lumbar radiculopathy, developed a Stage 2 pressure ulcer on the coccyx. Although treatments were performed, the facility did not consistently document weekly skin assessments and measurements as required. Documentation was sporadic, with significant gaps between recorded assessments. Similarly, Resident R2, admitted with a Stage 4 pressure ulcer on the sacral region and other conditions such as a urinary tract infection and type 2 diabetes, also lacked proper documentation. The initial skin assessment and subsequent weekly assessments were not documented until nearly two weeks after admission. The Regional Nurse confirmed the absence of necessary documentation for both residents, indicating a failure to adhere to the facility's policy on skin integrity and wound management.
Plan Of Correction
Residents #1 and #2 had their wounds measured and documentation completed. A skin sweep will be completed of all residents by DON/designee to ensure all skin concerns are documented. Education will be provided to the DON by the Clinical Services Specialist. The DON will provide education to the staff RNs regarding the process of evaluating wounds on a weekly basis. New admissions will be reviewed at the AM clinical meeting for skin concerns. Audits will be completed once a week for 4 weeks to ensure wounds are evaluated on a weekly basis. Results of the audits will be reviewed at the Quality Assurance meeting.
Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
Quality Life Services - Mercer was found to be non-compliant with the requirement to provide necessary services for activities of daily living, specifically in the area of personal hygiene and showers for dependent residents. The facility's policy, revised in March 2020, mandates that showers be provided according to a pre-determined schedule and as needed, with staff assistance documented in Point Click Care. However, the survey revealed that three residents, who required substantial or maximal assistance for bathing, did not receive showers as per their physician orders and facility policy. Resident R3, who required substantial assistance, reported not having a shower in 2-3 weeks, with records showing only one bed bath in the past 30 days. Resident R4, also dependent on staff for bathing, had not received a shower in the past 30 days despite being scheduled for showers twice a week. Similarly, Resident R5, requiring substantial assistance, only received one shower and five bed baths over the same period. Interviews with the Nursing Home Administrator and Regional Nurse confirmed the lack of evidence for scheduled showers, indicating a failure to adhere to the residents' care plans.
Plan Of Correction
Residents #3, 4, and 5 have had their showers. Other residents have been assessed to ensure showers are being given. Shower schedule will be reviewed to ensure that all residents are included in the schedule. Education will be provided by DON/designee to all nursing staff regarding shower schedule, documentation of showers, and ensuring showers are given according to the schedule. Initial audit will be completed to review resident's preference for shower and/or bed bath. Audits will be completed 3 times a week x 4 weeks on all shifts, by DON/designee, to ensure showers are being completed. Results of the audits will be reviewed at the Quality Assurance meeting.
Facility Fails to Meet Nurse Aide Staffing Ratios
Penalty
Summary
The facility failed to meet the required nurse aide (NA) staffing ratios as mandated by regulations effective July 1, 2024. Specifically, the facility did not maintain a minimum of one NA per 10 residents during the day shift for 21 consecutive days, from December 31, 2024, to January 20, 2025. Additionally, the facility did not meet the required ratio of one NA per 11 residents during the evening shift on 10 out of 21 days within the same period. Furthermore, the overnight shift consistently fell short of the required one NA per 15 residents for all 21 days reviewed. The review of nursing staffing documents revealed specific instances of NA shortages across all shifts. For example, on January 13, 2025, with a census of 44 residents, only 3.88 NAs worked during the day shift when 4.40 were required. Similarly, on January 12, 2025, during the overnight shift, only 2.25 NAs worked when 2.93 were required for a census of 44 residents. These staffing deficiencies were confirmed by the Nursing Home Administrator during an interview on January 22, 2025.
Plan Of Correction
1. The facility was unable to make corrective action for the (nurse aide ratio) for identified days that have already passed. All residents received care in accordance with their care plans and physician orders. 2. Director of nursing or designee will re-educate the labor manager and the Registered nurse supervisors on the 7/1/2024 requirements for Nurse Aide ratios. 3. Facility continues to offer incentives, competitive wages, and several other benefits in an effort to hire for all open positions. 4. Nursing home administrator, DON, and Labor manager will conduct daily staffing meetings Monday - Friday to review (nurse aide ratios) throughout the day, the following day, and the weekend. In the event of vacancies, the Labor Manager or designee will follow staffing policies including offering open shifts to internal staff, contracted agency staff, and offering current staff to stay extra or start earlier. 5. Director of Nursing or designee will audit daily staffing ratios and along with all steps taken to fill vacancies 5 days a week and ongoing. 6. Results of the audits will be reviewed and recorded in the monthly Quality Assurance Performance Improvement meeting.
