Inspection visit
Inspection
3 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
Based on observations and staff interviews, it was determined the facility failed to maintain a resident's
right to privacy and confidentiality during a physician visit for one resident (Resident 4) and failed to provide
personal privacy during a transfer in a mechanical lift for one resident (Resident 5) out of five sampled
residents
Residents Affected - Few
Findings include:
During an observation of the C2 unit dining room at 11:51 PM multiple residents were observed assembled
in this dining room awaiting lunch. Resident 4 was observed seated in a reclining chair near the window in
the back of the room with another resident seated next to her in a reclining chair. There were also multiple
residents seated at tables also awaiting their lunch service. Resident 4's physician arrived in the dining
room to greet the resident, the resident replied that she was happy to see him. The physician was observed
to ask the resident about her her recent hospitalization and the was heard asking the resident in a loud
voice how are your bowels? The physician continued to ask the resident questions and check her abdomen
in the presence and hearing distance of other residents.
A review of nursing documentation dated June 25, 2024 at 12:57 indicated the physician was in and
examined the resident. The physician visited this resident in the common area and asked personal health
questions while in the presence of other residents. The physician failed to ensure the resident's personal
privacy was maintained during this visit.
A review of Resident 5's clinical record revealed this resident had a diagnosis of quadriplegia (condition in
which both the arms and legs are paralyzed and lose normal motor function) and cerebral palsy (group of
conditions that affect movement and posture. It's caused by damage that occurs to the developing brain,
most often before birth) and required the use of a mechanical lift for transfers in and out of bed as per her
comprehensive care plan of June 24, 2022.
During an observation on the C2 unit at 1:30 PM while walking past Resident 4's room the door was open
and two staff members were transferring the resident in a mechanical lift. The privacy curtain was not drawn
nor the door closed. This resident could be viewed, elevated in the lift, from the hallway by any residents or
visitors passing by the room.
The facility failed to ensure this resident was provided with privacy while staff were providing care and
transferring her in a mechanical lift. The facility administrative staff confirmed the door to the residents room
should be closed or a privacy curtain should be used when residents are provided personal care.
28 Pa. Code 201.18 (e)(1) Management
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 7
Event ID:
395414
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0583
28 Pa. Code 211.2 (d)(4) Medical director
Level of Harm - Minimal harm
or potential for actual harm
28 Pa. Code 211.12 (c) Nursing services
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 2 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
Based on observation and staff interview, it was determined the facility failed to maintain a safe and orderly
environment for residents, including comfortable temperatures.
Residents Affected - Some
Findings include:
During observations on June 25, 2024, at 8:30 AM it was determined the facility air conditioning was not
functioning. Interview with the facility's director of maintenance at 10:00 AM revealed the hallway air
conditioning was not functioning on the D unit since before June 10, 2024, and the air conditioner that
supplied the two large activity rooms on the D unit were also not functioning. Each area required two
separate repairs. The D units air conditioners were not functioning as of June 25, 2025, and alternate
sources of portable air were placed in the halls and in the window of one activity room when the
temperatures exceeded 90 degrees F Fahrenheit outside, which began on June 17, 2024. One activity
room was closed due to the excessively hot temperature.
A review of the temperatures obtained from the facility on the D unit that were provided for review ranged as
follows:
June 19, 2024 74 degrees Fahrenheit to 84 degrees Fahrenheit
June 21, 2024 74 degrees Fahrenheit to 80 degrees Fahrenheit
June 22, 2024 72 degrees Fahrenheit to 84 degrees Fahrenheit
June 23, 2024 70 degrees Fahrenheit to 86 degrees Fahrenheit
Outside environmental temperatures for the above dates were upwards from 93 to 97 degrees Fahrenheit.
A review of facility temperatures for the C2 unit obtained by the facility on the following dates revealed:
June 19, 2024 79 degrees Fahrenheit to 85 degrees Fahrenheit
June 21, 2024 79 degrees Fahrenheit to 80 degrees Fahrenheit
June 22, 2024 77 degrees Fahrenheit to 88 degrees Fahrenheit
June 23, 2024 75 degrees Fahrenheit to 86 degrees Fahrenheit
Interview with the director of maintenance and NHA on June 25, 2024, at approximately 10:00 AM revealed
the facility was aware the rooftop air conditioner that cooled the C1 and C2 units was not working and
needed to be repaired.
