Deficiency Records for University Park Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for University Park Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-08 2024-02-21 Y
Provide properly protected cooking facilities. Fire Safety 2023-02-24 2023-04-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-24 2023-04-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-24 2023-04-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-24 2023-04-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-24 2023-04-06 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-02-24 2023-04-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-24 2023-04-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-02 2023-03-04 N
Respond appropriately to all alleged violations. Health 2023-02-02 2023-03-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-09-10 2019-12-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-10 2019-12-02 N
Install an approved automatic sprinkler system. Fire Safety 2019-09-10 2019-11-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-10 2019-11-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-10 2019-10-28 N
Provide and implement an infection prevention and control program. Health 2019-08-15 2019-10-02 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-08-15 2019-09-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-08-15 2019-09-09 N
Respond appropriately to all alleged violations. Health 2019-08-15 2019-09-09 N
Provide activities to meet all resident's needs. Health 2019-08-15 2019-09-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-08-15 2019-09-09 N
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. Health 2019-08-15 2019-09-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-08-15 2019-09-09 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-08-15 2019-09-09 N
List the names and contact information of those in the facility. Fire Safety 2019-08-15 2019-09-09 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2018-07-12 2018-08-30 N
Install an approved automatic sprinkler system. Fire Safety 2018-07-12 2018-08-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-07-12 2018-08-30 N
Have an externally vented heating system. Fire Safety 2018-07-12 2018-08-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-07-12 2018-08-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-06-28 2018-08-02 N
Implement a program that monitors antibiotic use. Health 2018-06-28 2018-08-02 N
Ensure medication error rates are not 5 percent or greater. Health 2018-06-28 2018-07-20 N