Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265736

U-city Forest Manor

74 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $15,949.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
74
Total citations
26
Last 3 years
1
Actual harm+
1
Federal penalties
$15,949
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care18 Resident Rights17 Care Planning11 Medication & Pharmacy8 Nursing & Physician Services5

Most common F-tags at this facility

F5783 F6893 F7613 F8803 F6773

Citation history

74 on record
SurveyF-TagViolationSeveritySource
Nov 17, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Feb 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 30, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Aug 30, 2024F727Have 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.FComplaint
Aug 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 7, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 7, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
May 7, 2024F880Provide and implement an infection prevention and control program.DStandard
May 7, 2024F761Ensure 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.EStandard
May 7, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
May 7, 2024F727Have 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.EStandard
May 7, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 7, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
May 7, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 7, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 7, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Feb 1, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Feb 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 1, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Feb 1, 2024F610Respond appropriately to all alleged violations.DComplaint
Jun 30, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
May 12, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 14, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Mar 14, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 14, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 21, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Oct 21, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 21, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard
Oct 21, 2022F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Oct 21, 2022F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Oct 21, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 21, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Oct 21, 2022F803Ensure 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.FStandard
Oct 21, 2022F761Ensure 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.EStandard
Oct 21, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Oct 21, 2022F758Implement 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.DStandard
Oct 21, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 21, 2022F732Post nurse staffing information every day.DStandard
Oct 21, 2022F730Observe each nurse aide's job performance and give regular training.EStandard
Oct 21, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Oct 21, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 21, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.FStandard
Oct 21, 2022F610Respond appropriately to all alleged violations.DStandard
Oct 21, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Oct 21, 2022F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Oct 21, 2022F584Honor 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.DStandard
Oct 21, 2022F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.FStandard
Oct 21, 2022F570Assure the security of all personal funds of residents deposited with the facility.EStandard
Oct 21, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
Oct 21, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Aug 23, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Aug 23, 2019F880Provide and implement an infection prevention and control program.DStandard
Aug 23, 2019F761Ensure 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.DStandard
Aug 23, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 23, 2019F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Aug 23, 2019F732Post nurse staffing information every day.CStandard
Aug 23, 2019F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Aug 23, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 23, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 23, 2019F688Provide 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.EStandard
Aug 23, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 23, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 23, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 23, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Aug 23, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 23, 2019F641Ensure each resident receives an accurate assessment.EStandard
Aug 23, 2019F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Aug 23, 2019F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Aug 23, 2019F576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard
Aug 23, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $15,949 .

DateTypeFinePayment denial
Dec 10, 2024Fine$15,949—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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