All citations for University Manor Health & Reha

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to University Manor Health & Reha

Last standard health inspection on record

December 5, 2024

Showing 1 to 13 of 13 citations

  1. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  2. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  3. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  4. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  5. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  6. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  7. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  9. No harm, with potential for more than minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  10. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  11. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

  13. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.