Inspection visit

Routine inspectionMay 21, 2025

QUALITY CARE ASSISTED LIVINGLicense 1572091466 citations on this visit

6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA)'s Shawna Doucette and Sarah Hurt arrived at the facility unannounced to conduct the Required Annual Inspection. LPA's met with Administrator Alma Espinal. LPAs toured the facility inside and out. LPAs observed adequate food supply. Smoke detectors and carbon monoxide detector were tested and are in working order. Facility has pull station fire alarm with sprinkler system. Fire extinguishers were serviced 2/10/25. Water temperature measured at 120 F. LPAs observed the following deficiencies: Sample of resident files were reviewed- R1 did not have a completed LIC 602. LPA's viewed several required boxes missing required information. R2 did not have a current needs and service plan. R3's physician report was not complete and was missing diagnosis. R3 did not have a current LIC602 for change in condition R3 went on hospice. Facility did not have a hospice care plan for R3. LPA observed a sample of resident's medication and medication records. R3's medication 1 started on 5/1/25. Pill bottle originally contained 30 pills. R3 has 8 pills left. R3 is missing a pill or it was administer twice in a day. Prescription indicates it should be administered once daily. R3's medication 2 started on 5/1/25. Pill bottle originally contained 30 pills. R3 has 7 pills left. Facility is missing or administered 2 of R3's pills. Facility staff did not properly log medication 3 starting on 5/16/25 which was hand written on the pill bottle for R3. Centrally stored log states medication 3 started 5/1/25. Medication is in a pill bottle containing 30 pills out of 45 pills. Med tech states it started PM but there is no documentation showing the medication started AM or PM for R3. R3's medication started on 5/1/25 AM per facility staff and is supposed to be administered 2 times per day. Facility staff later stated it started PM. Centrally stored log does not indicate if pill bottle was started AM or PM. Bottle contains 60 pills started 5/1/25 and has remaining of 40 pills. During the facility tour LPA Hurt observed resident room screens screwed into the wall. A copy of this report was provided to the Administrator with plan of corrections and appeal rights.

Citations

6 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87633(b)Type B
Facility must keep complete hospice care plan on file
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having a hospice care plan for R3, which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(c)Type B
Keep window screens clean and in repair
Based on [(observation), the licensee did not comply with the section cited above in several window screens in the facility courtyard were screwed into the wall, which poses/posed a potential health, safety or personal rights risk to persons in care.
87458(a)Type B
Obtain baseline medical assessment before resident admission
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R1 did not have a completed LIC 602 missing several required boxes, which poses/posed a potential health, safety or personal rights risk to persons in care.
87463(a)Type B
Update reappraisal at required intervals
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R3 did not have a current LIC 602 for change in condition or a diagnosis listed on LIC 602, which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(a)(4)Type A
Assist residents with self-administered medication
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in administering two of R3's pills correctly. R3's medication 1 started on 5/1/25. Pill bottle originally contained 30 pills. R3 has 8 pills left and R3's medication 2 started on 5/1/25. Pill bottle originally contained 30 pills. R3 has 7 pills left, which poses an immediate health, safety or personal rights risk to persons in care.
87465(a)(6)Type B
Maintain records of centrally stored medication dosages
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 2 of R3's medication were not properly documented. R3 had two different start dates of 5/1/25 and 5/16/25 for one medication and another medication did not indicate if it started AM or PM, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 21, 2025 inspection of QUALITY CARE ASSISTED LIVING?

This was an inspection of QUALITY CARE ASSISTED LIVING on May 21, 2025. 6 citations were issued: 1 Type A (serious) and 5 Type B.

Were any citations issued to QUALITY CARE ASSISTED LIVING on May 21, 2025?

Yes, 6 citations were issued (1 Type A, 5 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not ha..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 15, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·May 21, 2025