A list of the most recent deficiencies for Terrace at Solarbron The. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-11-13 | 2023-12-05 | N |
| Meet other general requirements. | Fire Safety | 2023-11-13 | 2023-12-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-13 | 2023-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-13 | 2023-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-13 | 2023-12-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-31 | 2023-11-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-31 | 2023-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-11-27 | N |
| 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 | 2023-10-31 | 2023-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-31 | 2023-11-27 | N |
| Post nurse staffing information every day. | Health | 2023-10-31 | 2023-11-27 | 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 | 2023-10-31 | 2023-11-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-31 | 2023-11-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-31 | 2023-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-31 | 2023-11-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-08-03 | Y |
| Report COVID19 data to residents and families. | Health | 2022-07-13 | 2022-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-07-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-04-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-22 | 2022-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-22 | 2022-04-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-22 | 2022-04-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-22 | 2022-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-22 | 2022-04-22 | 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 | 2022-03-22 | 2022-04-22 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-22 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-04-22 | N |
| Post nurse staffing information every day. | Health | 2022-03-22 | 2022-04-22 | 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 | 2022-03-22 | 2022-04-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-22 | 2022-04-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-22 | 2022-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-04-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-22 | 2022-04-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-22 | 2022-04-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-22 | 2022-04-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-22 | 2022-04-22 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-03-22 | 2022-04-22 | Y |
| 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 | 2022-03-29 | 2022-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-29 | 2022-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-29 | 2022-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-29 | 2022-04-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-29 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-20 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-08-11 | 2021-08-26 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-08-11 | 2021-08-26 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2021-08-11 | 2021-08-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-11 | 2021-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-11 | 2021-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-08-26 | 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 | 2021-08-11 | 2021-08-26 | Y |
| 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 | 2021-08-11 | 2021-08-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-11 | 2021-08-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-08-11 | 2021-08-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-09 | 2021-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-09 | 2021-06-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-28 | 2021-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-28 | 2021-05-17 | Y |
| 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 | 2020-01-15 | 2020-02-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-01-15 | 2020-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-15 | 2020-02-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-15 | 2020-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-20 | 2019-12-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-20 | 2019-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-20 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-20 | 2019-12-20 | 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 | 2019-11-20 | 2019-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-20 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-20 | 2019-12-20 | N |
