All citations for The Terrace at Courtenay Springs

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 The Terrace at Courtenay Springs

Last standard health inspection on record

April 16, 2026

Showing 1 to 25 of 25 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

  2. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  20. 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 May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of May 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

  25. 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 November 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2022).

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.