Brickyard Healthcare - Terrace Care Center

In the surveyor’s words

From the most serious findings on record at Brickyard Healthcare - Terrace Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921Aug 24, 2026

  Based on observation, record review, and interview, the facility failed to ensure the residents' environment was clean and in good repair related to a dirty shower room, dirty and discolored floor tiles, marred walls, loose baseboards, stained sheets, the storage of bedpans and urinals, and call lights lacking pull cords on 3 of 3 units. (Residents 5, 106, and 1, Rainbow, Reflections, and Memory Units) The facility also failed to ensure the kitchen was clean and in good repair related to the following dirty items: window screens, a fan, vents and ceiling tiles, and walls and floors for 1 of 1 kitchen. (The Main Kitchen) Findings include: 1. During an interview on 8/18/26 at 11:00 a.m., Resident 5 indicated the shower room on the Rainbow Unit smelled and there was feces on the floor. […]

• No harm, potential for more than minimal, patternF684Jun 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure medications were held based on insulin and blood pressure parameters for 1 of 2 residents reviewed for insulin and 2 of 5 residents reviewed for unnecessary medications. (Residents G, E, and H) The facility also failed to ensure discolorations were monitored and treatments were obtained for venous stasis ulcers and frequent diarrhea for 2 of 5 residents reviewed for skin conditions non-pressure related (Residents F and D) and 1 of 3 residents reviewed for constipation and diarrhea. (Resident C) The facility also failed to ensure recommendations were carried out from specialty physicians for 1 of 1 resident reviewed for change in condition. (Resident H) Findings include: 1. […]

• No harm, potential for more than minimal, patternF880Jun 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure infection control practices were in place and implemented related to the storage of wash basins, urinals, and bed pans, the changing of gloves during wound care for 1 of 2 residents reviewed for pressure ulcers, and the lack of personal protective equipment (PPE) during 1 of 1 intravenous (IV) medication administration. (The Memory Unit, Residents 15 and 109) Findings include: 1. During the Environmental Tour on 6/27/25 at 2:12 p.m., with the Maintenance Supervisor and the Administrative Consultant, the following was observed: The Memory Unit a. In the bathroom of room [ROOM NUMBER], there were two urinals hanging from the grab bar located next to the toilet. […]

• No harm, potential for more than minimal, patternF804Apr 18, 2024

  Based on observation and interview, the facility failed to ensure palatable and attractive food was served for 1 of 2 meals observed and for 2 of 3 residents reviewed for food. (The breakfast meal, Residents 34 and 41) Findings include: 1. During the Resident Council interview on 4/16/24 at 1:57 p.m., 10 residents were in attendance. Over half of the residents in attendance indicated breakfast was not good that morning. They indicated the bacon looked raw and the eggs were discolored. One resident indicated her bacon was raw on one end and burnt on the other. Several of the residents indicated the fried eggs looked green and they didn't want to eat them. One resident stated, the eggs looked like the Dr. Seuss book Green Eggs and Ham. […]

• No harm, potential for more than minimal, patternF805Apr 18, 2024

  Based on observation and interview, the facility failed to prepare a pureed (blended smooth) diet designed to meet the needs of the residents. This had the potential to affect 10 of 10 residents who received a pureed diet. Finding includes: On 4/17/24 at 11:12 a.m., Cook 1 was observed preparing a pureed cabbage braised recipe. Cook 1 added 10 scoops of cabbage to the mixer and turned on the mix cycle. Cook 1 then added 2 cups of sauerkraut juice. The mixer was turned back on and stirred. The mixture was observed to be watery and Cook 1 added a tablespoon of thickener. The mixer was turned back on and then stirred to review consistency. Cook 1 then added another tablespoon of thickener and turned on the mixer. A total of 7 tablespoons of thickener were added to the recipe. […]