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Deficiency Records for University Center For Rehabilitation and Nursing
A list of the most recent deficiencies for University Center For Rehabilitation and Nursing. 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 Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-07 | 2024-06-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-07 | 2024-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-07 | 2024-06-24 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-07 | 2024-06-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-07 | 2024-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-07 | 2024-05-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-07 | 2024-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-07 | 2024-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-07 | 2024-05-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-11-22 | 2023-01-17 | 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 | 2022-11-22 | 2023-01-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2023-01-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-22 | 2023-01-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-22 | 2023-01-17 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-11-22 | 2023-01-12 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-11-22 | 2023-01-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-22 | 2022-12-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-22 | 2022-12-29 | 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 | 2022-11-22 | 2022-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2022-12-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-22 | 2022-12-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-22 | 2022-12-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-22 | 2020-02-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-22 | 2020-02-17 | 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 | 2020-01-22 | 2020-02-08 | N |
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