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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
Residents57
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
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 2 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

November 30, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

October 1, 2015 - 2 years 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.
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 routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

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 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.

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 10min
2hr 5min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
40min
50min
ReportedExpected
RN
3hr 45min
3hr 35min
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%
92.4%
92.4%
92.4%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
91.7%
91.5%
98.2%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
40.0%
39.1%
37.5%
41.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
46.2%
38.2%
35.2%
41.8%
29.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.2%
12.3%
2.6%
2.6%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose ability to move independently worsened
39.5%
30.8%
22.5%
33.3%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antipsychotic medication
4.0%
7.8%
5.9%
3.9%
12.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose need for help with daily activities has increased
5.1%
3.0%
1.5%
9.6%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who self-report moderate to severe pain
8.9%
5.2%
11.9%
7.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who lose too much weight
10.3%
7.4%
3.7%
8.3%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
1.8%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a urinary tract infection
3.5%
0.0%
0.0%
0.0%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents experiencing one or more falls with major injury
7.6%
9.5%
8.9%
6.6%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

42.9%
38.5%
50.0%
33.3%
82.0%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
53.8%
53.8%
53.8%
79.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
55.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
4.5%
-
-
-
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents with pressure ulcers that are new or worsened