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Deficiency Records for University Place Nursing and Rehabilitation Center
A list of the most recent deficiencies for University Place Nursing and Rehabilitation 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 Place Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-27 | 2024-08-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-27 | 2024-08-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-27 | 2024-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-08-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-30 | 2024-07-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-30 | 2024-07-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-07-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-27 | 2024-06-01 | 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 | 2024-03-27 | 2024-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-27 | 2024-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-13 | 2024-05-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-13 | 2024-05-30 | 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 | 2024-03-13 | 2024-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-05-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-13 | 2024-05-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-13 | 2024-05-30 | 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 | 2024-03-13 | 2024-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-05-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-03-13 | 2024-05-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-05-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-13 | 2024-05-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-03-13 | 2024-05-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-13 | 2024-05-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-05-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-21 | 2022-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-25 | 2022-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-26 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-25 | 2022-09-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-09-26 | 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 | 2022-08-25 | 2022-09-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-19 | N |
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