All citations for Terrace at Bishop's Glen, the

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Terrace at Bishop's Glen, the

Last standard health inspection on record

June 11, 2025

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  3. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  4. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  5. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  6. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  7. No harm, with potential for more than minimal harm

    Provide a means of sharing information on occupancy/needs.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  8. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  9. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  10. No harm, with potential for more than minimal harm

    Meet the requirements of an integrated health system.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0042, Emergency Preparedness Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  11. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  12. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  13. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  14. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  15. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  16. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  17. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  18. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  21. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  22. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  23. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  24. No harm, with potential for more than minimal harm

    Have power receptacles that are properly grounded.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  25. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.