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Deficiency Records for University Heights Care Center
View the most recent health deficiencies and inspection results for University Heights Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for University Heights Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-16 | 2025-12-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-12-16 | 2025-12-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-16 | 2025-12-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-07 | 2025-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-08-07 | 2025-08-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-07 | 2025-08-28 | N |
| 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. | Health | 2025-08-07 | 2025-08-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-07 | 2025-08-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-03-26 | 2025-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-26 | 2025-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-26 | 2025-03-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-24 | 2024-01-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-24 | 2024-01-25 | N |
| 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. | Health | 2024-01-24 | 2024-01-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-24 | 2024-01-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-24 | 2024-01-25 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-24 | 2024-01-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-01-24 | 2024-01-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-24 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-24 | 2024-01-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-24 | 2024-01-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-24 | 2024-01-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-24 | 2024-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-01-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-24 | 2024-01-25 | 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 | 2024-01-24 | 2024-01-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-24 | 2024-01-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-24 | 2024-01-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-24 | 2024-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-19 | 2023-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | 2023-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-09-30 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-09-29 | 2022-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-09-30 | N |
| 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. | Health | 2022-09-29 | 2022-09-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-29 | 2022-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-09-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-29 | 2022-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-29 | 2022-09-30 | N |