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Complaint Investigation

Terrace View Long Term Care Facility

December 31, 2025 · Buffalo, NY · 462 Grider Street
Citations 1
CMS Rating 3/5
Beds 390
Provider ID 335650
Healthcare Facility
Terrace View Long Term Care Facility
Buffalo, NY  ·  View full profile →
Inspection Summary

Terrace View Long Term Care Facility in Buffalo, NY — inspection on December 31, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

During a telephone interview on 12/30/2025 at 8:30 AM, Certified Nurse

#1 grabbed the handle on the side of the recliner and then witnessed Certified Nurse Aide #1 walk

punched Certified Nurse Aide #1 in the face.

Certified Nurse Aide #1 reacted and slapped Resident #1 on their left cheek and told Resident #1 Not to expletive put your hands on them again. A few moments after the altercation, Certified Nurse Aide #1 left the unit. Resident #1 could get aggressive.

Certified Nurse Aide #1 should not have hit Resident #1 back. Resident #1 was here to be cared for, not to be verbally and physically abused.

During a telephone interview on 12/30/2025 at 9:51 AM, Registered Nurse #3 stated they were in the hall when they heard a pop, and Registered Nurse #1 had walked over to them and told them Certified Nurse Aide #1 just smacked Resident #1 in the face.

Certified Nurse Aide #1 then walked off the unit.

They stated that Registered Nurse #1 called Registered Nurse Supervisor #2 to report the altercation, and Registered Nurse Supervisor #2 informed Registered Nurse #1 that Certified Nurse Aide #1 just self-reported the incident.

Certified Nurse Aide #1 should have de-escalated the situation and reapproached the resident later instead of reacting that way.

During a telephone interview on 12/30/2025 at 2:50 PM, the Medical Director stated they heard about the staff to resident altercation on 12/08/2025 from the Interim Administrator. Resident #1 hit a staff member, and the staff member hit Resident #1 back causing redness to Resident #1's left cheek.

There was no bruising, no pain therefore was not harm.

Certified Nurse Aide #1's reactions were wrong and inappropriate.

During a telephone interview on 12/30/2025 at 10:45 AM, Social Worker #1 stated Resident #1 was monitored every shift and had no negative impact from the altercation with Certified Nurse Aide #1.

The staff should not be cursing and putting their hands on residents.

During a telephone interview on 12/30/2025 at 3:08 PM, Physician Assistant #1 stated they saw Resident #1 on 12/09/2025 and was aware that Resident #1 was agitated and hit Certified Nurse Aide #1 on 12/08/2025.

Certified Nurse Aide #1 then became agitated and hit Resident #1 back.

The incident resulted in a quarter sized red mark on their face.

There was no appreciable injury (a tangible, real harm that is more than minor or speculative, triggering legal action) or they would have documented it.

Any reddened area that resulted from an altercation would be considered an injury and would be harm regardless of the duration.

During a telephone interview on 12/31/2025 at 11:05 AM, the Interim Director of Nursing stated there was no way to determine if the redness was caused from a fall or flailing around in the recliner. It was hard to say if the red mark was caused from the slap and was not considered harmful.

The area did not develop into a bruise and resolved quickly.

During a telephone interview on 12/31/2025 at 12:45 PM, the Interim Administrator stated if a finger or handprint was visible on Resident #1's skin then they'd consider the injury harmful.

The area of redness resolved quickly, and they were not certain if it was from the slap or self- inflicted.

Certified Nurse Aide #1 swearing at Resident #1 was verbal abuse and unacceptable.

Certified Nurse Aide #1 should have been aware of their own triggers and had a co-worker step in if they were aggravated instead of taking their agitation out on Resident #1. 10NYCRR 415.4(b)(1)(i)

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 Buffalo, NY, (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 Terrace View Long Term Care Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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