TERRACE AT BISHOP'S GLEN, THE
CMS
Actual Harm
Medication Error
Wound Care
Penalty
$8,512
Outcome
TERRACE AT BISHOP'S GLEN, THE in HOLLY HILL, FL was fined $8,512 by CMS following 12 deficiency citations identified during federal surveys.
Details
TERRACE AT BISHOP'S GLEN, THE (HOLLY HILL, FL) — $8,512 in CMS Fines
Outcome: TERRACE AT BISHOP'S GLEN, THE in HOLLY HILL, FL was fined $8,512 by CMS following 12 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide safe and appropriate respiratory care for a resident when needed.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Ensure that residents are free from significant medication errors.
- 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.
- PASARR screening for Mental disorders or Intellectual Disabilities
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure medication error rates are not 5 percent or greater.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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