Deficiency Records for Brickyard Healthcare - Terrace Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare - Terrace 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-09 | 2024-01-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-09 | 2024-01-31 | 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 | 2023-09-27 | 2023-09-28 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-27 | 2023-09-28 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-03 | 2023-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-05-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-09 | 2023-03-31 | 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 | 2023-02-09 | 2023-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-24 | 2023-02-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-24 | 2023-02-07 | 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 | 2023-01-24 | 2023-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-24 | 2023-02-07 | 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 | 2023-01-24 | 2023-02-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-24 | 2023-02-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-24 | 2023-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-24 | 2023-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-02-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-24 | 2023-02-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-24 | 2023-02-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-24 | 2023-02-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-03-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-14 | 2019-12-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-14 | 2019-12-14 | 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 | 2019-11-14 | 2019-12-14 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-14 | 2019-12-14 | 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 | 2019-11-14 | 2019-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-14 | 2019-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-26 | 2018-12-28 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-10-26 | 2018-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-26 | 2018-12-28 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-26 | 2018-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-26 | 2018-12-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-26 | 2018-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-26 | 2018-12-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-26 | 2018-12-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-26 | 2018-12-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-26 | 2018-12-28 | 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 | 2018-10-26 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-12-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-26 | 2018-12-28 | 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 | 2018-11-14 | 2018-12-14 | 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 | 2018-11-14 | 2018-12-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
