Quality Living, Inc.

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 133 beds and averages 102.6 residents a day — about 77% occupied, or roughly 30 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 8.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 7.24 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · E2025-03-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number NAC 175 12-006.11(E) Based on observations, record review and interview, the facility staff failed to complete hand washing between glove changes during meal preparation to prevent food-borne illness which had the potential to effect 50 residents in the Summit area of the facility and failed to ensure staff wore beard nets in the food preparation area in House 4. This had the potential to affect 10 residents that resided in that house and ate foods prepared in that facility house kitchen. The facility staff identified a census of 95. Findings are: A. Record review of the facility provided policy titled Hand Hygiene and dated 04/2010, revealed handwashing is to occur before food preparation. Observation on 02/27/25 at 9:41 AM with Dietary Assistant (DA)-R, and Kitchen manager (KM)-P revealed during preparation for pureed fish, and corn revealed DA-R puts gloves on without handwasing, puts 10 fish planks into the Ninja Blender, then with same gloved hands reached into the hamburger buns and pulled out 4 buns, tore the hamburger buns into smaller pieces and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18(B) & 1-005.06 Based on observation, interview and record review the facility failed to perform hand hygiene between glove changes during wound care for Resident 39, failed to handle a urinary drainage bag for Resident 47 and failed to handle medications for Resident 35 and 39 in a manner to prevent cross contamination. The facility census was 95. The findings are: A. Record review of Resident 39's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 12-17-2024 revealed the facility staff assessed the following about the resident: -Had a Diagnosis of Multiple Sclerosis -Brief Interview of Mental Status (BIMS) was scored as a 4. According to the MDS Manual a score of 0-7 indicates severe cognitive impairment. -Required extensive assistance with eating, bathing and upper body dressing. -Required total assistance with toileting, bed mobility, transfers and lower body dressing. -had a pressure ulcer. An observation on 02-27-2025 at 9:36…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(F)(i)(5) Based on record review and interview the facility failed to notify the medical practitioner of a change in wound condition for 1(Resident 39) of 1 residents sampled. The facility census was 95. The findings are: Record review of Resident 39's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 12-17-2024 revealed the facility staff assessed the following about the resident: -Had a Diagnosis of Multiple Sclerosis -Brief Interview of Mental Status (BIMS) was scored as a 4. According to the MDS Manual a score of 0-7 equals severe cognitive impairment. -Required extensive assistance with eating, bathing and upper body dressing. -Required total assistance with toileting, bed mobility, transfers and lower body dressing. -had a pressure ulcer. Record review of Resident 39's Skin and Wound Evaluation (SWE) dated 02-23-2025 revealed a stage 3 pressure ulcer was identified by facility staff to the coccyx (tailbone). Further review of Resident 39's SWE dated 02-23-2025 revealed at the end of the SWE…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05 Based on Record observation, record review and interview revealed the facility failed to re-evaluate a protective device as a potential restraint for 1 (Resident 45) of 3 residents sampled. The facility identified a census of 95. Findings are: Record review of Resident 45's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated February 11th, 2025 Section C (Cognitive patterns) revealed a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) of a 3. According to the MDS Manule a score of 0 to 7 indicates a person has severe cognitive imparement. Section P identified Resident 45 had a trunk restraint, used in chair or out of bed. Record review of a document titled Physical/Occupational Therapy Evaluation and Consent for Use of Protective Devices, dated 4/8/2021 revealed the intervention of the rear buckling lap belt related to falls and decreeased awareness.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09D2 Based on observation, record review and interview, the facility failed to evaluate the condition of an abrasion to the right heel at the time it was found and failed to ensure treatments were provided for 1 (Resident 76) of 1 resident sampled for non-pressure alteration in skin integrity. The facility census was 95. Findings are: Record review of a facility policy entitled Interrupted Skin Integrity: policy dated 6/23 revealed the following: - Purpose: To promote skin integrity, monitor to prevent complications, and to provide comfort. - Supportive Data: Conditions such as dry skin, minor rashes, mild abrasions, superficial cuts, skin irritations, acne, or minor insect bites that are non-infectious and can be managed with basic care and observation. - Step 4: Nursing to perform skin check and assess area. - Step 5: Minor cuts, abrasions, or superficial wounds should be cleaned and bandaged properly to prevent infection. - Step 