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Complaint Investigation

Aventura At Terrace View

January 23, 2025 · Peckville, PA · 260 Terrace Drive
Citations 3
CMS Rating 1/5
Beds 272
Provider ID 395414
Healthcare Facility
Aventura At Terrace View
Peckville, PA  ·  View full profile →
Inspection Summary

AVENTURA AT TERRACE VIEW in PECKVILLE, PA — inspection on January 23, 2025.

Found 3 citations. 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

FF585
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 26142 Few affected

The facility failed to suspend Employee A3 immediately pending an investigation as required by the facility's abuse prevention policy.

A review of a witness statement dated December 27, 2024, at 11:11 P.M., revealed Employee A4 documented that upon returning from break at approximately 3:15 PM, she observed.

Employee A3 NA behind the nurses' station with resident A 16.

Employee A3 was reportedly holding resident A 16 in a chokehold.

Employee A. agency LPN stated that she immediately instructed Employee A3 to release the resident and not to touch him.

Employee A3 continued to restrain resident A 16 and stated the resident was not allowed behind the nurses' station.

Employee A4 informed Employee A3, that Resident A 16 had been behind the nurses' station throughout the day and was pleasant and compliant with care.

Employee A3 reportedly responded with profanity, calling employee. A4 names and continued to curse.

Employee A4 also reported that Employee A5 NA and another unidentified nurse aide attempted to move Resident A 16 by pulling /dragging him by his arms.

Employee A4 directed them to stop and instructed them not to touch the resident.

The RN supervisor arrived and intervened to deescalate the situation. As the RN supervisor escorted Employee A4, LPN to her office, Employee A3 NA allegedly threatened Employee A4 stating You're lucky you're a woman, I will beat you're a** and I will kill you and your husband!, this was said in the presence of the RN supervisor.

Employee A4 (agency LPN) was scheduled continue to work on the 2nd shift on December 27, 2024, and requested to leave the facility following the incident.

This request was denied by nursing administration and Employee A4 was reassigned to work in a different resident unit, after completing the shift, Employee A4 was prohibited from working at the facility in the future.

395414

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395414 B.

Wing 01/23/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Aventura at Terrace View 260 Terrace Drive Peckville, PA 18452

Review of the physician documentation, completed by the attending physician, dated November 25, 2024 failed to meet the criteria for use of the noted psychoactive medications.

There was no documentation at the time of the survey ending January 8, 2025, that the physician had provided resident-specific rationale for the continued use and of psychoactive medication.

During an interview with the Director of Nursing on January 8, 2025, at approximately 1:00 p.m., she confirmed that the current physician documentation failed to include accurate resident specific details in support of the use of the psychoactive medications.

395414

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395414 B.

Wing 01/23/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Aventura at Terrace View 260 Terrace Drive Peckville, PA 18452

28 Pa.

Code 211.12(c) Nursing services

28 Pa.

Code 201.18(e)(1) Management

395414

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395414 B.

Wing 01/23/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Aventura at Terrace View 260 Terrace Drive Peckville, PA 18452

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 PECKVILLE, PA, (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 AVENTURA AT TERRACE VIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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