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Deficiency Records for The Terrace at Bishop's Glen
View the most recent health deficiencies and inspection results for The Terrace at Bishop's Glen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Terrace at Bishop's Glen. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-11 | 2025-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-11 | 2025-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-11 | 2025-07-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-05 | 2024-12-05 | Y |
| 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 | 2024-10-17 | 2024-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-21 | 2024-04-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-21 | 2024-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-21 | 2024-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-21 | 2024-04-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-03-21 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-21 | 2024-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-07 | 2022-05-29 | 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 | 2022-04-07 | 2022-05-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-07 | 2022-05-29 | N |