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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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