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Deficiency Records for University Rehabilitation Center

A list of the most recent deficiencies for University 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 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?
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-28 2024-02-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-28 2024-02-29 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-02-28 2024-02-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-28 2024-02-29 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 2024-02-28 2024-02-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-28 2024-02-29 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 2024-02-28 2024-02-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-28 2024-02-29 Y
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2024-02-28 2024-02-29 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-08 2024-02-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-08 2024-02-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-08 2024-02-29 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-08 2024-02-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-08 2024-02-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-08 2024-02-29 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 2023-11-15 2023-11-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-15 2023-11-16 Y
Provide and implement an infection prevention and control program. Health 2023-11-15 2023-11-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-18 2023-05-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-02 2022-12-23 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 2022-12-02 2022-12-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-12-02 2022-12-23 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-12-02 2022-12-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-02 2022-12-23 N
Provide appropriate foot care. Health 2022-12-02 2022-12-23 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 2022-12-02 2022-12-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-02 2022-12-23 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-12-02 2022-12-23 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 2022-12-02 2022-12-23 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-02 2022-12-23 Y
Install an approved automatic sprinkler system. Fire Safety 2022-12-01 2022-12-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-01 2022-12-23 N
Provide properly protected cooking facilities. Fire Safety 2022-12-01 2022-12-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-27 2022-10-18 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2021-12-02 2022-01-07 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-09-09 2021-10-30 N
Ensure the activities program is directed by a qualified professional. Health 2021-09-09 2021-10-30 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 2021-09-09 2021-10-30 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-09-09 2021-10-30 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2021-09-09 2021-10-22 N
Construct fire resistant interior walls. Fire Safety 2021-09-09 2021-10-22 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-10-06 2021-10-21 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-09-09 2021-09-15 N

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