Deficiency Records for The Terraces at Skyline
Updated as of July 01, 2021
This is not the most recent data for The Terraces at Skyline. For the most recent information, click here.
A list of the most recent deficiencies for The Terraces at Skyline. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-24 | 2021-07-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-24 | 2021-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-24 | 2021-07-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-24 | 2021-07-08 | 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 | 2021-05-24 | 2021-07-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-05-24 | 2021-07-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-12 | 2021-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-05-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-12 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-24 | 2021-01-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-23 | 2019-09-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-23 | 2019-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-04 | 2019-05-19 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-04-04 | 2019-05-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-30 | 2019-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-30 | 2019-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-30 | 2019-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-30 | 2019-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-30 | 2019-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-30 | 2019-03-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-30 | 2019-03-15 | 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 | 2019-01-30 | 2019-03-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-30 | 2019-03-15 | 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 | 2019-01-30 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-30 | 2019-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-01-30 | 2019-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-31 | 2019-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-03-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-18 | 2018-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-05 | 2018-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-05 | 2018-05-04 | 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 | 2018-03-05 | 2018-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-05 | 2018-05-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-05 | 2018-05-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-05 | 2018-05-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-05 | 2018-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-05 | 2018-05-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-05 | 2018-05-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-03-05 | 2018-05-04 | 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 | 2018-02-28 | 2018-04-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-28 | 2018-04-04 | N |
