Jennings Terrace

In the surveyor’s words

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

• Actual harm, isolatedF688Jan 23, 2026

  Based on observation, interview and record review the facility failed to assess a resident for limited ROM (range of motion) and implement interventions to prevent a decline in ROM. This failure resulted in one resident developing a hand contracture (a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to restricted joint mobility).This applies to 1 resident (R45) reviewed for complications of immobility in a sample of 16.The findings include:On 01/20/2026 at 11:34 AM, R45 was observed sitting in the dining / activity area. R45's left hand was contracted with four fingers bent towards her palm. R45 moved the thumb of her left hand with her right hand but was unable to extend the four fingers on her left hand. […]

• Actual harm, isolatedF689May 10, 2022

  Based on interview and record review, the facility failed to prevent an injury for 1 of 3 residents reviewed for falls and injuries. As a result of this failure, R1 sustained a rib fracture, and L2 spine fracture. Findings include: R1 is an [AGE] year-old Spanish-speaking male admitted on [DATE] having severely impaired cognitive functioning with a Brief Interview for Mental Status (BIMS) score of 03. R1 was admitted with an admitting diagnosis that included Dementia. Record review on clinical progress note dated 4/15/22 document that R1 was repeatedly tried to leave the facility during the night by opening the emergency door and sounding an alarm. R1 was aggressive and became more annoyed and angry when staff tried to redirect. […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2026

  Based on observation, interview and record review the facility failed to maintain the kitchen in a manner that prevents food borne illness.This applies to all 44 residents receiving dietary services. Findings include:On 01/23/2026 at 9:42 AM, V1 Administrator stated 44 residents received meal services from the dietary department as of the survey start on 01/20/2025.On 01/20/2026 at 9:52 AM, the kitchen tour began with V11 Dietary Manager.The three-compartment sink and red sanitizing buckets were tested by V12 Dietary Aide / Dishwasher. The three-compartment sink tested at 400 PPM (Parts Per Million). Red Sanitization Bucket testing: Bucket #1 -200 PPM; Bucket #2- 400 PPM; Bucket #3- 0 PPM. […]

• No harm, potential for more than minimal, widespreadF880Nov 21, 2024

  Based on interview and record review, the facility failed to ensure the facility had an assessment performed that identifies where Legionella and other opportunistic waterborne pathogens could grow. This applies to all 46 residents that reside in the facility. The findings include: The facility's Long Term care facility application for Medicare and Medicaid (CMS (Centers for Medicare & Medicaid Services)-671 form) dated November 18, 2024 showed that there were 46 residents residing at the facility. On November 20, 2024 at 11:12 AM, V6 (Maintenance Director) stated the facility does not have an assessment for Legionella or other opportunistic water borne pathogens. […]

• No harm, potential for more than minimal, widespreadF812Jan 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure the sanitization of the kitchen, and discard and store food items to prevent the transmission of food borne illness. This applies to all residents that reside in the facility. Findings include: The facility's [DATE] CMS-671 Form showed 50 residents live in the facility. 1. On [DATE] at 11:23 AM, quality assurance checks of red sanitization buckets and the three-compartment sink was conducted with V6 Dietary Manager. Sanitizing Bucket #1 strip tested at zero ppm (parts per million). Sanitizing Bucket #2 was dumped and refilled by V8 Dietary Aid before V6 tested sanitizer concentration. […]