A list of the most recent deficiencies for University Nursing 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-11 | 2024-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-11 | 2024-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-11 | 2023-12-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-20 | 2023-12-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-20 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-08 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-28 | 2023-10-20 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-18 | 2023-09-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-18 | 2023-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-09-04 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-05 | 2023-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-05 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-05 | 2023-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-05 | 2023-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-05 | 2023-01-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-07 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-10-28 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-16 | 2021-11-03 | 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 | 2021-09-16 | 2021-11-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-16 | 2021-11-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-30 | 2021-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-30 | 2021-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-30 | 2021-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-30 | 2021-09-19 | N |
