Deficiency Records for Universal Health Care / Oxford
Updated as of August 01, 2020
This is not the most recent data for Universal Health Care / Oxford. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2019-12-26 | Y |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-04 | 2019-11-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-04 | 2019-11-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-04 | 2019-11-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-11 | 2019-01-18 | 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 | 2018-12-11 | 2019-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-11 | 2019-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-11 | 2019-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-11 | 2019-01-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-11 | 2019-01-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-11 | 2019-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-16 | 2018-12-05 | 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 | 2018-11-16 | 2018-12-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-16 | 2018-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-18 | 2018-11-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-18 | 2018-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-16 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-10-18 | 2018-11-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-21 | 2017-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-21 | 2017-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-21 | 2017-12-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-02 | 2017-11-17 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-02 | 2017-11-17 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-11-02 | 2017-11-17 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-02 | 2017-11-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-02 | 2017-11-17 | Y |
