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Deficiency Records for Terrace Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Terrace Healthcare and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Terrace Healthcare and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-04-26 | 2024-05-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-07 | 2023-07-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-06-07 | 2023-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-07 | 2023-07-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-07 | 2023-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-07 | 2023-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-06 | 2023-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-06 | 2023-07-25 | N |
| Post nurse staffing information every day. | Health | 2023-03-06 | 2023-03-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-23 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-27 | 2022-06-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-03 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-04-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-21 | 2022-04-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-21 | 2022-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-03 | 2022-03-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-03 | 2022-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-21 | 2022-02-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-01-21 | 2022-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-09-11 | 2020-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-11 | 2020-10-12 | N |
| 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. | Health | 2020-09-11 | 2020-10-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-09-11 | 2020-10-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-09-11 | 2020-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-11 | 2020-10-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-09 | 2020-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-09 | 2020-10-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-09-09 | 2020-10-12 | N |
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