Aventura At Terrace View
AVENTURA AT TERRACE VIEW in PECKVILLE, PA — inspection on March 28, 2025.
Found 2 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.
Inspection Findings
F-F607, F 838
28 Pa.
Code 201.14(a) Responsibility of licensee
28 Pa.
Code 201.18(b)(1)(e)(2) Management
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According to 42 CFR S483.85, the facility must develop, implement, and maintain an effective compliance and ethics program that includes:
Standards, policies, and procedures to prevent and detect criminal, civil, and administrative violations, a designated compliance officer, effective training and education for all staff, and a Code of Conduct made available to all staff.
However, during the survey the facility was unable to produce a copy of its Code of Conduct or policies related to the compliance and ethics program.
The facility assessment, last reviewed July 15, 2024, did not identify the Compliance and Ethics Program or related staff training as a component of risk or operations.
Employee files for Employees 12, 13, 14, 15, and 16, hired between February and March 2025, contained no evidence of ethics or compliance training.
The personnel file for Employee 11, who was rehired in February 2025, also lacked documentation of any such training.
Resident 79 was admitted on [DATE], with a diagnosis of multiple sclerosis. An annual MDS assessment dated [DATE], revealed the resident was cognitively intact (BIMS score of 15).
On March 26, 2025, Resident 79 reported to the Director of Social Services that approximately two years earlier, Employee 11, nurse aide (NA) took him to a bank to cash a $2,800 check and then offered to hold $2, 000 of the funds for him.
The resident stated that Employee 11 NA never returned the money.
A police report dated March 26, 2025, confirmed the incident had been reported. On March 27, 2025, law enforcement confirmed with a local financial institution that Resident 79 cashed a check in the amount of $3, 925.77 on August 1, 2023.
Employee 11 NA later admitted during police questioning that she took the money for safekeeping but did not return it, stating she was scared and made no effort to correct the issue even after the resident confronted her.
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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 03/28/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aventura at Terrace View 260 Terrace Drive Peckville, PA 18452