An observation of Resident 1's room at 8:00 AM revealed a portable air conditioner vented through the
window to the outside. The air conditioner was plugged into an extension cord which ran along the floor and
around the wall in the back of Resident 2's bed and was plugged into the outlet. Resident
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 3 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
1 stated her daughter brought the air conditioner in because it was too hot in her room.
Level of Harm - Minimal harm
or potential for actual harm
An observation of Resident 3's room revealed three fans. One free standing fan in the middle of the floor
between the two beds in the room, plugged in an outlet next to the sink, creating a tripping and accident
hazard. A second large tabletop fan was on top of the dresser against the wall. A smaller third fan was
located on the dresser near the mirror. The resident stated that he purchased all three fans. These fans
were not secured in any manner to prevent accidental tippage or impediments to safe mobility.
Residents Affected - Some
Observation on June 25, 2024 at 7:50 AM on the C2 unit the following was observed:
A free standing air conditioning unit was observed in the doorway of a closet in the hallway, connecting both
side of the hallways, with the ventilation tube extending up into the ceiling of hallway, next to the resident
dining room. The closet door remained open and the air conditioning unit was not secured and the plugged
into an extension cord which extended across the floor to the wall outlet creating a potential tripping hazard.
The open door allowed for access to the inside of this closet, which housed an inoperable ice machine the
drainage tube from the air conditioner went into the drain on the floor of the room. This open closet door
was now positioned between two hand rails impeding continued to access to the handrails.
Observation on June 25, 2024, revealed a resident bathroom in the corner of the the dining room on the C2
unit. The door was open and a free standing air conditioning unit was positioned in the doorway to the
resident bathroom. The ventilation tubing went through a hole in the ceiling and the unit was plugged into a
cord into the outlet next to the sink. The condensation tubing was placed through the support bar/handrail
of the toilet under the toilet seat to drain into the toilet. This rendered the bathroom inaccessible to residents
and created a tripping hazard if a resident were to enter this bathroom. There was an unidentified staff
member in the dining room at the time of the observation and when asked if residents used this bathroom
he indicated yes.
An observation of the D unit, a secured unit for residents with impaired cognition and behaviors, at 8:15 AM
on June 25, 2024, revealed multiple residents ambulating up and down the hallway and self-propelling in
their wheelchairs. Upon entry to the unit on the right side of the hallway in front of the handrails, a portable
free standing air conditioning unit and small fan (in use) were plugged into an outlet. The ventilation tubing
went into a hole in the ceiling and the condensation hose was draining into a large bucket. The items were
freely moveable and not secured in anyway and obstructed the handrails on that side of the corridor.
A second setup was located around the corner of the nursing station, to the left in the hallway on the right
hand side of this hallway obstructing access to the handrails and were also not secured in any manner to
prevent tipping.
Throughout the day of the survey on June 25, 2024, a small portable fan was observed plugged into an
outlet and running in the middle of the hallway on the C2 unit. The fan was also not secured with the
potential to cause a tripping hazard or risk of tipping over.
Interview the nursing home administrator (NHA) and maintenance director on June 25, 2024 at
approximately 10:00 AM revealed the facility air conditioning which cooled the C unit failed on
approximately June 18, 2024. The D unit hallway air conditioning unit was also not working since
approximately since June 10, 2024, and the facility was awaiting parts to repair. The D unit activity room air
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 4 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
conditioner was also not working and awaiting repair.
Level of Harm - Minimal harm
or potential for actual harm
The facility placed portable cooling units and fans throughout the facility due to elevated temperatures in
the facility but failed to do so in safe manner.
Residents Affected - Some
28 Pa. Code 201.18 (e)(2.1) Management
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 5 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0908
Keep all essential equipment working safely.
Level of Harm - Minimal harm
or potential for actual harm
Based on observations and staff interviews it was determined the facility failed to maintain essential
electrical and mechanical equipment in safe operating condition, to include central air conditioning on the C
and D units and failed to inspect electrical equipment brought in from outside of the facility to ensure it was
in safe operating condition.
