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.

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Last standard health inspection on record

December 5, 2024

Showing 26 to 50 of 88 citations

No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
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 May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 24, 2019).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of April 18, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 24, 2019).
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).
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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of February 3, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 2, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of December 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pattern (more than a few residents). CMS level E.
Health citation F-0921, Environmental Deficiencies. Inspection of December 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of December 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of December 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 17, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2022).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning 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.