A list of the most recent deficiencies for Universal Health Care/ramseur. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-04-25 | 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 | 2023-03-21 | 2023-04-08 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-03-21 | 2023-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 2023-04-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-23 | 2023-03-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-02-23 | 2023-03-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-23 | 2023-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-23 | 2023-03-23 | 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 | 2023-02-23 | 2023-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-23 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-23 | 2023-03-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-23 | 2023-03-23 | 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 | 2023-02-23 | 2023-03-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-23 | 2023-03-23 | N |
| Post nurse staffing information every day. | Health | 2023-02-23 | 2023-03-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-23 | 2023-03-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-23 | 2023-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-23 | Y |
| 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 | 2021-07-28 | 2021-08-06 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-28 | 2021-08-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-11 | 2021-07-28 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-11 | 2021-07-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-11 | 2021-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-11 | 2021-07-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-11 | 2021-07-28 | 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 | 2021-06-11 | 2021-07-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-11 | 2021-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-11 | 2021-07-28 | 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 | 2021-06-11 | 2021-07-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-06-11 | 2021-07-28 | 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 | 2021-06-11 | 2021-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-11 | 2021-07-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-11 | 2021-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-07-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-11 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-07-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-11 | 2021-07-28 | Y |
| Post nurse staffing information every day. | Health | 2021-06-11 | 2021-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-11 | 2021-07-28 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-14 | 2019-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2019-12-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-24 | 2019-11-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-24 | 2019-11-21 | 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 | 2019-10-24 | 2019-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-24 | 2019-11-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-24 | 2019-11-21 | N |
