University Park Nursing And Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF760Apr 1, 2021

  Based on clinical record review, policy review, and staff interview, the facility failed to ensure residents were free of significant medication errors for 3 of 22 residents reviewed for medications(Residents #4, #5, and #11), failed to ensure residents received insulin within ordered blood sugar parameters for 1 of 4 residents reviewed for insulin administration(Resident #5), failed to ensure residents received insulin in a timely manner as ordered for 2 of 4 residents reviewed for insulin use(Residents #13 and #14), and failed to ensure a safe system of monitoring blood sugars by having night shift staff obtain blood sugars for the day shift. The following circumstances constituted an Immediate Jeopardy (IJ) to resident health and safety. […]

• No harm, potential for more than minimal, patternF880Mar 5, 2026

  Based on observations, clinical record review, staff interview, and policy review the facility failed to disinfect a mechanical lift after use between 2 of 2 residents (#37, #55) and failed to use appropriate Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) and enteric isolation precautions for 2 of 2 residents (#13, #75). The facility reported a census of 74 residents. Findings include:During a continuous observation that began on 3/03/2026 at 6:37 AM, Staff K, Certified Nurse Aide (CNA) transported a mechanical lift from a storage room to Resident #54's room.At 6:40 AM, Staff K transported the mechanical lift from Resident #54's room to Resident #55's room. […]

• No harm, potential for more than minimal, patternF801Jan 30, 2025

  Based on personnel document review, staff interviews, and facility policy review the facility failed to employ a clinically qualified nutrition professional by not having a certified dietary manager. The facility reported a census of 17 residents. Findings include: On [DATE] a request for documentation from the facility revealed the Dietary Director did not have the required certification. On [DATE] at 12:30 PM the Dietary Director confirmed he had been in the position for 3 weeks and had not completed the certification requirement yet. The Dietary Director stated he had previously held a Serve Safe Certification, but it had expired. The staff stated he was currently enrolled in the necessary coursework to complete the certification. […]

• No harm, potential for more than minimal, patternF804Jan 30, 2025

  Based on documentation review, staff interviews, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility failed to document temperatures of food in the kitchen prior to distribution. The facility reported a census of 76 residents. Findings include: Reviewed the kitchen meal temperature logs for 3 months. 4 meal temperatures out of 90 meals were not recorded in November. 8 meal temperatures out of 93 meals were not recorded in December. 25 meal temperatures out of 78 meals were not recorded in January On 1/29/25 at 12:30 PM the Dietary Director expected that all temperatures would be completed in the kitchen prior to distributing the food to the dining rooms, and completed in the dining rooms prior to serving. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2025

  Based on observations, staff interviews, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility placed cooking utensils on countertops, and delivered drinks uncovered. The facility reported a census of 76 residents. Findings include: Observation on 1/27/25 at 9:45 AM revealed the ice machine had a light pink substance throughout. Continuous observation on 1/28/25 at 9:53 revealed Staff A placed a scraper on a countertop without a barrier during the preparation of pureed meat. During the preparation of mashed potatoes Staff A placed the whisk on the countertop without a barrier. Continuous observation on 1/28/25 at 12:07 PM revealed room tray service initiated. […]