6: Refer to QLI [Quality Living Inc.] wound protocol and notify medical provider. - Step 9: Document in MAR…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(2) Based on observation, interview and record review the facility failed to evaluate, implement treatment orders, and monitor a pressure ulcer which resulted in a decline in the condition of the pressure ulcer for 1 (Resident 39) of 5 residents sampled. The facility census was 95. The findings are: A. Record review of Resident 39's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 12-17-2024 revealed the facility staff assessed the following about the resident: -Had a Diagnosis of Multiple Sclerosis -Brief Interview of Mental Status (BIMS) was scored as a 4. According to the MDS Manual a score of 0-7 equals severe cognitive impairment. -Required extensive assistance with eating, bathing and upper body dressing. -Required total assistance with toileting, bed mobility, transfers and lower body dressing. -had a pressure ulcer. Record review of Resident 39's Comprehensive Care Plan printed on 02-26-2025 revealed Resident 39 had potential and /or actual impairment in skin integrity. Interventions…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(V) Based on record review and interview; the facility staff failed to provide Range of Motion (ROM) to maintain mobility for 1 of (Resident 29) of 3 sampled residents. The facility identified a census of 95. Findings are: Record review of Resident 29's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems), MDS dated [DATE] indicated Resident 29 was dependent on staff for all cares and movements. Section GG indicated Resident 29 was impaired on both sides of the resident's body involving upper and lower extremities. Section O revealed restorative nursing was completed 1 day during the look back (7 days of review for the resident). Review of section C, cognitive patterns revealed Resident 29 was severely impaired and never/rarely made decisions. Record review of Resident 29's Care Plan/[NAME] revealed, Resident 29 was to receive ROM 3 days…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(vi)(3)(a) Based on observation, interview, and record review, the facility failed to evaluate the gastrostomy tube (G-Tube, a tube inserted in the stomach to provide food, water and medications) for drainage or migration (movement of the G-tube) prior to administering tube feeding for 1 (Resident 58) of 6 sampled residents with a G-tube. The facility census was 95. Findings are: A record review of the facility's policy entitled Tube Feeding: Bolus updated 9/2019 revealed that if drainage was noted at the insertion site and migration of placement is suspected based on additional signs and symptoms (e.g. nausea, vomiting, bloating, pain, abdominal distention, etc.), the physician would be notified in order to determine an appropriate assessment plan (i.e. x-ray) and treatment. A record review of Resident 58's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used for resident-centered care planning) dated 12/17/24 revealed the resident did not have a Brief Interview for Mental Status (BIMS, a brief screening tool…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(B)(iii) Based on record review and interview; the facility failed to identify and monitor specific target behaviors for the continued use of as-needed antianxiety medications for 1 (Resident 67) of 5 sampled residents. The facility census was 95. Findings are: A record review of the facility undated policy entitled Limitations of Psychoactive Drugs revealed that the interdisciplinary team would work together to ensure appropriate use, evaluation, and monitoring of psychotropic medications. The following was identified: The team will monitor psychotropic medication use and note adverse effects or changes in resident behaviors and report to the provider. A record review of Resident 67's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used for resident-centered care planning) dated 1/17/2025 revealed the resident had a Brief Interview for Mental Status (BIMS, a brief screening tool that aids in detecting cognitive impairment) of 14 which indicated intact cognition, and that the resident received antianxiety,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-03 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.07 Based on record review and interviews; the facility failed to ensure the Quality Assurance Performance Improvement Program [QAPIP, a facility process that identifies problems in the facility and works to correct the concerns] identified and addressed concerns related to deficient practice identified on the annual survey 2025 (F 580, F 604, F 684, F 686, F 688, F 693, F 758, F 812, F 867, F 880) and to ensure correction for repeat deficient practice from a previous survey 2024 (F 880) was maintained. This had the potential to affect 95 residents that resided in the facility. The facility census was 95. Findings are: Record review of a facility Policy entitled Policy for Program Improvement dated revised 4/23 revealed the following: Quality Living, Inc. (QLI) is dedicated to providing excellent services for our residents. The Leadership Team is responsible for monitoring services provided and improving processes as needed. A Program Improvement Committee representing leaders from each campus is designated to meet on a quarterly basis to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NE