University Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at University Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 22, 2025

  Based on observation, interview and record review, the facility failed to store food under sanitary conditions as evidenced by the walk-in refrigerator contained flower bouquets on the shelves among the fruits and vegetables. This has the potential to affect 128 out of 133 residents who eat orally residing in the facility at the time of the survey. The findings included: Record review of the Food Storage Policy and Procedure (review date November 2024); Policy-Food storage areas are maintained in a clean, safe and sanitary manner and maximize nutrient retention and food quality; Procedure-1) Perishable foods are stored immediately after delivery. […]

• No harm, potential for more than minimal, widespreadF812Nov 15, 2022

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety that include; maintenance of refrigeration units, holding of foods at regulatory temperatures, proper thawing of foods, and preparation of foods within clean areas. The findings included: 1) During the initial kitchen/food service sanitation tour conducted on 11/07/22 at 9 AM with the Certified Dietary Manager (CDM) , the following were noted: (a) Prior to entering the kitchen it was noted that 3 large uncovered carts full of used resident trays were located outside the kitchen. Specifically the trays were from the resident's breakfast meal of 11/7/22 and the garbage and trash was exposed to the area areas. […]

• No harm, potential for more than minimal, patternF550Nov 15, 2022

  Based on record review,observation and interview, it was determined that the the facility failed to treat residents with respect and dignity as evidenced by; 5 out of 18 residents sampled residents (Resident #2, Resident #12, Resident #54, Resident #76, and Resident #158) who drank thickened liquids from condiment cups, 119 resident were not provide with proper drinking cup/glass to pour milk into of which 2 out of 19 were sampled residents who were required to drink milk from the carton, 2 (Resident's #57 and Resident #69) 2 sampled residents were fed by standing staff, and 1 (Resident #48) of 1 sampled resident who was referred to as a feeder. […]

• No harm, potential for more than minimal, patternF584Nov 15, 2022

  Based on observation and interview, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary , orderly, and comfortable interior for 3 of 3 resident floors (second, third, and fourth floors). The findings included: During the environment tour conducted on 11/8/22 at 1 PM accompanied with the Administrator and Director of Maintenance, the following were noted: Room #204 - Exterior of over-bed table in disrepair (worn with sharp edges), exterior of dresser in disrepair (heavily worn), and numerous large black scuff room marks walls. Room #205 - Exterior of over-bed table in disrepair (worn with sharp edges), exterior of dresser in disrepair (heavily worn), and numerous large black scuff room marks walls. […]

• No harm, potential for more than minimal, patternF725Nov 15, 2022

  Based on record review, observations and interviews, the facility failed to comply with the state minimum staffing requirements for 48 consecutive hours and failed to comply with the stated minimum weekly average of 3.6 hours of care by direct care staff per resident per day. There were 140 residents residing in the facility at the time of the survey. The findings included: On 11/07/22 at 12:12 PM, an interview was conducted with Staff R, Certified Nursing Assistant ( CNA) stated she had worked for the facility for [AGE] years. Staff R stated having 13 residents assigned to her today and sometimes she had more than that. Staff R added she normally she had 10 residents assigned. Staff R stated that they usually had six (6) CNAs working, but they had five (5) today. […]