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Deficiency Records for Terrace View Care Center
A list of the most recent deficiencies for Terrace View Care 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 View Care 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-22 | 2024-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-22 | 2024-04-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-22 | 2024-04-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-22 | 2024-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-22 | 2024-04-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-22 | 2024-04-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-22 | 2024-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-22 | 2024-04-19 | N |
| 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. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-22 | 2024-04-19 | N |
| 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. | Health | 2024-03-22 | 2024-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-22 | 2024-04-19 | 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 | 2024-03-22 | 2024-04-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-22 | 2024-04-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-22 | 2024-04-19 | N |
| Keep all essential equipment working safely. | Health | 2024-03-22 | 2024-04-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-22 | 2024-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-15 | 2023-06-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-05-15 | 2023-06-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-15 | 2023-06-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-15 | 2023-06-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-15 | 2023-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-15 | 2023-06-12 | 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 | 2023-05-15 | 2023-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-15 | 2023-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-15 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-15 | 2023-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-15 | 2023-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-15 | 2023-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-15 | 2023-06-06 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-18 | 2021-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-18 | 2021-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-18 | 2021-06-04 | 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 | 2021-05-18 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-18 | 2021-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-18 | 2021-06-04 | N |
| Keep all essential equipment working safely. | Health | 2021-05-18 | 2021-06-04 | N |
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