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Deficiency Records for University Post Acute
View the most recent health deficiencies and inspection results for University Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for University Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-20 | 2025-12-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-11-20 | 2025-12-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-20 | 2025-12-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-20 | 2025-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-20 | 2025-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-20 | 2025-12-24 | 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 | 2025-11-20 | 2025-12-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-11-20 | 2025-12-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-20 | 2025-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-25 | 2024-10-17 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-26 | 2024-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-26 | 2024-08-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-26 | 2024-08-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-26 | 2024-08-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-26 | 2024-08-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-26 | 2024-08-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-24 | 2022-02-08 | N |
| 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 | 2022-01-24 | 2022-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-24 | 2022-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-24 | 2022-02-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-24 | 2022-02-08 | 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 | 2022-01-24 | 2022-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-24 | 2022-02-08 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-01-24 | 2022-02-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-24 | 2022-02-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-24 | 2022-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-24 | 2022-02-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-24 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-24 | 2022-02-08 | 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 | 2022-01-24 | 2022-02-08 | N |