University Park Nursing and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF697Jan 6, 2022

  Based on interview and observation record review, the facility failed to ensure that pain management was provided to a resident who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan and the resident's goals and preferences for 1 (Resident #1) of 6 resident reviewed for pain management. 1) The facility failed to ensure an ordered medication was given timely. Resident did not get pain medication for more than 24 hours. Resident #1 passed away shortly after the surveyor left the faciity on [DATE]. 2) There was no documented pain assessment after resident complained of pain in the presence of the surveyor. […]

• No harm, potential for more than minimal, widespreadF812May 17, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen reviewed for nutrition services. 1. The facility failed to ensure opened food were sealed in the nonperishable food storage room. 2. The facility failed to ensure temperature logs were kept for the refrigerator and freezer. 3. The facility failed to ensure the refrigerator had an internal thermometer. 4. The facility failed to ensure dishwashing logs were kept. 5. […]

• No harm, potential for more than minimal, widespreadF812Apr 4, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that: 1. The dietary staff did not operate the low temperature dish machine and check the chlorine sanitizer content to ensure it was operating correctly to clean and sanitize the dishes consistently each meal. 2. Dietary Aide C did not use disposable gloves while handling soiled dishes and did not wash or sanitize his hands before handling the clean dishes. 3. Food items in the non-perishable food storage areas were not stored in sealed containers or resealable storage bags after the manufacturer's package seal was opened. 4. […]

• No harm, potential for more than minimal, widespreadF908Apr 4, 2023

  Based on observation, interview, and record review, the facility failed to ensure the maintenance of mechanical and electrical equipment in safe operating condition in 1 of 1 kitchen, in that: One of two reach-in freezers was not maintained at an interior temperature of zero degrees or below and food stored in the freezer was not frozen solid. This failure placed the residents at risk for foodborne illness from being served food that had not been stored at the proper temperature. The findings included: Observation on 4/02/23 at 10:00 AM revealed a row with one reach-in refrigerator unit and two reach-in freezer units. Observation of reach-in freezer unit #1 revealed an interior thermometer with a temperature of -4 degrees F. […]

• No harm, potential for more than minimal, patternF812Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen, in that: The facility failed to ensure food items in the large standing refrigerator and dry seasonings with expired used by dates were disposed of properly These failures could place residents at risk for decline in nutritional health status and foodborne illness.The findings included: In an observation of the kitchen on 08/10/2026 at 6:10 am there were the following expired foods inside the 2nd large standing refrigerator. […]