Deficiency Records for Terra Bella Health and Wellness Suites
Updated as of March 01, 2024
A list of the most recent deficiencies for Terra Bella Health and Wellness Suites. 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 | 2023-10-28 | 2023-11-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-28 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-28 | 2023-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-28 | 2023-11-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-28 | 2023-11-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-28 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-10 | 2023-10-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-10 | 2023-10-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-19 | 2023-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-19 | 2023-10-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-08-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-14 | 2023-05-12 | 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 | 2023-04-14 | 2023-05-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-14 | 2023-05-12 | 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 | 2023-04-14 | 2023-05-12 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-04-14 | 2023-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-12 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-14 | 2023-05-12 | 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 | 2023-02-02 | 2023-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-12-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2022-12-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-30 | 2022-07-25 | 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 | 2022-06-30 | 2022-07-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-07-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-07-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-30 | 2022-07-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-06-30 | 2022-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-30 | 2022-07-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-30 | 2022-07-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-30 | 2022-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-07-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-28 | 2022-07-25 | 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 | 2022-05-18 | 2022-06-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-08 | 2021-11-16 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-08 | 2021-11-16 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-08 | 2021-11-16 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-06-17 | 2021-07-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-10 | 2021-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-26 | 2021-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-26 | 2021-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-26 | 2021-04-16 | 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 | 2021-03-26 | 2021-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-26 | 2021-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-21 | 2021-04-09 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-23 | 2021-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-23 | 2021-04-09 | N |
