Inspection Reports for
Terrace at Solarbron the

This citation relates to Intake 2606700. The complaint involved failure to notify a resident's representative of a change in condition and failure to provide and document ADLs care.

The facility failed to notify Resident B's representative of the decline in the resident's pressure ulcers and failed to ensure daily bathing/showers were documented and provided to residents dependent on assistance. These deficiencies affected a few residents and were cited with minimal harm.

The investigation was triggered by complaints IN00453495, IN00453438, and IN00453757. Federal/State deficiencies related to these allegations were cited at F-635.

The facility failed to ensure a newly admitted resident with a colostomy had immediate physician orders for its care. Orders for the care of the colostomy were missing upon admission but were later obtained and transcribed.

This citation relates to Complaint IN00453438, IN00453757, IN00453495.

The facility failed to provide immediate physician orders for the care of a colostomy for one resident admitted with an ostomy. Licensed Practical Nurse confirmed that orders should be obtained quickly after admission, but none were found in the resident's records for January and February.

The facility was found not in compliance with Life Safety Code requirements including failure to maintain fire alarm system inspections, portable fire extinguisher maintenance, corridor door functionality, fire damper documentation, and electrical equipment testing. The Emergency Preparedness survey was found in compliance.

This citation relates to Complaint IN00448045. The complaint investigation found odor issues including marijuana and sewer gas odors in the Memory Care Unit, East Hall Nurse Station, and front lobby, as well as soiled walls in resident rooms.

The facility failed to provide a safe and sanitary environment during multiple observations. Odors consistent with marijuana and sewer gas were noted in various areas, and walls in resident rooms had dried deep red smears, missing paint chips, and scuff marks.

Complaint IN00448045 was investigated with Federal/State deficiencies cited related to the allegations.

The facility was found deficient in multiple areas including failure to provide required Medicare coverage notices, improper medication labeling, inadequate infection prevention and control practices, unsafe and unsanitary environment conditions, and failure to timely review pharmacist medication recommendations.

This inspection relates to Complaint IN00448045. The complaint involved failure to provide required Medicare beneficiary notices, medication labeling issues, infection control deficiencies, and unsafe, unsanitary environmental conditions including odors and physical damage.

The facility failed to provide the Skilled Nursing Facility-Advanced Beneficiary Notice and Notice of Medicare Non-Coverage for one resident. Medications on two medication carts were not properly labeled. Infection control practices were not followed during wound care and equipment cleaning. The facility environment had odors and physical damage to walls, indicating unsanitary conditions.

This citation relates to Complaint IN00437789 and IN00438377. Complaints included failure to provide showers and bathing care to residents, with substantiated findings of missed bathing.

The facility failed to provide bathing care to 4 residents reviewed, with multiple documented days where showers or baths were not provided or documented. Grievances from families and residents indicated concerns about missed showers and bathing care.

The investigation involved multiple complaints. Complaints IN00437789 and IN00438377 had federal/state deficiencies cited at F677 related to ADL care. Complaints IN00437051, IN00435664, IN00436509, and IN00436054 had no deficiencies related to the allegations cited.

The facility was found to have failed to provide adequate activities of daily living (ADL) care, specifically bathing, to 4 of 4 residents reviewed. Deficiencies related to complaints IN00437789 and IN00438377 were cited at F677, while other complaints had no deficiencies cited.

The facility was found in substantial compliance with Emergency Preparedness Requirements but had deficiencies related to emergency power system testing documentation, outdated battery-operated smoke alarms, incomplete elevator firefighter recall testing documentation, incomplete fire drill transmission documentation, and missing documentation for emergency generator load testing.

Complaint IN00419670 and IN00419853 had no deficiencies related to the allegations cited. Complaint IN00420287 had Federal/State deficiencies related to the allegations cited at F580.

The facility had multiple deficiencies including failure to assess residents for self-administration of medications, failure to notify physicians and families of significant changes, inaccurate MDS assessments, improper use of sit to stand lift leading to a fall with fracture, inadequate treatment of UTIs, failure to follow respiratory care orders, incomplete posted nurse staffing information, incomplete medication storage temperature logs, food served at inappropriate temperatures, and musty odor in hallways.

This citation relates to Complaint IN00420287 regarding failure to notify family and physician of significant changes in residents' conditions.

The facility failed to notify the attending physician and the resident's family for 1 of 5 residents reviewed for hospitalizations and 1 of 2 residents reviewed for notification of changes. Specifically, a resident's family was not notified of significant weight loss and the attending physician was not notified of increased blood pressure.

This citation relates to Complaint IN00420287 regarding failure to notify physicians and families of significant changes in residents' conditions.

The facility was found deficient in multiple areas including failure to assess residents for self-administration of medications, failure to notify physicians and families of significant changes, inaccurate Minimum Data Set assessments, improper use of sit to stand lift leading to a fall with injury, inadequate treatment and monitoring of recurrent urinary tract infections, failure to maintain respiratory equipment and follow oxygenation orders, incomplete nurse staffing postings, improper medication storage temperature logs, serving food at unsafe temperatures, and failure to maintain a clean and odor-free environment.

The facility was found deficient in multiple areas including medication self-administration assessments, resident laundry services, resident rights and choices, notification of Medicare/Medicaid coverage, transfer and discharge notices, care planning, activities programming, fall prevention, staffing postings, psychotropic medication use, food service staffing and food temperature, infection control practices, COVID-19 vaccination compliance, call light system functionality, and environmental cleanliness and maintenance.