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.
Record summary
Federal record · Q1 202688
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 28, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jan 28, 2026 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 28, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 19, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 19, 2025 | F838 | Conduct 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. | B | Standard |
| Dec 19, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 19, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Dec 19, 2025 | F761 | Ensure 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. | D | Standard |
| Dec 19, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 19, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Dec 19, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Dec 19, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 19, 2025 | F687 | Provide appropriate foot care. | D | Standard |
| Dec 19, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 10, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 8, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Sep 26, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Sep 5, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 5, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 12, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 13, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 13, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Dec 29, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Dec 19, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 19, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 19, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Dec 19, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Dec 19, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 6, 2024 | F578 | Honor 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. | E | Complaint |
| Dec 6, 2024 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Dec 6, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 6, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Dec 6, 2024 | F700 | Try 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. | D | Standard |
| Dec 6, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 6, 2024 | F693 | Ensure 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. | E | Standard |
| Dec 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 6, 2024 | F688 | Provide 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. | D | Standard |
| Dec 6, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Dec 6, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 6, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 6, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Dec 6, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Dec 6, 2024 | F584 | 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. | E | Standard |
| Dec 6, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 6, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Nov 6, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Oct 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 30, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Oct 30, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| Oct 30, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Oct 15, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Oct 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 19, 2024 | F693 | Ensure 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. | D | Complaint |
| Aug 23, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Aug 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 27, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 27, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Mar 27, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Dec 1, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Dec 1, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Dec 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Dec 1, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Dec 1, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 1, 2023 | F761 | Ensure 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. | D | Standard |
| Dec 1, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 1, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 1, 2023 | F578 | Honor 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. | D | Standard |
| Dec 1, 2023 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Jul 11, 2023 | F836 | Ensure 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. | D | Complaint |
| Jul 6, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| Jun 27, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 15, 2023 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| May 15, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 27, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 12, 2023 | F585 | Honor 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. | D | Complaint |
| Apr 12, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $176,430 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 9, 2025 | Fine | $14,805 | — |
| Dec 6, 2024 | Fine | $59,603 | — |
| Feb 1, 2024 | Fine | $83,320 | — |
| Sep 5, 2023 | Fine | $10,586 | — |
| Aug 14, 2023 | Fine | $2,823 | — |
| Jul 17, 2023 | Fine | $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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