Terrace View Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Feb 23, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure proper medication storage for one of one medication carts (Medication Cart A) and one of two medication rooms (Medication Room A). * The facility failed to ensure inhalation solution vials were stored in the foil pouch, and labeled with opened date in Medication Cart A. * The facility failed to ensure an oral alendronate (bisphosphonates, prevent bone breakdown and increase bone density) medication was not stored with cyclosporine ophthalmic emulsion (immunomodulators, works by decreasing swelling in the eye to allow for tear production) eyedrops and glucometer control solutions in Medication Cart A. […]

• No harm, potential for more than minimal, patternF880Feb 23, 2026

  Based on observation, interview, and facility P&P review, the facility failed to ensure the appropriate infection control practices were implemented as evidenced by: * The facility failed to ensure a visitor for Resident 61 who was on C-Diff isolation was educated on isolation precautions like handwashing instead of using ABHR and wearing gloves. * The facility failed to ensure the housekeeper wore a protective gown when sorting soiled linens. * The facility failed to ensure the employee's personal belongings were not stored with the clean blankets and tablecloths used by the residents in the clean linen area. * The facility failed to ensure Resident 43's urinal filled with urine was not placed near the resident's cupcake. […]

• No harm, potential for more than minimal, patternF909Feb 23, 2026

  Based on observation, interview, medical record review, facility document review and facility P&P review, the facility failed to ensure the residents' bed inspection and entrapment assessments were conducted and the measurements were recorded during the bed inspection when identifying areas of possible entrapment with the use of side rails for three of four final sampled residents (Residents 4, 21, and 43) and one non-sampled resident (Resident 61) reviewed for the use of side rails. * The facility failed to ensure a bed inspection was completed for Resident 21 who was on bariatric bed. * The facility failed to ensure an entrapment assessment was accurately conducted for Resident 4 who had bilateral 1/2 side rails. […]

• No harm, potential for more than minimal, patternF880Mar 22, 2024

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the appropriate infection control practices designed to provide a safe and sanitary environment and help prevent the development and transmission of infections were implemented. * The facility failed to include the residents who exhibited sign and symptoms of infection who were not prescribed antibiotics on the Surveillance program from January 2023 to February 2024. * CNA 3 failed to perform hand hygiene after touching Resident 35's shoulder and prior to serving a meal tray to Resident 50. […]

• No harm, potential for more than minimal, patternF881Mar 22, 2024

  Based on interview, medical record review, and facility P&P review, the facility failed to implement their antibiotic stewardship program when the facility failed to conduct an assessment for the McGeer's criteria to determine the true infection. This failure had the potential for inaccurately identifying for true infections and potentially inhibited the residents' physicians from discontinuing the unnecessary antibiotics. Findings: Review of the facility's P&P titled Antibiotic Stewardship revised 12/2021 showed antibiotics will be prescribed and administered to residents under the guidance of the facility's antibiotic stewardship program. […]