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Deficiency Records for University Park Skilled Nursing and Therapy Memory
View the most recent health deficiencies and inspection results for University Park Skilled Nursing and Therapy Memory. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for University Park Skilled Nursing and Therapy Memory. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-10 | 2025-04-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-10 | 2025-04-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-03-10 | 2025-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-10 | 2025-03-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-03-10 | 2025-03-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-10 | 2025-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-10 | 2025-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-10 | 2025-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-27 | 2025-02-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-01-27 | 2025-02-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-27 | 2025-02-11 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-30 | 2024-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-30 | 2024-05-03 | 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 | 2023-11-30 | 2024-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-11 | 2022-11-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-11 | 2022-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-11 | 2022-11-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-11 | 2022-11-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-11 | 2022-11-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-11 | 2022-11-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-11 | 2022-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-11 | 2022-11-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-11 | 2022-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-11 | 2022-11-10 | 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 | 2022-10-11 | 2022-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-11 | 2022-11-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-11 | 2022-11-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-11 | 2022-11-10 | 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 | 2022-10-11 | 2022-11-10 | 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 | 2022-10-11 | 2022-11-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-10-11 | 2022-11-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-11 | 2022-11-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-11 | 2022-11-10 | 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 | 2022-10-11 | 2022-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-11 | 2022-11-10 | N |