A list of the most recent deficiencies for Harrison Terrace. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-17 | 2023-08-15 | 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 | 2023-07-17 | 2023-08-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-17 | 2023-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-05 | 2023-06-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-05 | 2023-06-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-05 | 2023-06-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-08 | 2022-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-23 | 2022-07-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-23 | 2022-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-22 | 2021-08-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-12 | 2021-08-09 | 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 | 2021-07-12 | 2021-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-12 | 2021-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-12 | 2021-08-09 | 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 | 2021-07-12 | 2021-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-12 | 2021-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-12 | 2021-08-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-28 | 2021-05-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Meet other general requirements. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-01-14 | 2020-02-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-11-07 | 2019-12-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-07 | 2019-12-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-07 | 2019-12-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2019-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-07 | 2019-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-07 | 2019-12-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-07 | 2019-12-07 | 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 | 2019-11-07 | 2019-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-12-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-11-07 | 2019-12-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-07 | 2019-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2019-12-07 | 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 | 2019-11-07 | 2019-12-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-07 | 2019-12-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-07 | 2019-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-07 | 2019-12-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-07 | 2019-12-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-07 | 2019-12-07 | N |
