The Terrace
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review the facility failed to ensure an antibiotic was given as ordered for 1 of 3 residents (Resident R2) reviewed for medications in the sample of 6. The findings include: Resident R2's face sheet showed
she was admitted to the facility on [DATE REDACTED] with diagnoses to include pneumonia, major depressive disorder, osteoporosis, weakness, unsteadiness on feet, severe protein calorie malnutrition, hypothyroidism, pain in right shoulder, chronic obstructive pulmonary disease, hypotension, legal blindness, dysphagia, generalized anxiety disorder, decreased white blood cell count, and bipolar disorder. Resident R2's Hospital Discharge instructions dated 12/18/25 showed an order for doxycycline 100 mg (milligrams) to be given daily for 3 days starting 12/19/25.Resident R2's December 2025 eMAR (electronic Medication Administration Record) showed and order for doxycycline monohydrate. give 1 capsule by mouth one time only for 3 days. Resident R2's same December eMAR showed Resident R2's doxycycline was administered only once on 12/19/25. Resident R2's record showed
the order for the doxycycline was entered incorrectly as a one time order rather than for the full 3 days as ordered.On 12/31/25 at 11:45 AM, V2 DON (Director of Nursing) said Resident R2 got her doxycycline on the 19th.
V2 said the order was entered for doxycycline 100 mg, 1 capsule by mouth one time only for 3 days. V2 said the doxycycline should have been scheduled one time a day for the duration of 3 days. V2 said Resident R2 received just one dose on the 19th. V2 said it looks like the order was entered wrong. It should have been for 3 days.The facility's policy and procedure effective 3/2021 showed, . Medication Administration.
Guideline: To ensure that the administration of medications is performed in a safe manner to prevent medication errors.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
THE TERRACE in WAUKEGAN, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WAUKEGAN, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE TERRACE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.