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Inspection visit

Inspection

THORNTON TERRACE HEALTH CAMPUSCMS #1557349 citations on this visit
9 citations recorded

Citations

9 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0131GeneralS&S Fpotential for harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

  • 0300GeneralS&S Fpotential for harm

    Meet other general requirements that are deficient.

  • 0353GeneralS&S Epotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0374GeneralS&S Epotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0711GeneralS&S Fpotential for harm

    F711 - Physician Visits

    Provide a written emergency evacuation plan.

  • 0580GeneralS&S Dpotential for harm

    F580 - Notification of Changes

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0690GeneralS&S Dpotential for harm

    F690 - Incontinence

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0761GeneralS&S Epotential for harm

    F761 - Labeling of Drugs and Biologicals

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

FAQ · About this visit

Common questions about this visit

What happened during the July 3, 2023 survey of THORNTON TERRACE HEALTH CAMPUS?

This was a inspection survey of THORNTON TERRACE HEALTH CAMPUS on July 3, 2023. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at THORNTON TERRACE HEALTH CAMPUS on July 3, 2023?

Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Meet requirements for sections of health care facilities separated by fire resistive construction."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.