A list of the most recent deficiencies for Universal Health Care / Oxford. 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 | 2023-06-15 | 2023-08-15 | 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 | 2023-06-15 | 2023-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-15 | 2023-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-13 | 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 | 2023-05-18 | 2023-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-18 | 2023-06-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-08 | 2022-03-30 | 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 | 2022-02-10 | 2022-03-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-10 | 2022-03-15 | 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 | 2022-02-10 | 2022-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-17 | 2021-04-12 | 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 | 2019-12-31 | 2020-02-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-31 | 2020-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-31 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-31 | 2020-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-31 | 2020-02-14 | 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 | 2019-12-06 | 2019-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-06 | 2019-12-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-06 | 2019-12-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-06 | 2019-12-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-06 | 2019-12-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-12-06 | 2019-12-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-06 | 2019-12-26 | N |
