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Facility profile · CCN 056114

East Terrace Rehabilitation & Wellness Centre, Lp

88 federal citations on record , including 3 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $176,430.

Abuse Icon 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
88
Total citations
86
Last 3 years
5
Actual harm+
6
Federal penalties
$176,430
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

88 on record
SurveyF-TagViolationSeveritySource
Jan 28, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 28, 2026F610Respond appropriately to all alleged violations.DComplaint
Jan 28, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 19, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 19, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.BStandard
Dec 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 19, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Dec 19, 2025F761Ensure 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.DStandard
Dec 19, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 19, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Dec 19, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 19, 2025F687Provide appropriate foot care.DStandard
Dec 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Dec 8, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Sep 26, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Sep 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 12, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 13, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Dec 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Dec 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 19, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Dec 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 6, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EComplaint
Dec 6, 2024F814Dispose of garbage and refuse properly.DStandard
Dec 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Dec 6, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Dec 6, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Dec 6, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 6, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
Dec 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 6, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 6, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 6, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 6, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 6, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 6, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 6, 2024F584Honor 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.EStandard
Dec 6, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 6, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Nov 6, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 30, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 30, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Oct 30, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Oct 15, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Oct 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 19, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Aug 23, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Aug 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 27, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 27, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 1, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 1, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Dec 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Dec 1, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 1, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 1, 2023F761Ensure 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.DStandard
Dec 1, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 1, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 1, 2023F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Jul 11, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
Jul 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LComplaint
Jun 27, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 15, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
May 15, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 27, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 12, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Apr 12, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $176,430 .

DateTypeFinePayment denial
Apr 9, 2025Fine$14,805
Dec 6, 2024Fine$59,603
Feb 1, 2024Fine$83,320
Sep 5, 2023Fine$10,586
Aug 14, 2023Fine$2,823
Jul 17, 2023Fine$5,293
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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