Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 365832

University Manor Health & Reha

51 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $32,394.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
51
Total citations
32
Last 3 years
3
Actual harm+
3
Federal penalties
$32,394
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care11 Resident Rights7 Care Planning7 Abuse & Neglect6 Medication & Pharmacy5

Most common F-tags at this facility

F6004 F9213 F8803 F5692 F6562

Citation history

51 on record
SurveyF-TagViolationSeveritySource
Feb 3, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 3, 2025F584Honor 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.EComplaint
Jan 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 5, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Dec 5, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 5, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard
Dec 5, 2024F758Implement 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
Dec 5, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Dec 5, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 5, 2024F679Provide activities to meet all resident's needs.EStandard
Dec 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
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.DStandard
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, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 5, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
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, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Oct 9, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 4, 2024F814Dispose of garbage and refuse properly.FComplaint
Sep 4, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Apr 22, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 22, 2024F730Observe each nurse aide's job performance and give regular training.CComplaint
Apr 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Oct 12, 2023F880Provide and implement an infection prevention and control program.DComplaint
Oct 12, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 12, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FComplaint
Sep 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 12, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 12, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Sep 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 18, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Apr 13, 2023F880Provide and implement an infection prevention and control program.FComplaint
Apr 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 13, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Apr 13, 2023F584Honor 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.CComplaint
May 19, 2022F880Provide and implement an infection prevention and control program.FStandard
May 19, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 19, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
May 19, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 19, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
May 19, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Apr 18, 2019F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Apr 18, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 18, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 18, 2019F803Ensure 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.EStandard
Apr 18, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 18, 2019F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 18, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 18, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 18, 2019F576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $32,394 and 1 payment-denial actions spanning 19 days.

DateTypeFinePayment denial
Apr 22, 2024Fine$16,801—
Jul 18, 2023Fine$15,593—
Jul 18, 2023Payment Denial—Oct 6, 2023 · 19 days
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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