Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 345561

Universal Health Care/fuquay-varina

71 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $76,047.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
71
Total citations
45
Last 3 years
4
Actual harm+
1
Federal penalties
$76,047
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights16 Care Planning16 Quality of Care13 Nursing & Physician Services6 Abuse & Neglect4

Most common F-tags at this facility

F5783 F6413 F6573 F7273 F8803

Citation history

71 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Dec 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Dec 10, 2025F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DComplaint
Dec 10, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Dec 10, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 5, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Dec 5, 2024F688Provide 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.DComplaint
Dec 5, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Dec 5, 2024F584Honor 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.BComplaint
Dec 5, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 5, 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.DStandard
Dec 5, 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
Dec 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard
Dec 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 5, 2024F641Ensure each resident receives an accurate assessment.EStandard
Dec 5, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Dec 5, 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
Dec 5, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Oct 18, 2023F759Ensure medication error rates are not 5 percent or greater.EComplaint
Oct 18, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 18, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Oct 18, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 18, 2023F585Honor 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.BComplaint
Oct 18, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Oct 18, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Oct 18, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Oct 18, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Oct 18, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.JStandard
Oct 18, 2023F880Provide and implement an infection prevention and control program.DStandard
Oct 18, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Oct 18, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard
Oct 18, 2023F814Dispose of garbage and refuse properly.EStandard
Oct 18, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 18, 2023F761Ensure 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 18, 2023F758Implement 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 18, 2023F727Have 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
Oct 18, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Oct 18, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 18, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 18, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Oct 18, 2023F641Ensure each resident receives an accurate assessment.BStandard
Oct 18, 2023F578Honor 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
Oct 18, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Jun 17, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Jun 17, 2022F880Provide and implement an infection prevention and control program.EStandard
Jun 17, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jun 17, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 17, 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
Jun 17, 2022F814Dispose of garbage and refuse properly.FStandard
Jun 17, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 17, 2022F727Have 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
Jun 17, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GStandard
Jun 17, 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
Jun 17, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 17, 2022F688Provide 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
Jun 17, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 17, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.GStandard
Jun 17, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.BStandard
Jun 17, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 17, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedCStandard
Jun 17, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 17, 2022F641Ensure each resident receives an accurate assessment.DStandard
Jun 17, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Jun 17, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Jun 17, 2022F583Keep residents' personal and medical records private and confidential.DStandard
Jun 17, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard
Jun 17, 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.DStandard
Jun 17, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 17, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $76,047 .

DateTypeFinePayment denial
Oct 18, 2023Fine$76,047—
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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