Residents Affected - Many
Findings include:
During observations on June 25, 2024, it was determined that the facility's air conditioning was not
functioning. Interview with the facility's director of maintenance at 10:00 AM revealed the hallway air
conditioning on the D unit had not been functioning since before June 10, 2024 and the air conditioner that
supplied the two large activity rooms on the D unit were also not functioning. Each unit required two
separate repairs according to the interview with the director of maintenance. As of June 25, 2025, the
facility attempted to use alternate sources for cooling the air, to include portable air conditioners and fans
placed in the halls and in the window of one activity room when the temperature outside exceeded 90
degrees Fahrenheit beginning on June 17, 2024. One activity room was closed due to the excessive warm
temperature.
A review of the interior temperatures obtained by facility staff on the D unit provided for review during the
survey revealed that the temperatures ranged as follows:
June 19, 2024 74 degrees Fahrenheit to 84 degrees Fahrenheit
June 21, 2024 74 degrees Fahrenheit to 80 degrees Fahrenheit
June 22, 2024 72 degrees Fahrenheit to 84 degrees Fahrenheit
June 23, 2024 70 degrees Fahrenheit to 86 degrees Fahrenheit
Outside environmental temperatures on the above dates were greater than 93 to 97 degrees Fahrenheit.
According to the director of maintenance, during interview on June 25, 2024, the D unit hallway air
conditioning was being repaired. However, during this survey the facility was awaiting a repair technician to
visit to make repairs to D unit activity room air conditioning.
At the time of the survey, the facility was unable to provide a date the visit was scheduled or or estimated
date when repairs will be made.
A review of the interior temperatures obtained by facility staff on the C unit provided for review during the
survey revealed that the temperatures ranged as follows:
June 19, 2024 79 degrees Fahrenheit to 85 degrees Fahrenheit
June 21, 2024 79 degrees Fahrenheit to 80 degrees Fahrenheit
June 22, 2024 77 degrees Fahrenheit to 88 degrees Fahrenheit
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 6 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
395414
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/25/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View
260 Terrace Drive
Peckville, PA 18452
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0908
June 23, 2024 75 degrees Fahrenheit to 86 degrees Fahrenheit
Level of Harm - Minimal harm
or potential for actual harm
Interview with the director of maintenance and NHA on June 25, 2024 at approximately 10:00 AM revealed
the facility was aware the rooftop air conditioner that cooled the C1 and C2 units was not working and
needed to be repaired. The director of maintenance obtained a quote for repair of this system on June 20,
2024, from a local company but this quote was not approved by the corporate office. The facility's corporate
office then obtained a second quote. The second quote for repair was approved during the survey on June
25, 2024.The facility did not timely act upon making the repairs of the cooling system until a week after
extremely hot temperatures.
Residents Affected - Many
An observation of Resident 1's room at 8:00 AM revealed a portable air conditioner vented through the
window to the outside. The air conditioner was plugged into an extension cord which ran along the floor and
around the wall in the back of Resident 2's bed and was plugged into the outlet. Resident 1 stated during
interview at that time that her daughter brought the air conditioner in to the facility because it was too hot in
her room.
An observation of Resident 3's room revealed three fans positioned about the room. One free standing floor
fan in the middle of the room between the two beds in the room, plugged into an electrical outlet next to the
sink. A second large tabletop fan was observed on top of the dresser against the wall. A smaller third fan
was located on the dresser near the mirror. The resident stated that he purchased all three fans for use in
the facility.
Interview with the NHA on June 25, 2024, at 11 AM revealed that the facility had no established policy or
functioning protocol that ensures electronics, such as portable AC units and fans, brought into the facility by
an outside source were inspected for safety for use in the facility. Observation of each of the above
electrical revealed no indication that the facility had checked and inspected to ensure they were properly
maintained and safe for use in the facility.
28 Pa. Code 201.18 (e)(2.1) Management
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
395414
If continuation sheet
Page 7 of 7
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Back to topCitations
3 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.
F583 - Privacy and Confidentiality
Keep residents' personal and medical records private and confidential.
F584 - Safe Environment
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F908 - Maintain all mechanical, electrical, and patient care equipment in safe
Keep all essential equipment working safely.
FAQ · About this visit
Common questions about this visit
What happened during the June 25, 2024 survey of AVENTURA AT TERRACE VIEW?
This was a inspection survey of AVENTURA AT TERRACE VIEW on June 25, 2024. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at AVENTURA AT TERRACE VIEW on June 25, 2024?
Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."
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.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.