LPN Staffing Shortages Across Shifts
Penalty
Summary
The facility failed to meet the required staffing levels for Licensed Practical Nurses (LPNs) as mandated by regulations effective July 1, 2023. Specifically, the facility did not maintain the minimum LPN-to-resident ratios on several occasions across different shifts. On the day shift, the facility was short of the required LPNs on one out of 21 days reviewed, with a census of 42 residents requiring 1.68 LPNs, but only 1.00 LPN was present. The evening shift experienced shortages on three days, with the facility failing to meet the required LPN ratio for resident counts ranging from 42 to 44. The overnight shift was particularly affected, with shortages on 20 out of 21 days reviewed, where the facility consistently had only 1.00 LPN working despite needing between 1.05 and 1.13 LPNs based on the resident census. The deficiencies were confirmed through a review of the facility's nursing staffing documents and an interview with the Nursing Home Administrator. The administrator acknowledged the failure to meet the minimum LPN ratio requirements on the specified shifts and dates. This consistent shortfall in staffing indicates a systemic issue in maintaining adequate nursing coverage, which is crucial for ensuring the safety and well-being of the residents.
Plan Of Correction
1. The facility was unable to make corrective action for the (Licensed Practical Nurse ratio) for identified days that have already passed. All residents received care in accordance with their care plans and physician orders. 2. Director of Nursing or designee will re-educate the Labor Manager and the RN Supervisors on the 7/1/2024 Licensed Practical Nurse ratio requirements. 3. Facility continues to offer incentives, competitive wages, and several other benefits in an effort to hire for all open positions. 4. Nursing Home Administrator, Director of Nursing, and Labor Manager will conduct daily staffing meetings Monday - Friday to review (Licensed Practical Nurse ratios) throughout the day, the following day, and the weekend. In the event of vacancies the Labor Manager or designee will follow staffing policies including offering open shifts to internal staff, contracted agency staff, and offering current staff to stay extra or start earlier. 5. Director of Nursing or designee will audit daily staffing ratios along with all steps taken to fill vacancies 5 days a week and ongoing. 6. Results of the audits will be reviewed and recorded in the monthly Quality Assurance Performance Improvement meeting.
Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per resident in a 24-hour period on seven specific days between January 1, 2025, and January 13, 2025. A review of the facility's nursing staffing documents revealed that the hours of direct resident care fell below the required minimum on these dates, with the lowest being 2.95 hours per patient per day on January 12, 2025. This deficiency was confirmed during an interview with the Nursing Home Administrator on January 22, 2025, who acknowledged that the facility did not meet the required staffing levels on the specified dates.
Plan Of Correction
1. The facility was unable to make corrective action for direct care staff for identified days that have already passed. All residents received care in accordance with their care plans and physician orders. 2. Director of Nursing or designee will re-educate the Labor Manager and the RN supervisors on the 7/1/2024 for direct care staff PPD requirements. 3. Facility continues to offer incentives, competitive wages, and several other benefits in an effort to hire for all open positions. 4. Nursing Home Administrator, Director of Nursing, and Labor Manager will conduct daily staffing meetings Monday - Friday to review (PPD) throughout the day, the following day, and the weekend. In the event of vacancies, the Labor Manager or Designee will follow staffing policies including offering open shifts to internal staff, contracted agency staff, and offering current staff to stay extra or start earlier. 5. DON or designee will audit daily staffing PPD along with all steps taken to fill vacancies 5 days a week and ongoing. 6. Results of the audits will be reviewed and recorded in the monthly Quality Assurance Performance Improvement meeting.
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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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Nursing homes near Mercer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avalon Springs Care Center | 1.3 mi | ★★★★★ | 6 | 0 |
| Shenango Presbyterian Seniorcare | 8.7 mi | ★★★★★ | 12 | 0 |
| Kadima Rehabilitation & Nursing At New Wilmington | 9 mi | ★★★★★ | 13 | 0 |
| Saint John Xxiii Home | 9.3 mi | ★★★★★ | 1 | 0 |
| Quality Life Services - Grove City | 10.3 mi | ★★★★★ | 6 | 0 |
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