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Deficiency Records for University Park Care Center
A list of the most recent deficiencies for University Park Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for University Park Care Center. 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-02 | 2024-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-02 | 2024-07-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-02 | 2024-07-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-02 | 2024-07-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-02 | 2024-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-02 | 2024-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-11 | 2024-07-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-11 | 2024-07-09 | 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 | 2024-06-11 | 2024-07-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-11 | 2024-07-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-11 | 2024-07-09 | 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 | 2024-06-11 | 2024-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-11 | 2024-07-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-11 | 2024-07-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-11 | 2024-07-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-21 | 2024-03-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-21 | 2024-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-02-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-24 | 2023-04-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-03-04 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-02 | 2023-03-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-10 | 2019-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-12-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-10 | 2019-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-10 | 2019-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-10 | 2019-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-10-02 | 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 | 2019-08-15 | 2019-09-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-15 | 2019-09-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-15 | 2019-09-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-15 | 2019-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-09-09 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2019-08-15 | 2019-09-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-15 | 2019-09-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-09-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-15 | 2019-09-09 | N |
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