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Deficiency Records for Evercare at University
View the most recent health deficiencies and inspection results for Evercare at University. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evercare at University. Stay informed about quality of care issues.
| 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 | 2025-10-21 | 2025-10-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-21 | 2025-10-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-21 | 2025-10-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-10-21 | 2025-10-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-21 | 2025-10-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-27 | 2025-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-11 | 2025-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-11 | 2025-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-11 | 2025-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-09 | 2025-05-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-27 | 2025-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-27 | 2025-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-27 | 2025-03-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-27 | 2025-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-27 | 2025-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-27 | 2025-03-21 | 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 | 2025-02-27 | 2025-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-14 | 2025-03-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-14 | 2025-03-15 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-03-14 | 2025-03-15 | Y |
| Have policies on smoking. | Health | 2025-02-27 | 2025-03-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-02-27 | 2025-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-27 | 2025-02-28 | 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 | 2025-02-27 | 2025-02-28 | 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 | 2025-02-27 | 2025-02-28 | 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 | 2025-02-27 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-27 | 2025-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-27 | 2025-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-27 | 2025-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-20 | 2025-02-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-20 | 2025-02-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-20 | 2025-02-21 | Y |
| 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 | 2025-01-24 | 2025-01-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-24 | 2025-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-24 | 2025-01-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-24 | 2025-01-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-10 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-18 | 2024-11-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-18 | 2024-11-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-18 | 2024-11-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-25 | 2024-10-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-04 | 2024-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-04 | 2024-10-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-06 | 2024-09-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-06 | 2024-09-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-06 | 2024-09-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-15 | 2024-08-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-08-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-15 | 2024-08-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-28 | 2024-06-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-28 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-04-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-02-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-31 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-31 | 2024-02-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-31 | 2024-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-31 | 2024-02-15 | 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 | 2023-12-05 | 2023-12-07 | Y |
| 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 | 2023-11-22 | 2023-11-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2023-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-18 | 2023-10-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-10-06 | Y |
| 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 | 2023-10-05 | 2023-10-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-10-06 | Y |
| 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 | 2023-09-19 | 2023-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-19 | 2023-09-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-21 | 2023-07-22 | Y |
| 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 | 2023-07-21 | 2023-07-22 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-17 | 2023-04-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-17 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-17 | 2023-04-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-17 | 2023-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-17 | 2023-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-17 | 2023-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-17 | 2023-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-03-29 | 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 | 2023-03-17 | 2023-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-03-29 | N |