Terrace View Long Term Care Facility

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 17, 2026

  Based on interviews and record reviews conducted during survey, the facility failed to ensure that each residents' environment remained as free of accidents as possible and that each resident received adequate supervision and assistance devices to prevent accidents for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, on 09/17/2025, the facility failed to use two (2)-person bed mobility assistance, for overall rolling bed mobility, resulting in Resident #1 falling to the floor, sustaining an acute post-traumatic subdural hematoma (collection of blood that forms between the brain and its outer covering, often due to head trauma), and requiring hospitalization. […]

• Actual harm, isolatedF600Dec 31, 2025

  Based on video surveillance, interviews, and record review conducted during the survey, the facility failed to protect the residents from physical, mental and verbal abuse by staff for one (1) (Resident #1) of three (3) residents reviewed for abuse. Specifically, on 12/08/2025, Certified Nurse Aide #1 was observed striking Resident #1, which resulted in a red mark to the resident's cheek. Certified Nurse Aide #1 was also witnessed using profane language directed towards the resident at the time of the incident, in response to the resident's behavior. […]

• Actual harm, isolatedF600Apr 12, 2021

  Based on observation, interview and record review conducted during an Abbreviated survey (Complaint #s NY 586 and NY 377) completed on 4/12/21, the facility did not ensure the resident's right to be free from sexual abuse for two (Residents #1 and #3) of seven residents reviewed. Specifically, Resident #3 was touched inappropriately by Resident #4, and Resident #1 with a history of wandering into other resident's rooms, was found partially clothed in Resident #2's bed. A physical assessment revealed possible trauma. Resident #1 was transferred to the hospital for a sexual assault assessment, which revealed Resident #1 had a genital wall tear and was treated prophylactically for sexually transmitted diseases (STD). This resulted in actual harm to Resident #1 that is not immediate jeopardy. […]

• No harm, potential for more than minimal, widespreadF755Aug 26, 2024

  Based on interview, and record review conducted a Compliant investigation (Complaint # NY00339904) during the Standard survey completed on 8/26/24, the facility and pharmacy services did not effectively implement processes to acquire, dispense and administer medications to meet the needs of each resident. Specifically, one (Resident #260) of four residents reviewed for controlled substances was not administered a regularly scheduled controlled antiseizure medication as ordered and missed a total of 5 doses. Subsequently, the resident experienced seizure activity was transferred to the hospital. […]

• No harm, potential for more than minimal, patternF684Jul 8, 2026

  Based on interview and record review conducted during the survey, the facility failed to ensure that residents received treatment and care in accordance with professional standards, the comprehensive resident centered care plan, and the residents' choices for three (Residents #9, #31, and #344) of three residents reviewed for quality of care. Specifically, the facility failed to ensure residents were transported to medically necessary appointments, resulting in multiple missed or significantly delayed specialists' appointments for Resident #9, Resident #31, and Resident #344. The findings are:The policy and procedure titled Resident Rights dated 06/2025, documented it was the policy that all residents are treated with dignity and respect. […]