All citations for University Park Nursing and Rehabilitation

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 Park Nursing and Rehabilitation

Last standard health inspection on record

June 19, 2025

Showing 1 to 23 of 23 citations

  1. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

  7. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  10. 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 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  18. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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

    Construct fire resistant interior walls.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2023).

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

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

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  22. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

  23. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2023).

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.