Quality Life Services Apollo: Medical Record Failures - PA
The resident, identified in inspection records only as Closed Resident Record CR1, died on September 26, 2025, at 7:15 in the evening. The nurse's progress note recording that death was dated September 30, four days later. For September 26 itself, the clinical record contains no nursing notes at all.
Inspectors reviewed the case as part of a complaint investigation completed November 13, 2025.
CR1 had been admitted to the facility with a malignant kidney tumor, major depressive disorder, and high blood pressure. A care assessment completed in July 2025 showed all three diagnoses remained active. Two months later, the patient was dead, and the only nurse's note acknowledging that death was written four days after it occurred.
The Director of Nursing, interviewed by inspectors on November 12, confirmed the failure outright. The facility, she acknowledged, had not ensured the record was complete or accurately documented.
That confirmation matters more than it might appear. Medical records for a resident who has died are often the only remaining account of their final hours. They document whether pain was managed, whether family was notified, whether the patient was comfortable or in distress. A progress note written four days later cannot capture any of that in real time. It is, at best, a reconstruction. At worst, it is a gap that cannot be filled.
Inspectors classified the violation under a federal standard requiring nursing homes to maintain medical records that are complete and accurately documented in accordance with accepted professional standards. The level of harm was listed as minimal harm or potential for actual harm. One resident was affected.
That classification, minimal harm, reflects the regulatory framework's narrow focus on what can be proven rather than what might have gone unrecorded. Whether CR1's final hours were documented somewhere else in the chart, or whether those hours went entirely unobserved and unrecorded, the inspection report does not say.
What it does say is that the only nurse's note acknowledging this person's death was written four days after the fact, and that on the day CR1 stopped breathing, nobody wrote anything down.
Quality Life Services Apollo is a long-term care facility in Armstrong County, in western Pennsylvania. The inspection covered four resident records. The documentation failure was found in one of them, belonging to a patient who was no longer alive to speak for themselves.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Quality Life Services - Apollo from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 2, 2026 · Our methodology
QUALITY LIFE SERVICES - APOLLO in APOLLO, PA was cited for violations during a health inspection on November 13, 2025.
The resident, identified in inspection records only as Closed Resident Record CR1, died on September 26, 2025, at 7:15 in the evening.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.