Deficiency Records for University Place Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for University Place 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-25 | 2022-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-26 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-25 | 2022-09-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-09-26 | N |
| 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 | 2022-08-25 | 2022-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-20 | 2021-10-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-20 | 2021-09-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-19 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-17 | 2020-01-28 | 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 | 2019-12-17 | 2020-01-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-22 | 2020-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-22 | 2020-01-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-22 | 2020-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-22 | 2020-01-22 | 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 | 2019-11-22 | 2020-01-22 | N |
