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Deficiency Records for The Laurels of University Park
View the most recent health deficiencies and inspection results for The Laurels of University Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Laurels of University Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-10-28 | 2025-11-21 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-04-24 | 2024-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-24 | 2024-06-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-24 | 2024-06-07 | N |
| 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 | 2024-04-24 | 2024-06-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-24 | 2024-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-24 | 2024-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-24 | 2024-06-07 | N |
| Post nurse staffing information every day. | Health | 2024-04-24 | 2024-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-06-07 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-06-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-24 | 2024-06-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-24 | 2024-06-07 | 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 | 2024-04-24 | 2024-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-24 | 2024-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-24 | 2024-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-24 | 2024-06-07 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-04-24 | 2024-06-04 | N |
| Meet other general requirements. | Fire Safety | 2024-04-24 | 2024-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-24 | 2024-06-04 | N |
| Meet other general requirements. | Fire Safety | 2024-04-24 | 2024-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-15 | 2022-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-15 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-15 | 2022-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-15 | 2022-07-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-15 | 2022-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-15 | 2022-07-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-15 | 2022-07-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-15 | 2022-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-15 | 2022-07-26 | N |
| 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 | 2022-06-15 | 2022-07-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | 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 | 2022-06-15 | 2022-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-07-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-15 | 2022-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-12 | 2021-07-13 | 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 | 2021-05-12 | 2021-07-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-12 | 2021-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-12 | 2021-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-12 | 2021-06-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-12 | 2021-06-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-05-12 | 2021-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-12 | 2021-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-12 | 2021-06-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-05-12 | 2021-06-15 | 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 | 2021-05-12 | 2021-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-12 | 2021-06-15 | 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 | 2021-05-12 | 2021-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-12 | 2021-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-12 | 2021-06-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-12 | 2021-06-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-12 | 2021-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-12 | 2021-06-15 | N |
| 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 | 2021-05-12 | 2021-06-15 | N |