KENWOOD TERRACE HEALTHCARE CENTER

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 8
E
F 1
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 9, then 24, then 18 . Latest survey date: 2025-02-13.
Repeat citations
Tag Plain English Previous Latest Sev F0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. prior cycle latest cycle D F0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. prior cycle latest cycle D F0758 Implement 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. prior cycle latest cycle D F0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. prior cycle latest cycle F CMS data shows 4 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-02-13 F0561 Resident Rights Deficiencies D complaint 2025-04-03 2025-02-13 F0640 Resident Assessment and Care Planning Deficiencies D standard 2025-04-03 2025-02-13 F0657 Resident Assessment and Care Planning Deficiencies D standard 2025-04-03 2025-02-13 F0758 Pharmacy Service Deficiencies D standard 2025-04-03 2025-02-13 F0773 Administration Deficiencies D standard 2025-04-03 2025-02-13 F0790 Quality of Life and Care Deficiencies D standard 2025-04-03 2025-02-13 F0812 Nutrition and Dietary Deficiencies F standard 2025-04-03
Official CMS inspection narrative
F0561 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0640 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0657 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0758 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0773 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0790 · 2025-02-13 · severity D
Official inspection narrative not available for this citation.
F0812 · 2025-02-13 · severity F
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-02-13
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
11
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-07-30 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
---
Survey: 2025-07-30 | Tag F0849 | Administration Deficiencies | Severity: D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
---
Survey: 2025-06-20 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
---
Survey: 2025-05-28 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2025-02-13 | Tag F0640 | Resident Assessment and Care Planning Deficiencies | Severity: D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
---
Survey: 2025-02-13 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
---
Survey: 2025-02-13 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
Implement 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.
---
Survey: 2025-02-13 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
---
Survey: 2025-02-13 | Tag F0790 | Quality of Life and Care Deficiencies | Severity: D
Provide routine and 24-hour emergency dental care for each resident.
---
Survey: 2025-02-13 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
---
Survey: 2025-02-13 | Tag F0561 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
---
Survey: 2024-11-20 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
---
Survey: 2024-11-20 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
---
Survey: 2024-11-20 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
---
Survey: 2024-11-20 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
---
Survey: 2024-10-07 | Tag F0569 | Resident Rights Deficiencies | Severity: D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
---
Survey: 2024-10-07 | Tag F0585 | Resident Rights Deficiencies | Severity: D
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.
---
Survey: 2024-07-03 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
---
Survey: 2024-03-06 | Tag F0806 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
---
Survey: 2022-05-03 | Tag F0561 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
---
Survey: 2022-05-03 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
---
Survey: 2022-05-03 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
---
Survey: 2022-05-03 | Tag F0623 | Resident Rights Deficiencies | Severity: D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
---
Survey: 2022-05-03 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
---
Survey: 2022-05-03 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
---
Survey: 2022-05-03 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
---
Survey: 2022-05-03 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
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.
---
Survey: 2022-05-03 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
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.
---
Survey: 2022-05-03 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
---
Survey: 2022-05-03 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
---
Survey: 2022-05-03 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
Implement 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.
---
Survey: 2022-05-03 | Tag F0807 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
---
Survey: 2022-05-03 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
---
Survey: 2022-05-03 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
---
Survey: 2023-12-06 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
---
Survey: 2023-12-06 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
---
Survey: 2023-10-23 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
---
Survey: 2023-10-23 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
---
Survey: 2023-10-23 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
---
Survey: 2023-10-23 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
---
Survey: 2023-10-23 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
---
Survey: 2023-05-17 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
---
Survey: 2019-04-16 | Tag F0567 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to manage his or her financial affairs.
---
Survey: 2019-04-16 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
---
Survey: 2019-04-16 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
---
Survey: 2019-04-16 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
---
Survey: 2019-04-16 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
---
Survey: 2019-04-16 | Tag F0623 | Resident Rights Deficiencies | Severity: D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
---
Survey: 2019-04-16 | Tag F0640 | Resident Assessment and Care Planning Deficiencies | Severity: D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
---
Survey: 2019-04-16 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2019-04-16 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
Ensure 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.
---
Survey: 2019-04-16 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.