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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 100 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Staff turnover reported at 26%
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 57% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 21 findings, above the CA average of 15.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families considering Terrace Post Acute (often referred to as Windsor Terrace) will find a polarizing environment. While many long-term patients and their families praise the rehabilitation therapists and specific administrative staff for being compassionate and professional, there are serious, recurring allegations regarding medical neglect, hygiene issues, and understaffing. Prospective families should be aware of significant discrepancies between the facility's marketing and the lived experiences of some residents regarding cleanliness and responsiveness.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
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Distribution · 105 analyzed
The owner uses highly templated, formulaic responses for almost all reviews. While they attempt to personalize by using the reviewer's name, the core message remains a repetitive request to move the conversation to a private channel via specific management contacts.
Personalized based on this facility's data
Key Review Excerpts
“The nurses were kind and worked hard and treated me with dignity. They took pride in their work. I would go there again in a heartbeat.”
“The facility is clean and constantly being cleaned. We are very grateful for his care and to have our dad home again.”
“The place is dirty, they ignore the patients. The lighting, tv's and other equipment is broken. They abuse and scare the patients.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Terrace Post Acute has substantial quality concerns with 123 deficiencies across 36 surveys, including numerous family complaints that triggered investigations. Persistent problems appear in medication management, infection control, and care planning, with these issues recurring across multiple surveys despite reported corrections. The facility has faced repeated citations for medication errors, inadequate infection prevention, and incomplete care plans, suggesting ongoing systemic challenges in fundamental resident care and safety protocols.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Oct 18, 2023
$94,094
Payment Denial
Oct 18, 2023
44-day denial
Terrace Post Acute
for profit
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 13 of 19 (Lowest rating)
Owners
Antelope Holdings I, LLC
Owner · Organization
Antelope Realty Holdings I, LLC
Owner · Organization
9560 Pico LLC
Owner (parent company) · Organization
Pico Ar LLC
Owner (parent company) · Organization
Robin, Aaron
Owner (parent company)
Tress, Avrohom
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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