Gardens at Terracina Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Gardens at Terracina Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF883May 30, 2024

  Based on record review, review of the facility's policy and procedure, and staff interview, the facility failed to ensure 5 (Resident #75, #76, #77, #78, and #79) of 5 residents sampled who were admitted during the 2023 to 2024 influenza season received education regarding the benefits and potential side effect of the influenza immunization and were offered the influenza immunization. The failure to offer and provide influenza immunization education puts the residents at risk of developing influenza. […]

• No harm, potential for more than minimal, isolatedF563Feb 16, 2023

  Based on observation, facility policies and procedures, staff, resident, and family member interviews, the facility failed to ensure residents' right to receive visitors at the time of their choosing for 3 (Resident #239, #236, and #28) of 5 sampled residents. The findings included: Facility policy titled Right to Access and Visitation dated 10/3/2022, stated: Resident's family members are not subject to visiting hour limitations or other restrictions not imposed by the resident, with the exception of reasonable clinical and safety restrictions, placed by the facility based on recommendations of CMS (Center for Medicare and Medicaid Services), CDC (Center for Disease Control), or the local health department. […]

• No harm, potential for more than minimal, isolatedF684Feb 16, 2023

  Based on observations, interviews, record review and policy review the facility failed to address a significant change in weight in a timely manner for 1 (Resident #182) of 3 residents reviewed for weights. The findings included: Review of facility policy titled, Weight Monitoring Policy, reviewed 10/24/2022 which stated: Policy: Based on the resident's comprehensive assessment, the facility will ensure the resident maintains acceptable parameters of nutritional status, such as body weight, unless the resident's clinical condition demonstrates that this is not possible. Policy Explanation and Compliance Guidelines: 2. The newly recorded resident weight should be compared to the previous recorded weight. […]

• No harm, potential for more than minimal, isolatedF686Feb 16, 2023

  Based on observations, interviews, and record reviews, the facility failed to provide care and services to prevent the development of pressure ulcers in 1 (Resident #28) of 1 resident with an in-house acquired pressure ulcer. The findings included: Review of Resident #28's Hospital Transfer Form (Agency for Health Care Administration (AHCA) Form 5000-3008) dated 1/11/23 revealed Resident #28 had an incision and drainage of a right foot infection and wore a surgical boot. Resident #28 did not have any pressure ulcers listed on the transfer form. Review of the Hospital Physical Therapy Treatment Record History of Present illness dated 1/9/23 revealed Resident #28 had surgery to the right foot on 12/30/22 and instructions for surgical shoe at all times. […]