The Terrace Transitional

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 6, 2021

  Based on observation, interview and record review it was determined that the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, recently-washed dishes were observed to be placed with clean dishes when the dishmachine did not reach the manufacture required temperatures for sanitation. In addition, there was no process to track when health shakes were removed from the freezer and placed in the refrigerator. Findings include: 1. On 5/6/21 at 1:14 PM, an observation was made of the facility dishmachine. Dietary Aide (DA) 1 was observed to be scraping dishes, loading the dishmachine and putting dishes away. The following temperatures was observed: [Note: All temperatures were in degrees Fahrenheit.] a. […]

• No harm, potential for more than minimal, patternF607Aug 29, 2024

  Based on interview and record review, the facility did not develop and implement written policies and procedures that; prohibit and prevent abuse, neglect, and exploitation of residents. Specifically, for 2 out of 5 sampled staff members, the facility did not follow their abuse policy by screening prospective employees licenses prior to employee working with residents. Findings included: A review of employee records revealed the following: Employee 1 was a Nursing Assistant (NA) hired by the facility on 7/31/23, and started working on the floor on 8/10/23. […]

• No harm, potential for more than minimal, patternF725Aug 29, 2024

  Based on interview, observation and record review it was determined, for 12 of 36 sampled residents, that the facility did not have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment. […]

• No harm, potential for more than minimal, patternF770Aug 29, 2024

  Based on interview and record review, the facility did not obtain laboratory services to meet the needs of its residents. Specifically, for 3 of 36 sampled residents, a resident did not have a Valproic acid level, thyroid-stimulating hormone (TSH), complete blood count (CBC), and a comprehensive metabolic panel (CMP) completed as ordered by the physician. Another resident did not have a TSH redrawn six weeks after the June levels were drawn. In addition, another resident did not have a urinalysis (UA) with culture and sensitivity (C&S) obtained that was orded by the physician. Resident identifiers: 22, 34, and 58. Findings included: 1. […]

• No harm, potential for more than minimal, patternF802Aug 29, 2024

  Based on observation, interview, and record review, it was determined that the facility did not provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Specifically, surveyors made multiple observations of the lunch and meal services being served and delivered later than the posted meal times, there were multiple resident complaints about food being served late and cold, and there were multiple recent resident council notes documenting resident complaints about food being served cold and late. […]