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Deficiency Records for University Nursing and Rehab Ctr

View the most recent health deficiencies and inspection results for University Nursing and Rehab Ctr. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for University Nursing and Rehab Ctr. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-03 2025-07-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-04-03 2025-07-15 N
Meet other general requirements. Fire Safety 2025-04-03 2025-05-05 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-04-03 2025-05-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-04-03 2025-05-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-04-03 2025-05-05 N
Have restrictions on the use of portable space heaters. Fire Safety 2025-04-03 2025-05-05 N
Create arrangements with other facilities to receive patients. Fire Safety 2025-04-03 2025-05-05 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 2025-04-03 2025-05-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-04-03 2025-05-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-03 2025-05-05 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-12-09 2024-01-23 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-09 2024-01-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-09 2024-01-23 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-12-09 2024-01-23 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-09 2024-01-23 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-12-09 2024-01-23 Y
Ensure that residents are free from significant medication errors. Health 2023-12-09 2024-01-23 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2023-12-09 2024-01-23 Y
Provide and implement an infection prevention and control program. Health 2023-12-09 2024-01-23 Y
Implement a program that monitors antibiotic use. Health 2023-12-09 2024-01-23 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-12-09 2024-01-23 N
Install proper backup exit lighting. Fire Safety 2023-12-09 2024-01-23 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 2023-12-09 2024-01-23 N
Install an approved automatic sprinkler system. Fire Safety 2023-12-09 2024-01-23 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2023-12-09 2024-01-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-09 2024-01-23 N
Keep residents' personal and medical records private and confidential. Health 2023-12-09 2024-01-23 N
Assist a resident in gaining access to vision and hearing services. Health 2023-12-09 2024-01-23 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-12-09 2024-01-23 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-06-20 2022-08-12 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-06-20 2022-08-12 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-06-20 2022-08-12 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-06-20 2022-08-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-20 2022-08-12 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-06-20 2022-08-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-06-20 2022-08-12 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 2022-06-20 2022-08-12 N

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