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TERRACE GARDENS HEALTH CARE CENTER
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855353961
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 03/06/2008 Fire Safety Survey for TERRACE GARDENS HEALTH CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | Isolated | Minimal harm or potential for actual harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Isolated | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Pattern | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Isolated | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper fire barriers, ventilation and signs for the transport of oxygen. | Isolated | Minimal harm or potential for actual harm |
- 02/14/2008 Health Survey for TERRACE GARDENS HEALTH CARE CENTER
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents are well nourished. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | Isolated | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm |
| Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm |
- 01/26/2007 Fire Safety Survey for TERRACE GARDENS HEALTH CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| properly working alarms on sprinkler valves. | Pattern | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Minimal harm or potential for actual harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| back-up procedures in place for a faulty automatic sprinkler system. | Isolated | Minimal harm or potential for actual harm |
| portable fire extinguishers. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Pattern | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an automatic smoke detection system in all hallways. | Widespread | Minimal harm or potential for actual harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Widespread | Minimal harm or potential for actual harm |
| an approved back-up procedure for a faulty fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| properly sized and located linen or trash receptacles. | Isolated | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Pattern | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper fire barriers, ventilation and signs for the transport of oxygen. | Pattern | Minimal harm or potential for actual harm |
| Smoking Regulations | ||
| Deficiency | Scope | Level of Harm |
| posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | Isolated | Minimal harm or potential for actual harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| proper stairway enclosures and vertical shafts. | Isolated | Minimal harm or potential for actual harm |
- 01/11/2007 Health Survey for TERRACE GARDENS HEALTH CARE CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are well nourished. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Widespread | Minimal harm or potential for actual harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Widespread | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Pattern | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Listen to the resident or family groups or act on their complaints or suggestions. | Pattern | Minimal harm or potential for actual harm |
| Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Give the resident's legal representative the same rights as the resident. | Isolated | Minimal harm or potential for actual harm |
- 02/14/2006 Fire Safety Survey for TERRACE GARDENS HEALTH CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| signs that state that exit doors are to be kept closed. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Isolated | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 02/01/2006 Health Survey for TERRACE GARDENS HEALTH CARE CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Listen to the resident or family groups or act on their complaints or suggestions. | Pattern | Minimal harm or potential for actual harm |
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