University Care Center

Ensure services provided by the nursing facility meet professional standards of quality.

F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 29, 2025) · From a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Ensure services provided by the nursing facility meet professional standards of quality.

F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F0912 · Environmental Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 4, 2025)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 22, 2025) · From a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 22, 2025) · From a complaint

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.

F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 13, 2024) · From a complaint

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Dec 13, 2024) · From a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Jul 26, 2024) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 12, 2024) · From a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 18, 2024) · From a complaint

Provide safe, appropriate pain management for a resident who requires such services.

F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 19, 2023) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 19, 2023) · From a complaint

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Nov 24, 2023) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 24, 2023) · From a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide activities to meet all resident's needs.

F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F0661 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F0867 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F0912 · Environmental Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

F0841 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Assist a resident in gaining access to vision and hearing services.

F0685 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 16, 2023)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F0912 · Environmental Deficiencies · Waiver has been granted (Sep 12, 2019)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 12, 2019)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 12, 2019)

Have proper medical gas storage and administration areas.

K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Install corridor and hallway doors that block smoke.

K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

K0700 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 17, 2025)

Install corridor and hallway doors that block smoke.

K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K0354 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Meet requirements for the use of electrical equipment.

K0919 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

K0346 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Keep aisles, corridors, and exits free of obstruction in case of emergency.

K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Properly select, install, inspect, or maintain portable fire extinguishes.

K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Have power receptacles that are properly grounded.

K0912 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Use approved construction type or materials.

K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Mar 20, 2023)

Have proper medical gas storage and administration areas.

K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Provide properly protected cooking facilities.

K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

K0771 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Provide primary/alternate means for communication.

E0032 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Use approved construction type or materials.

K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Oct 8, 2019)