Harrison Terrace

In the surveyor’s words

From the most serious findings on record at Harrison Terrace, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 8, 2022

  Based on interview and record review the facility failed to ensure resident to resident sexual abuse did not occur with a resident who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Interventions were not implemented per the plan of care and after a room move post an unusual occurrence involving Resident B and Resident C that later resulted in a resident, (Resident C), having his private parts touched by another resident, (Resident B). The Past Noncompliance Immediate Jeopardy began on 8/26/22. The Facility Administrator, Director of Nursing Service's and the Regional Director of Clinical Service's were notified of the Immediate Jeopardy on September 7, 2022 at 5:04 P.M. […]

• Actual harm, isolatedF600Jun 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from abuse regarding placement of a newly admitted resident with a history of physical aggression into a room with a resident with a history of invading peers' personal space, resulting in emotional distress and an ER (emergency room ) visit with contusion of the occipital region of the scalp for 1 of 2 residents reviewed for abuse. (Resident J) Findings include: 1. The clinical record for Resident J was reviewed on 6/21/22 at 3:00 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2024

  Based on observation, interview and record review, the facility failed to ensure the flooring, and the ceiling vents were kept clean in the kitchen and to ensure an ice machine on the Meridian unit was kept clean and sanitary by having a black substance growing on internal components within the ice bin. This had a potential to affect 70 of 70 residents that consume food from the kitchen had the potential to affect 23 of 23 residents who reside on the Meridian unit. (Facility) Findings include: 1. An observation was made of the kitchen with the Culinary Manager on 8/23/24 at 11:23 a.m. The dishwasher area's flooring along the back wall under the dishwasher was observed with a black substance on it. […]

• No harm, potential for more than minimal, widespreadF814Aug 29, 2024

  Based on observation and interview, the facility failed to ensure trash was contained in receptacles for 70 of 70 residents in the facility. Findings include: During a kitchen tour with the Culinary Manager, on 8/27/24 at 11:23 a.m., two outside dumpsters were observed. One of the dumpster's had one sliding side door opened with trash bags inside. The ground around the dumpsters and along the fence line in the parking lot was observed with paper and plastic debris, medication cups and gloves scattered around the dumpsters and grass area. The Culinary Manager indicated the sliding side doors should be shut, and the maintenance department maintains the surrounding area around the dumpsters and the grass area. […]

• No harm, potential for more than minimal, widespreadF925Aug 29, 2024

  Based on observation, interview, and record review, the facility failed to ensure the kitchen was free of flying insects. This had a potential to affect 70 to 70 residents that receive food out of the kitchen. Findings include: An observation was made of the kitchen with the Culinary Manager on 8/23/24 at 11:23 a.m. The dishwasher area and the storage area was observed with flying insects. During a kitchen tour with the Culinary Manager, on 8/27/24 at 11:23 a.m., the dishwasher area and the back door area was observed with flying insects. A red bucket containing soiled rags was observed with flying insects sitting on top of the soiled rags. At that time, the Culinary Manager grabbed a trash bag and removed the soiled rags from the bucket disrupting the flying insects. […]