All citations for University Post Acute

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 Post Acute

Last standard health inspection on record

November 20, 2025

Showing 1 to 15 of 15 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 January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  3. 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 January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  4. 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 January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

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

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  6. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  8. 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 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  10. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  11. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  13. 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 January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

  15. No harm, with potential for minimal harm

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

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

    Health citation F-0912, Environmental Deficiencies. Inspection of January 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2022).

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.