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Inspection visit

Health inspection

QUARTZ HILL POST ACUTECMS #5553563 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to ensure the right to personal privacy for one of five sampled residents (Resident 1), when patient care was provided to Resident 1 without privacy being provided. Residents Affected - Few This failure had the potential to cause distress and embarassment for Resident 1 by having other residents watching and knowing her medical problems. Findings: A review of the facility's, policy titled Restorative Nursing Services, dated July 2017 indicated, 5. Restorative goals may include, but are note limited to supporting and assisting the resident in: c. Maintaining his/her dignity . A review of Resident 1's admission Record , indicated Resident 1 was admitted to the facility on [DATE], with diagnoses including dementia (loss of memory and ability to make sound decisions), cognitive communication deficit (an impairment in thought organization, attention, memory, problem solving, and safety awareness), and diabetes (high sugar in the blood). During an observation on 1/17/25 at 12:08 PM in the dining room, Licensed Nurse A (LN A) entered the resident's dining room and checked Resident 1 ' s blood sugar by pricking her finger and using a glucometer (a devise used to measure blood sugar level) at the dining table, while other residents were at the table. During an observation on 1/17/25 at 12:13 PM in the dining room, LN A entered the dining room and gave Resident 1 an insulin (a biological product to treat blood sugar disease) shot at the dining table, with other residents at the table. During an interview on 1/23/25 at 11:32 AM, with the Infection Control Nurse (IP), the IP confirmed that checking blood sugar and giving insulin in the dining room did not meet the facility ' s standard practices for ensuring patient privacy and dignity. Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 555356 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555356 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quartz Hill Post Acute 2120 Benton Drive Redding, CA 96003 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812 Level of Harm - Minimal harm or potential for actual harm Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview, and record review, the facility failed to ensure food safety and sanitation requirements were met in accordance with professional standards for food service safety when: Residents Affected - Many 1. Dietary Manager (DM) was not wearing a hair net in the kitchen. 2. Food was not properly covered, labeled and dated. These failures created a potential risk for exposure to foodborne illnesses in a medically vulnerable population of 110 residents who received food prepared in the kitchen. Findings: 1. During review of facility Policy & Procedure (P&P) titled Kitchen Cleaning Policy and Procedures, 4/20/23, the P&P indicated food employees shall wear hair restraints such has hair nets. During concurrent observation and interview with the DM on 1/16/25 at 10:20 AM, the DM was not wearing a hair net in the kitchen. The DM confirmed that she should be wearing a hair net while in the kitchen. 2. During review of facility Policy & Procedure (P&P) titled, Procedure for Refrigerated Storage, no date, the P&P indicated food items will be covered, labeled, and dated. During concurrent observation and interview with DM on 1/16/25 at 10:23 AM, in the walk-in refrigerator the DM confirmed that there were two pans containing cranberry bars which were not covered, labeled, and dated. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555356 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555356 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quartz Hill Post Acute 2120 Benton Drive Redding, CA 96003 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure infection control measures were adhered to when Licensed Nurse A (LN A) provided patient care in the dining room without following infection control policy and procedures. These failures had the potential to cause the spread of infection and disease to other residents in the dining room. Residents Affected - Few Findings: A review of the facility's, policy titled, Infection Prevention and Control Program dated August 2016 indicated a. Important facets of infection prevention include: (2) instituting measures to avoid complications or dissemination (spread) and .adhere to proper techniques and procedures. A review of Resident 1's admission Record , indicated Resident 1 was admitted to the facility on [DATE], with diagnoses including dementia (loss of memory and ability to make sound decisions), cognitive communication deficit (an impairment in thought organization, attention, memory, problem solving, and safety awareness), diabetes (high sugar in the blood). During an observation on 1/17/25 at 12:08 PM, in the dining room, LN A entered the dining room and checked Resident 1 ' s blood sugar by pricking her finger with a lancet (a small, sharp needle used to prick the skin to obtain a blood sample) and using a glucometer (a devise used to measure blood sugar level) at the table. During an observation on 1/17/25 at 12:13 PM, in the dining room, LN A entered the dining room and gave Resident 1 insulin (a biological product to treat blood sugar disease) using an insulin syringe (a short thin needle used to inject insulin into the body) at the table. During an interview on 1/23/25 at 11:32 AM, with the Infection Control Nurse (IP), the IP confirmed that checking blood sugar and giving insulin in the dining room did not meet the facility ' s infection control policy or standard practices. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555356 If continuation sheet Page 3 of 3

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Citations

3 citations 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.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880GeneralS&S Dpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

FAQ · About this visit

Common questions about this visit

What happened during the January 23, 2025 survey of QUARTZ HILL POST ACUTE?

This was a inspection survey of QUARTZ HILL POST ACUTE on January 23, 2025. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at QUARTZ HILL POST ACUTE on January 23, 2025?

Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordanc..."

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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Next steps

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