Deficiency Records for Palm Terrace Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Palm Terrace Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2023-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-08 | 2023-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-06-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-04-15 | Y |
| 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 | 2023-03-15 | 2023-04-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-15 | 2023-04-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-15 | 2023-04-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-27 | 2023-02-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-16 | 2023-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-13 | 2022-10-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-08-11 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-24 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-24 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-24 | 2022-06-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-24 | 2022-06-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-09 | 2022-06-22 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-06-06 | 2022-06-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-23 | 2022-06-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-05-23 | 2022-06-14 | 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 | 2022-05-23 | 2022-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-23 | 2022-06-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-05-23 | 2022-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-23 | 2022-06-14 | 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 | 2022-05-10 | 2022-05-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-02 | 2021-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-02 | 2021-11-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-30 | 2021-08-20 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-01 | 2019-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-01 | 2019-12-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-01 | 2019-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-01 | 2019-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-01 | 2019-12-01 | 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 | 2019-11-01 | 2019-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-01 | 2019-12-01 | 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 | 2019-11-01 | 2019-12-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-11-01 | 2019-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-01 | 2019-12-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-11-01 | 2019-12-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-03 | 2019-01-18 | 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 | 2019-01-03 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-03 | 2019-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-03 | 2019-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-03 | 2019-01-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-03 | 2019-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-03 | 2019-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-14 | 2018-12-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-14 | 2018-12-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-11-14 | 2018-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-14 | 2018-12-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-14 | 2018-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-14 | 2018-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-14 | 2018-12-14 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-14 | 2018-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-14 | 2018-12-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-14 | 2018-12-14 | N |
