Deficiency Records for University Nursing Center
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-05 | 2023-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-05 | 2023-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-05 | 2023-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-05 | 2023-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-05 | 2023-01-03 | 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 |
| 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 |
