Terraces at Peachtree Hills Place, The

In the surveyor’s words

From the most serious findings on record at Terraces at Peachtree Hills Place, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 3, 2026

  Based on observations, staff interviews, and review of the facility's policy titled, Food Safety and Sanitation, the facility failed to ensure food safety protocols were followed and sanitary conditions were maintained by properly labeling, dating, and discarding expired food items. The deficient practices had the potential to place 15 of 15 residents who received an oral diet from the kitchen at risk for contracting a foodborne illness. Findings include:Observation and interview conducted on 05/01/2026 at 8:10 AM of the freezer, accompanied by Stock/Utility Staff GG, revealed that the freezer located on the first floor contained one pack of pre packed sausages and twelve beef patties labeled with expiration dates of April 2022 and February 2025. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure food was stored and prepared in a safe and sanitary manor. Specifically, the dietary staff failed to ensure food was stored, labeled, dated, and discarded when it expired. Additionally, the dietary staff failed to ensure proper hand hygiene and glove use to prevent cross contamination. The facility's failure placed all residents who receive an oral diet from the kitchen at risk for food borne illnesses. Findings include: Review of the facility's policy titled, Food Safety and Sanitation, dated [DATE] revealed ALL LEFTOVER FOODS MUST BE PROPERTY HANDLED: All leftover food items must be properly covered, labeled with the contents, and dated with a use-by date . […]

• No harm, potential for more than minimal, patternF883Apr 24, 2025

  Based on record review, staff interviews, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to ensure four of five residents (Resident (R) 2, R10, R11 and R20) reviewed for pneumococcal vaccines out of total sample of 13 residents were offered a pneumococcal vaccine per CDC guidelines. The failure of not offering/providing pneumococcal vaccines increased the risk for residents to contract pneumonia. Findings include: Review of the facility's policy titled, Pneumococcal Vaccine revised 04/25 revealed, It is our policy to offer members [residents] and associates immunization against pneumococcal disease in accordance with CDC guidelines and recommendations. Policy Explanation and Compliance Guidelines: 1. […]

• No harm, potential for more than minimal, isolatedF759May 3, 2026

  Based on observations, record review, staff interviews, and review of the facility's policies titled, Medication Administration and Crushed Medications, the facility failed to ensure a medication error rate of less than 5% (percent) for three of 25 medication opportunities observed, resulting in a medication error rate of 12% for two of three residents (R) (R2 and R5) reviewed during medication administration. The deficient practice increased the risk of adverse clinical outcomes for R2 and R5. Findings include: Review of the facility's policy titled, Medication Administration, dated 01/01/2026 documented under Policy Explanation and Compliance Guidelines: . 10. Ensure that the six rights of medication administration are followed: a. Right resident b. Right drug c. Right dosage d. […]

• No harm, potential for more than minimal, isolatedF641Apr 24, 2025

  Based on record review, staff interview, and policy review, the facility failed to ensure an accurate assessment was completed for one of 13 residents reviewed in the sample (Resident (R) 13). R13's assessment inaccurately documented that she was not a wanderer. This had the potential for the lack of identification of current problems and resident needs, leading to an incomplete plan of care. Findings include: Review of the facility's policy titled Conducting an Accurate Resident assessment dated [DATE] revealed, The purpose of this policy is to assure that all members [residents] receive an accurate assessment, reflective of the member's status at the time of the assessment, by associates qualified to assess relevant care areas. […]