Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Terrace Healthcare & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with frequent skin tears and bruising did not have a comprehensive care plan addressing skin integrity. Observations and staff interviews confirmed the resident's ongoing skin issues, yet the care plan lacked documentation for skin integrity, contrary to facility policy.
The facility failed to follow physician orders for a resident's wound care and another's pain management. A resident's bandage was not changed as prescribed, and another resident received pain medication outside the prescribed parameters. The DON acknowledged the lapses and emphasized the need for adherence to orders.
A resident with a skin condition did not receive the required daily wound care, as evidenced by a bandage dated several days prior. Despite physician orders for daily treatment, the Treatment Administration Record inaccurately documented that wound care was performed. The DON confirmed that the nursing staff had documented wound care without actually performing it, failing to maintain accurate medical records.
The facility failed to ensure proper infection control practices, as an LPN did not wear PPE while adjusting IV tubing for a resident under enhanced barrier precautions, and another LPN did not follow hand hygiene protocols during wound care. These actions were contrary to the facility's policies on infection prevention.
A resident's legal representative requested medical records in January 2024 but did not receive them by April 2024, despite multiple follow-ups. The facility's policy requires records to be provided within 48 hours, but delays occurred due to the process involving corporate legal review.
Failure to Develop Comprehensive Care Plan for Skin Integrity
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with skin conditions. During an observation, the resident was found lying in bed with bruising and scabbed skin tears on the left arm. Interviews with staff revealed that the resident frequently experiences skin tears, occurring approximately once a week, due to the fragility of their skin. Despite these ongoing issues, a review of the resident's care plan showed no documentation or focus on skin integrity. Further examination of the resident's medical records indicated multiple instances of skin tears and bruising, including wounds on the left upper arm, left knee, and bilateral extremities. The facility's policy mandates a comprehensive assessment and care plan for each resident, which should include measurable objectives and timeframes to address identified needs. However, the care plan for this resident did not address the potential for skin integrity issues, as confirmed by the MDS and Care Plan Coordinator.
Failure to Follow Physician Orders for Wound Care and Pain Management
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders for a resident with a skin condition and another resident requiring pain management. For the resident with a skin condition, observations revealed that a bandage on the resident's left shin had not been changed since 9/27, despite physician orders to clean the area and apply Xeroform and Zinc daily. The resident was unaware of the cause of the injury and reported that no one had changed the bandage. The Director of Nursing (DON) confirmed the bandage was overdue for a change and acknowledged the expectation for nursing staff to follow physician orders. In the case of the resident requiring pain management, the facility failed to administer medication according to the prescribed parameters. The resident received Oxycodone for pain levels below the prescribed threshold of 7-10/10 on multiple occasions. The DON attributed this to a new nurse not following physician orders and emphasized the expectation for nurses to adhere to medication administration guidelines. The facility's policies on wound care and medication administration were not followed, leading to these deficiencies.
Inaccurate Documentation of Wound Care
Penalty
Summary
The facility failed to ensure that resident records were complete and accurate for a resident with a skin condition. During observations on two consecutive days, the resident was seen with a bandage on his left shin dated several days prior, indicating that the wound care had not been performed as required. The resident confirmed that no one had come to change his bandage, despite physician orders specifying daily wound care treatment. Upon review of the Treatment Administration Record (TAR), it was documented that the resident received wound care on specific dates, which contradicted the resident's statement and observations. The Director of Nursing acknowledged that the nursing staff had inaccurately documented performing wound care when it had not been done, highlighting a failure in maintaining accurate medical records as per the facility's policy and procedure.
Infection Control Deficiencies in PPE and Hand Hygiene
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices were followed by staff during care activities for two residents. In the first instance, a Licensed Practical Nurse (LPN) did not wear gloves or a gown while adjusting the intravenous (IV) tubing for a resident who was under enhanced barrier precautions due to a left arm peripherally inserted central catheter (PICC). Despite signage indicating the need for gloves and a gown for high-contact care activities, the LPN entered the room without the required personal protective equipment (PPE) because the IV pump had been beeping for some time. In the second instance, another LPN performing wound care on a resident did not adhere to hand hygiene protocols. The LPN failed to change gloves or perform hand hygiene after removing a dressing and before cleaning the wound. Additionally, the LPN did not perform hand hygiene after removing gloves and before donning a new pair. The facility's policies on hand hygiene and wound care were not followed, as staff did not perform hand hygiene at critical points during the wound care process, which is essential to prevent the spread of infections.
Failure to Provide Medical Records in a Timely Manner
Penalty
Summary
The facility failed to ensure that a resident's legal representative received copies of the resident's medical records in a timely manner. Resident #1's daughter, who holds the Durable Power of Attorney, requested the medical records in January 2024 but had not received them by April 2024. Despite multiple follow-ups via email with the Admissions Assistant and the Director of Nursing, the records were not provided. The Administrator acknowledged the delay and stated that the facility's policy is to provide medical records within 48 hours of a request, but the process involves sending the request to corporate for legal review, which contributed to the delay. The Admissions Assistant confirmed that Resident #1's daughter had made the request at the beginning of the year and was directed to fill out a medical records request form. However, the records were still not provided, and the daughter continued to seek updates without success. The facility's policy, issued on 4/1/2022, mandates that medical records be accurately documented, readily accessible, and systematically organized, but this was not adhered to in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Gainesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palm Garden Of Gainesville | 2.7 mi | — | 0 | 0 |
| Aviata At North Florida | 2.9 mi | — | 7 | 3 |
| Plaza Health And Rehab | 3.3 mi | — | 9 | 0 |
| Gainesville Health And Rehabilitation | 3.8 mi | — | 3 | 0 |
| Magnolia Ridge Health And Rehabilitation Center | 4.5 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.