University Crossing

In the surveyor’s words

From the most serious findings on record at University Crossing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 20, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to date mark numerous open food packages in the dry storage room, the refrigerator, and the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 1/17/2023 at 8:20 a.m. […]

• No harm, potential for more than minimal, isolatedF677Dec 19, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #151) of two residents reviewed for activities of daily living (ADLs) assistance, out of 29 residents in the total survey sample, received necessary services to maintain good grooming and personal hygiene, specifically fingernail care. The findings include: A review of the medical record revealed that the resident was admitted to the facility on [DATE] with diagnoses including the following: Surgical aftercare following surgery on the circulatory system, acute combined systolic and diastolic heart failure, major depressive disorder, muscle weakness (generalized), hypertension, shortness of breath, diabetes mellitus and legal blindness. […]

• No harm, potential for more than minimal, isolatedF695Dec 19, 2024

  Based on observations, record review, and interviews, the facility failed to ensure that one (Resident #154) of one resident observed for respiratory care, from a total survey sample of 29 residents, received respiratory care consistent with professional standards of practice and the resident's care plan. Resident #154 was not receiving oxygen at the flow rate ordered by the physician. The findings include: On 12/16/24 at 10:13 AM, Resident #154 was observed receiving oxygen through a nasal cannula at a flow rate of three liters per minute. (Photographic evidence obtained) On 12/17/24 at 10:35 AM, a second observation was made of Resident #154 receiving oxygen through a nasal cannula at a flow rate of three liters per minute. […]

• No harm, potential for more than minimal, isolatedF645Jun 10, 2021

  Based on interviews and record reviews, the facility failed to ensure the completion of pre-admission screening for individuals with a mental disorder and individuals with an intellectual disability for one (Resident #39) of 27 residents in the sample. The findings include: A medical record review for Resident #39 indicated he was admitted to the facility on [DATE]. His diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . His physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . A 5-day admission Minimum Data Set (MDS) assessment revealed the resident had not been evaluated via Level II Pre-admission Screening and Resident Review (PASRR) to determine serious mental illness and/or mental [CONDITION(S)] or related condition. […]

• No harm, potential for more than minimal, isolatedF761Jun 10, 2021

  Based on observations, interviews, and record reviews, the facility failed to ensure that drugs and biologicals used in the facility were safely stored for two (Residents #321 and #322) in a total sample of 27 residents. The findings include: 1. On 6/7/2021 at 10:30 AM, Resident #321 was observed lying in bed. There was a container of medication observed on the bedside table. (Photographic evidence obtained) Resident #321 stated in an interview on 6/7/21 at 10:35 AM that she was admitted to the facility on [DATE]. Upon arrival, she was notified that her transplant medication was not available. She stated she had to ask a friend to bring the medication from home, as she could not stay without it. She further stated she had been taking it as prescribed. […]