University Park Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 25, 2024

  Based on observation, interview, and record review, the facility failed to implement interventions to prevent and control the spread of COVID -19 (Coronavirus disease 2019, a severe respiratory illness and infectious disease caused by a virus and spread from person to person during close contact and through the air) in accordance with the Center for Disease Control and Prevention (CDC) guideline titled, The Respiratory Protection Information Trusted Source, and the facility's policy titled, Coronavirus Disease (COVID-19) - Identification and Management of Ill Residents, for five of five sampled residents (Resident 71, Resident 33, Resident 14, Resident 52, and Resident 18 ) out of a total of 82 residents in facility census and four of five staff in the facility by failing to: -Ensure… […]

• Immediate jeopardy, isolatedF600Nov 8, 2022

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from neglect for two of seven residents at risk of elopement by failing to: 1. Supervise the whereabouts of Resident 1. Resident 1 had history of elopement (leaving the facility unsupervised), to prevent further elopement. 2. The alarm system was functional for two of two exit doors (Door 1 [front door] and Door 2 [side door]). 3. Resident 1's wander (aimless, slow, or pointless movements, meandering, or repetitive locomotion that exposes the individual to harm; it is frequently incongruent with boundaries, limits, or obstacles) guard bracelet/band (or anklet, a device worn by a resident which trigger an alarm when the resident attempts to go through the door equipped with… […]

• Immediate jeopardy, isolatedF689Nov 8, 2022

  Based on observation, interview, and record review, for two of seven residents (Residents 1 and 7) at risk of elopement, the facility failed to: 1. Provide a hazard free environment for Residents 1 and 7. 2. Supervise the whereabouts of Resident 1. Resident 1 had history of elopement (leaving the facility unsupervised), to prevent further elopement. 3. The alarm system was functional for two of two exit doors (Door 1 [front door] and Door 2 [side door]). 4. Resident 1 ' s wander (aimless, slow, or pointless movements, meandering, or repetitive locomotion that exposes the individual to harm; it is frequently incongruent with boundaries, limits, or obstacles) guard bracelet/band (or anklet, a device worn by a resident which trigger an alarm when the resident attempts to go through the door… […]

• Actual harm, isolatedF600Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to protect the resident's right to remain free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 1), when on 6/18/2026 at 8:45AM Resident 2 hit Resident 1 on his (Resident 1) head with an overhead table (an adjustable table designed to roll over a bed and provide a flat and stable surface). This failure resulted in Resident 1 who was bedbound (unable to leave one's bed), feeling scared and being subjected to physical abuse by Resident 2 (who had history of abusing other residents [Resident 3]) while under the care and supervision of the facility on 6/18/2026 at 8:45AM. […]

• Actual harm, isolatedF600Feb 13, 2025

  Based on observation, interview and record review, the facility failed to protect the resident's right to be free from physical abuse (deliberate, aggressive, or violent behavior with the intention to cause harm) for two of eight sampled residents (Resident 9 and Resident 42), who was subjected to Resident 392's physical aggression, who had diagnoses of schizoaffective disorder bipolar type (a mental illness that can affect thoughts, mood, and behavior). The facility failed to: -Implement the facility's policy and procedure titled, Abuse Prevention Program, dated 1/16/2025 to protect residents from abuse by anyone including other residents. -Develop a resident specific schizoaffective disorder bipolar type care plan for Resident 392, with interventions to monitor behavior. […]