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Inspection visit

Health inspection

QUINCY RETIREMENT COMMUNITYCMS #3953781 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

395378 01/29/2026 Quincy Retirement Community 6596 Orphanage Road Waynesboro, PA 17268
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on facility policy review, review of select facility documentation, and staff interviews, it was determined that the facility failed to ensure alleged violations involving abuse were investigated thoroughly and reported in a timely manner for one resident reviewed for abuse allegation (Residents 1).Findings include: Review of facility policy, titled Abuse, Neglect, Exploitation last reviewed December 25, 2025, revealed Under the Elder Justice Act, an individual must report any reasonable suspicion of a crime against a resident or participant within 2 hours of the reasonable suspicion if the incident involves serious bodily injury and within 24 hours if the incident does not involve serious bodily injury. The facility policy added a section, titled Identification of Abuse, that stated:All bruises, skin tears and other found injuries are investigated for potential abuse.Event and Response Reports are reviewed by physician, Director of Nursing, MedicalDirector, and Administrator for further action.Review of the facility incident dated December 24, 2025, at 9:00 PM, stated NA (Nursing Assistant) reported [Resident 1] had a bruise on left forearm. Upon assessment resident was found to have a 10 cm (centimeter) x 6 cm red/purple colored bruise on left forearm near the elbow. Some swelling noted. The writer of the incident also added that the Resident was asked if she knew how it happened, and the Resident stated, him. The Resident did not elaborate how it happened, but did say she doesn't want him to ever touch her again. The only person notified based on the incident report was the daughter of Resident 1. The daughter was notified on December 24, 2025, at 10:20 PM. A review of the form titled, Interview/Statement Form for Investigative Purposes, was completed by Employee 3 (NA) who was providing care to Resident 1 on December 24, 2025. This statement was obtained on December 24, 2025, at 10:00 PM. Employee 3 (NA) documented that he noticed a mark on Resident 1 while getting her ready for bed. While getting resident ready for bed halfway through she started tossing and turning and when I sat her back into chair I noticed the mark. There was not further investigation into the abuse allegation. Review of facility's interview dated December 26, 2025, two days after the allegation, a statement obtained from Employee 3 regarding the events of December 24, 2025, during care of Resident 1. On last rounds on 3-11 shift I saw resident becoming anxious and normally that means she needs changed. So I got her in bed and started to change her and I had removed her brief and after that she became restless and agitated and started tossing and turning not allowing me to change her. After a few moments I got her changed and put back into her chair when I noticed the bruise on her arm and reported it to the nurse. Prior to changing her she had been wheeling herself all around the unit as well as exit seeking. While she was roaming she was pulling herself by the wall. Review of facility's interview on December 26, 2025, with Employee 1 (NA) provided a statement while providing care to [Resident 1] this morning I noticed a large dark bruise. Unaware of it on 12/25 she had long sleeves on and went LOA (leave of absence) with family at noon. Review of facility's interview on December 26, 2025, with Employee 4 (Licensed Practical Nurse) stated, I worked 12/24/25 7-3 PM. I did not notice bruise to [Resident 1's] left forearm. No Page 1 of 2 395378 395378 01/29/2026 Quincy Retirement Community 6596 Orphanage Road Waynesboro, PA 17268
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few incident reported to this writer on 12/24/2025. I did not work 12/25/25. Incident not reported to this writer. [Resident 1] informed this writer and NA on 12/26/2025, at 10 AM that the 'Big fat white guy was rough with her yesterday and mean to her.' On December 26, 2025, the Nursing Home Administrator (NHA) filed a Community Grievance Form documenting that Resident 1 was upset with a male caregiver from 12/24/2026. During an interview with the NHA on January 28, 2026, at 3:00 PM, the NHA said that a grievance form was completed December 26, 2025, Administration decided the incident should not be reported as abuse. The NHA added that no other residents complained about Employee 3's care when questioned on December 26, 2025. When asked about Employee 3's working status, the NHA stated that he worked 3:00 PM until 3:00 AM on December 24, 2025, and has no longer been utilized by the facility. When asked if the provider was notified on December 24, 2025, the NHA was unable to determine if he was notified. 28 Pa. Code 201.14(a) Responsibility of licensee28 Pa. Code 201.18(b)(1) Management28 Pa. Code 211.12(d)(1)(2)(5) Nursing services 395378 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0609GeneralS&S Dpotential for harm

    F609 - The facility must develop and implement written policies and procedures that:

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2026 survey of QUINCY RETIREMENT COMMUNITY?

This was a inspection survey of QUINCY RETIREMENT COMMUNITY on January 29, 2026. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at QUINCY RETIREMENT COMMUNITY on January 29, 2026?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.