TERRACE AT BISHOP'S GLEN, THE
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-11-05 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
3.56
state median 3.40
Weekend staffing gap
−15%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.22
registered nurses only
Contract (agency) staff
7%
share of all nursing hours
Days with zero RN hours reported
14
with residents present
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $8,512 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-17 | Fine | $8,512 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the SERENITY ESTATES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE TERRACE AT COURTENAY SPRINGS (MERRITT ISLAND, FL) —
- SERENITY ESTATES OF LINCOLNSHIRE (LINCOLNSHIRE, IL) —
- SERENITY ESTATES AT MORRIS (MORRIS, IL) —
- Serenity Estates of Lena (LENA, IL) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-11 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-11-05 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-10-17 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-21 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-21 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-21 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-21 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-21 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-04-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-07 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-07 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |