University Park Healthcare Center

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 23, 2026.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Rule F0698. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Rule F0776. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Rule F0803. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 23, 2026.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Rule F0919. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 13, 2026.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 31, 2025.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 31, 2025.

Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

Rule F0628. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 5, 2025.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 5, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 4, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 4, 2025.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 10, 2025.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Rule F0584. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 2, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. G: actual harm. Correction date, as CMS recorded it: Mar 13, 2025.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. G: actual harm. Correction date, as CMS recorded it: Mar 13, 2025.

Give the resident’s representative the ability to exercise the resident’s rights.

Rule F0551. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Rule F0691. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Rule F0758. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 13, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2024.

Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Rule F0559. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 8, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 7, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2024.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Rule F0740. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 3, 2024.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 3, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 31, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 17, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 18, 2024.

Allow residents to self-administer drugs if determined clinically appropriate.

Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 29, 2024.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Rule F0803. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Prepare residents for a safe transfer or discharge from the nursing home.

Rule F0624. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 9, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 9, 2024.