Deficiency Records for University Village Retirement Community
Updated as of March 01, 2024
A list of the most recent deficiencies for University Village Retirement Community. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-09-26 | 2023-10-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-26 | 2023-10-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-26 | 2023-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-26 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-26 | 2023-10-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-04 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-04 | 2022-05-27 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-06 | 2021-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-08 | 2021-11-01 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-06 | 2021-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-06 | 2021-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-06 | 2021-10-08 | 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 | 2021-10-06 | 2021-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-06 | 2021-10-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-05 | 2021-06-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-23 | 2019-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-23 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-22 | 2019-05-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-04-22 | 2019-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-22 | 2019-05-10 | 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 | 2019-04-22 | 2019-05-09 | 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 | 2018-02-28 | 2018-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-28 | 2018-02-28 | N |
