A list of the most recent deficiencies for Universal Health Care / Greenville. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-12 | 2023-05-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-13 | 2023-04-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-13 | 2023-04-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-13 | 2023-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-13 | 2023-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-13 | 2023-04-06 | 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 | 2023-03-13 | 2023-04-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-13 | 2023-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-13 | 2023-04-06 | N |
| Post nurse staffing information every day. | Health | 2023-03-13 | 2023-04-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-13 | 2023-04-06 | 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 | 2023-03-13 | 2023-04-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-13 | 2023-04-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-13 | 2023-04-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-13 | 2023-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-13 | 2023-04-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-13 | 2023-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-11 | 2022-03-25 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-11 | 2022-03-25 | Y |
| 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 | 2022-03-11 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-03-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-06-25 | 2021-07-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-25 | 2021-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-25 | 2021-07-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-25 | 2021-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-25 | 2021-07-23 | 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 | 2021-06-25 | 2021-07-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-25 | 2021-07-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-25 | 2021-07-23 | 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 | 2021-06-25 | 2021-07-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-07-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-25 | 2021-07-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-25 | 2021-07-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-25 | 2021-07-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-25 | 2021-07-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-25 | 2021-07-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-01 | 2019-09-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-07-01 | 2019-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-01 | 2019-07-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-01 | 2019-07-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-01 | 2019-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-01 | 2019-07-12 | 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 | 2019-07-01 | 2019-07-12 | 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 | 2019-07-01 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-01 | 2019-07-12 | N |
