All citations for University Post-Acute Rehab

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 Rehab

Last standard health inspection on record

May 22, 2025

Showing 1 to 25 of 50 citations

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2022).

  3. 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 May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

  5. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

  7. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

  9. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of January 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2022).

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

    The home gave a date the problem would be corrected (February 11, 2022).

  14. 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 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2022).

  15. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2022).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

  17. 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 May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

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

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

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

  25. 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 June 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2024).

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.