A list of the most recent deficiencies for Terrace View 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-15 | 2023-06-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-05-15 | 2023-06-12 | 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 | 2023-05-15 | 2023-06-12 | N |
| 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 | 2023-05-15 | 2023-06-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-15 | 2023-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-15 | 2023-06-12 | 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 | 2023-05-15 | 2023-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-15 | 2023-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-15 | 2023-06-12 | 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 | 2023-05-15 | 2023-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-15 | 2023-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-15 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-15 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-15 | 2023-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-15 | 2023-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-15 | 2023-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-15 | 2023-06-06 | 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 | 2021-08-18 | 2021-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-08-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-19 | 2021-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-18 | 2021-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-18 | 2021-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-18 | 2021-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-18 | 2021-06-04 | 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 | 2021-05-18 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-18 | 2021-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-18 | 2021-06-04 | N |
| Keep all essential equipment working safely. | Health | 2021-05-18 | 2021-06-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-28 | 2021-05-14 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-07-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-04 | 2019-07-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-04 | 2019-07-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-04 | 2019-07-01 | 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 | 2019-06-04 | 2019-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-04 | 2019-07-01 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-06-04 | 2019-07-01 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-06-04 | 2019-07-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-04 | 2019-07-01 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-06-04 | 2019-07-01 | N |
