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Deficiency Records for Terrace Post Acute
View the most recent health deficiencies and inspection results for Terrace Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Terrace Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-21 | 2026-04-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-04-21 | 2026-04-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-04-08 | 2026-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-06 | 2026-03-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-15 | 2026-01-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-15 | 2026-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-15 | 2026-01-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-15 | 2026-01-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2026-01-15 | 2026-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-15 | 2026-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-15 | 2026-01-20 | 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 | 2026-01-15 | 2026-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-15 | 2026-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-15 | 2026-01-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-01-15 | 2026-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-01-15 | 2026-01-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-15 | 2026-01-20 | 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 | 2026-01-15 | 2026-01-20 | 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 | 2026-01-15 | 2026-01-20 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-01-15 | 2026-01-20 | N |
| Dispose of garbage and refuse properly. | Health | 2026-01-15 | 2026-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-15 | 2026-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-01-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-15 | 2026-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-26 | 2025-08-27 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-08-19 | 2025-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-19 | 2025-05-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-06 | 2025-05-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-06 | 2025-05-12 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-03-07 | 2025-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-08 | 2025-02-20 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-01-30 | 2025-02-03 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2025-01-30 | 2025-02-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-17 | 2024-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-06 | 2024-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2024-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-21 | 2024-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-21 | 2024-12-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-21 | 2024-12-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-12-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-21 | 2024-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-21 | 2024-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-21 | 2024-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-14 | 2024-11-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-25 | 2024-11-08 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-10-04 | 2024-10-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-18 | 2024-09-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-11 | 2024-09-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-18 | 2024-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-05 | 2024-09-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-25 | 2024-08-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-05 | 2024-07-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-28 | 2024-06-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-06-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-07 | 2024-05-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-07 | 2024-05-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2024-02-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-01 | 2024-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-01 | 2024-02-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-01 | 2024-02-12 | 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 | 2023-12-01 | 2024-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-02-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-01 | 2024-01-05 | 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 | 2023-12-01 | 2024-01-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-01 | 2024-01-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-01 | 2024-01-05 | 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 | 2023-12-01 | 2024-01-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-01 | 2023-12-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-01 | 2023-12-26 | N |
| Provide appropriate foot care. | Health | 2023-12-01 | 2023-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-01 | 2023-12-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-01 | 2023-12-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-01 | 2023-12-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-01 | 2023-12-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-01 | 2023-12-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-12-01 | 2023-12-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-01 | 2023-12-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-01 | 2023-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-26 | 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 | 2023-12-01 | 2023-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-22 | 2023-12-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-18 | 2023-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-18 | 2023-11-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-18 | 2023-11-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-10-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-10-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-17 | 2023-09-14 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-17 | 2023-09-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-31 | 2023-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-31 | 2023-08-29 | 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 | 2023-06-28 | 2023-07-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-06 | 2023-07-05 | Y |