Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 365178

Kenwood Terrace Healthcare Center

52 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
52
Total citations
27
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights11 Medication & Pharmacy8 Nutrition & Dietary6 Care Planning5

Most common F-tags at this facility

F8123 F7613 F8803 F9212 F6892

Citation history

52 on record
SurveyF-TagViolationSeveritySource
Jul 30, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jul 30, 2025F791Provide or obtain dental services for each resident.DComplaint
Jun 20, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
May 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 13, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Feb 13, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 13, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Feb 13, 2025F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Feb 13, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Feb 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 13, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Nov 20, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Nov 20, 2024F761Ensure 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.DComplaint
Nov 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 7, 2024F585Honor 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
Oct 7, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Jul 3, 2024F761Ensure 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.DComplaint
Mar 6, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Dec 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 23, 2023F880Provide and implement an infection prevention and control program.DComplaint
Oct 23, 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.DComplaint
Oct 23, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Oct 23, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Oct 23, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 17, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 3, 2022F880Provide and implement an infection prevention and control program.DStandard
May 3, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 3, 2022F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
May 3, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
May 3, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 3, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 3, 2022F693Ensure 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.DStandard
May 3, 2022F688Provide 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
May 3, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 3, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 3, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 3, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
May 3, 2022F584Honor 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
May 3, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 3, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 16, 2019F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Apr 16, 2019F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Apr 16, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Apr 16, 2019F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Apr 16, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 16, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 16, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Apr 16, 2019F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 16, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 16, 2019F567Honor the resident's right to manage his or her financial affairs.DStandard
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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