Deficiency Records for University City Rehabilitation and Healthcare Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for University City Rehabilitation and Healthcare Ctr. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-08-09 | 2023-09-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-16 | 2023-09-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-16 | 2023-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-09-10 | 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 | 2023-06-16 | 2023-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-09-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-16 | 2023-09-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-16 | 2023-09-10 | 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 | 2023-06-16 | 2023-09-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-22 | 2023-08-15 | 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 | 2023-06-22 | 2023-08-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-24 | 2023-05-11 | 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 | 2022-09-28 | 2022-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-28 | 2022-11-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-28 | 2022-11-07 | 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 | 2022-09-28 | 2022-11-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-28 | 2022-11-07 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-09-28 | 2022-11-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-28 | 2022-11-07 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-09-28 | 2022-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-28 | 2022-11-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-08 | 2022-07-25 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-01-03 | 2022-02-01 | 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 | 2021-07-07 | 2021-09-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-07 | 2021-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-07 | 2021-09-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-07 | 2021-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-07 | 2021-09-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-07 | 2021-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-07 | 2021-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-07 | 2021-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-09-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-07 | 2021-09-01 | 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 | 2021-07-07 | 2021-09-01 | 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 | 2021-07-07 | 2021-09-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-07 | 2021-09-01 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-07-07 | 2021-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-07 | 2021-09-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-07 | 2021-09-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-07 | 2021-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-07 | 2021-09-01 | N |
