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Deficiency Records for East Terrace Rehabilitation and Wellness Centre, LP
View the most recent health deficiencies and inspection results for East Terrace Rehabilitation and Wellness Centre, LP. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for East Terrace Rehabilitation and Wellness Centre, LP. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-02 | 2026-03-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-02 | 2026-03-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-28 | 2026-02-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-28 | 2026-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-28 | 2026-02-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-19 | 2026-01-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-19 | 2026-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-19 | 2026-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-19 | 2026-01-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-12-19 | 2026-01-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-12-19 | 2026-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-19 | 2026-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2026-01-07 | 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 | 2025-12-19 | 2026-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-12-19 | 2026-01-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-12-19 | 2026-01-07 | 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 | 2025-12-19 | 2026-01-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-19 | 2026-01-07 | N |
| Provide appropriate foot care. | Health | 2025-12-19 | 2026-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2026-01-07 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-08 | 2025-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2025-12-27 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-09-26 | 2025-10-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-05 | 2025-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-05 | 2025-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-12 | 2025-08-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-12 | 2025-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-12 | 2025-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-12 | 2025-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-09 | 2025-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-13 | 2025-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-13 | 2025-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-29 | 2025-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-19 | 2025-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-19 | 2025-01-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-12-19 | 2025-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-19 | 2025-01-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-19 | 2025-01-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-19 | 2025-01-03 | Y |
| 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 | 2024-12-06 | 2024-12-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-06 | 2024-12-27 | 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 | 2024-12-06 | 2024-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-06 | 2024-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-06 | 2024-12-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-06 | 2024-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-06 | 2024-12-27 | 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 | 2024-12-06 | 2024-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-06 | 2024-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-06 | 2024-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-06 | 2024-12-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-12-06 | 2024-12-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-12-06 | 2024-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2024-12-27 | N |
| Dispose of garbage and refuse properly. | Health | 2024-12-06 | 2024-12-27 | 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 | 2024-12-06 | 2024-12-27 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-06 | 2024-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-06 | 2024-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-30 | 2024-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-11-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-30 | 2024-11-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-30 | 2024-11-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-30 | 2024-11-19 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-10-30 | 2024-11-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-15 | 2024-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-15 | 2024-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-15 | 2024-10-30 | Y |
| 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 | 2024-09-19 | 2024-09-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-23 | 2024-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-23 | 2024-09-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-27 | 2024-04-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-27 | 2024-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-02-23 | Y |
| 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 | 2023-12-01 | 2023-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-31 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-01 | 2023-12-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-31 | 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 | 2023-12-01 | 2023-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-01 | 2023-12-31 | 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 | 2023-12-01 | 2023-12-31 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-12-01 | 2023-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2023-12-27 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-07-11 | 2023-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-27 | 2023-07-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-23 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-15 | 2023-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-15 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-20 | Not Fixed | Y |