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Terrace Oaks Care & Rehabilitation Center

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About Terrace Oaks Care & Rehabilitation Center

General Information

Legal Business NameAmerican Health Corporation And Subsidiaries
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 2, 1967 ()
Capacity69
Residents60
Percent Occupied87%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Terrace Oaks Care & Rehabilitation Center

Terrace Oaks Care & Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Alabama Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 1, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

April 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$58,273 fine
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

January 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

January 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

January 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionProperly maintained smoke detectors.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

January 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$6,338 fine
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Terrace Oaks Care & Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 10min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
35min
55min
ReportedExpected
RN
3hr 35min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
93.5%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.3%
96.5%
91.2%
92.9%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
54.3%
53.1%
51.6%
39.6%
Q1 2015Q2 2015Q3 2015AL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
28.6%
27.5%
33.3%
20.9%
Q1 2015Q2 2015Q3 2015AL
Received an Antipsychotic Medication
8.2%
4.1%
3.9%
13.7%
Q1 2015Q2 2015Q3 2015AL
Need for Help with ADLs has Increased
6.8%
12.9%
3.2%
7.4%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
13.8%
14.0%
7.0%
8.6%
Q1 2015Q2 2015Q3 2015AL
Lose Too Much Weight
3.3%
-
-
5.7%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015AL
Have Depressive Symptoms
3.4%
3.5%
0.0%
4.9%
Q1 2015Q2 2015Q3 2015AL
With a Urinary Tract Infection
1.7%
5.3%
5.3%
3.3%
Q1 2015Q2 2015Q3 2015AL
Experiencing One or More Falls with Major Injury
5.7%
10.1%
6.8%
2.8%
Q1 2015Q2 2015Q3 2015AL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015AL
Were Physically Restrained

Quality Measures for Short Stay Residents

92.6%
-
41.7%
82.1%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
96.3%
96.3%
96.3%
81.3%
Q1 2015Q2 2015Q3 2015AL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
14.8%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.5%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
-
0.0%
0.7%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened