TERRACE GARDENS HEALTHCARE CENTER

πŸ“ 2438 E FOUNTAIN BLVD, colorado-springs, CO 80910 πŸ“ž 7194738000 πŸ›οΈ 90 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

71
Total Violations
8 years of data
$28,932
Total Fines
2 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 8 violations

Tag 0561 D May 9, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: May 24, 2023
Tag 0585 E May 9, 2023

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.

βœ“ Corrected: May 24, 2023
Tag 0626 D May 9, 2023

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

βœ“ Corrected: May 24, 2023
Tag 0660 D May 9, 2023

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: May 24, 2023
Tag 0689 G May 9, 2023

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

βœ“ Corrected: May 24, 2023
Tag 0695 D May 9, 2023

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

βœ“ Corrected: May 24, 2023
Tag 0758 D May 9, 2023

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.

βœ“ Corrected: May 24, 2023
Tag 0812 F May 9, 2023

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

βœ“ Corrected: May 24, 2023

2022 1 violations

Tag 0561 E Feb 1, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Feb 25, 2022

2021 2 violations

Tag 0550 G Feb 16, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 10, 2021
Tag 0806 E Feb 16, 2021

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Mar 9, 2021

2020 2 violations

Tag 0880 F Dec 9, 2020

Provide and implement an infection prevention and control program.

Tag 0880 E Apr 29, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 28, 2020

2019 12 violations

Tag 0550 D Jul 24, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Aug 29, 2019
Tag 0625 D Jul 24, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Sep 4, 2019
Tag 0656 D Jul 24, 2019

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

βœ“ Corrected: Sep 5, 2019
Tag 0658 D Jul 24, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Sep 12, 2019
Tag 0679 D Jul 24, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Aug 27, 2019
Tag 0693 D Jul 24, 2019

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.

βœ“ Corrected: Sep 1, 2019
Tag 0726 F Jul 24, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Aug 27, 2019
Tag 0761 E Jul 24, 2019

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.

βœ“ Corrected: Aug 27, 2019
Tag 0790 D Jul 24, 2019

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Aug 27, 2019
Tag 0812 E Jul 24, 2019

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

βœ“ Corrected: Aug 27, 2019
Tag 0580 D Jan 15, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 18, 2019
Tag 0677 D Jan 15, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Feb 18, 2019

2018 11 violations

Tag 0645 D May 7, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 12, 2018
Tag 0679 D May 7, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 12, 2018
Tag 0684 D May 7, 2018

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

βœ“ Corrected: Jun 12, 2018
Tag 0688 D May 7, 2018

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.

βœ“ Corrected: Jun 12, 2018
Tag 0689 D May 7, 2018

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

βœ“ Corrected: Jun 12, 2018
Tag 0692 D May 7, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 22, 2018
Tag 0697 D May 7, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jun 12, 2018
Tag 0757 D May 7, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 12, 2018
Tag 0759 D May 7, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 12, 2018
Tag 0760 D May 7, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 12, 2018
Tag 0842 C May 7, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 12, 2018

2017 2 violations

Tag 0325 D Jun 5, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Jul 14, 2017
Tag 0425 D Jun 5, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Aug 10, 2017

2016 33 violations

Tag 0157 D Nov 23, 2016

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Mar 14, 2017
Tag 0223 D Nov 23, 2016

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Jan 5, 2017
Tag 0225 E Nov 23, 2016

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Mar 14, 2017
Tag 0241 D Nov 23, 2016

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Jan 5, 2017
Tag 0246 E Nov 23, 2016

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jan 5, 2017
Tag 0250 D Nov 23, 2016

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Mar 14, 2017
Tag 0253 E Nov 23, 2016

Provide housekeeping and maintenance services.

βœ“ Corrected: Jan 5, 2017
Tag 0258 E Nov 23, 2016

Maintain comfortable sound levels.

βœ“ Corrected: Jan 5, 2017
Tag 0278 D Nov 23, 2016

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Mar 14, 2017
Tag 0279 D Nov 23, 2016

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

βœ“ Corrected: Jan 5, 2017
Tag 0280 D Nov 23, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Mar 14, 2017
Tag 0281 D Nov 23, 2016

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 5, 2017
Tag 0282 D Nov 23, 2016

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Mar 14, 2017
Tag 0285 G Nov 23, 2016

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

βœ“ Corrected: Jan 5, 2017
Tag 0309 G Nov 23, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Mar 14, 2017
Tag 0310 D Nov 23, 2016

Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.

βœ“ Corrected: Jan 5, 2017
Tag 0312 D Nov 23, 2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Jan 5, 2017
Tag 0314 G Nov 23, 2016

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: May 2, 2017
Tag 0315 D Nov 23, 2016

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: Jan 5, 2017
Tag 0319 G Nov 23, 2016

Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.

βœ“ Corrected: Jan 5, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $22,432

$22,432
Fine
February 16, 2021
Average: $22,432 | Range: $22,432 - $22,432

2020 1 penalties totaling $6,500

$6,500
Fine
December 9, 2020
Average: $6,500 | Range: $6,500 - $6,500

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 9, 2023
0.00

Health

February 1, 2022
0.00

Health

February 16, 2021
0.00

Health

July 24, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
065172
065172
7194738000
El Paso

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization