Deficiency Records for University Park Nursing and Rehabilitation Center
Updated as of July 01, 2020
This is not the most recent data for University Park Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for University Park Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2019-10-03 | 2019-10-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-18 | 2019-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-18 | 2019-08-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-18 | 2019-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-18 | 2019-08-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-18 | 2019-08-15 | N |
| Post nurse staffing information every day. | Health | 2019-07-18 | 2019-08-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-07-18 | 2019-08-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-18 | 2019-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-08-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-23 | 2019-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-23 | 2019-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-11 | 2019-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-28 | 2019-01-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-04 | 2018-09-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-29 | 2018-07-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-04-12 | 2018-05-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2018-04-05 | 2018-04-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-04-05 | 2018-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-05 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-05 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-04-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-02-09 | 2017-03-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-02-09 | 2017-03-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-26 | 2017-02-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-26 | 2017-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-26 | 2017-02-24 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-26 | 2017-02-24 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-01-26 | 2017-02-24 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-26 | 2017-02-24 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-01-26 | 2017-02-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-26 | 2017-02-24 | N |
