Deficiency Records for University Nursing Center
Updated as of September 01, 2021
This is not the most recent data for University Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-01-21 | 2021-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-04 | 2020-07-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-28 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-28 | 2019-09-26 | 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 | 2019-06-28 | 2019-09-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-28 | 2019-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-09-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-06 | 2019-09-24 | 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 | 2019-08-06 | 2019-09-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Meet other general requirements. | Fire Safety | 2019-08-15 | 2019-09-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-07 | 2019-08-22 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-08-07 | 2019-08-22 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-21 | 2019-06-13 | Y |
| Meet other general requirements. | Fire Safety | 2018-08-06 | 2018-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-06 | 2018-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-06 | 2018-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-06 | 2018-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-13 | 2018-08-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-13 | 2018-08-12 | 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 | 2018-07-13 | 2018-08-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-08-22 | 2017-09-21 | 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 | 2017-08-22 | 2017-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-22 | 2017-09-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-08-22 | 2017-09-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-22 | 2017-09-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-08-22 | 2017-09-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-28 | 2017-08-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-28 | 2017-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-08-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-28 | 2017-08-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-08-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-08-27 | N |
