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University East Rehabilitation Center

Inspection Results

Nursing Homes Florida Deland University East Rehabilitation Center

University East Rehabilitation Center has been cited for a total of 55 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for University East Rehabilitation Center.

There are 691 nursing homes in Florida with a total of 19,012 deficiencies resulting in an average of 27.51 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, and Date of Correction
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-29-2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-29-2020
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
11-29-2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-07-2019
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-07-2019
Honor 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.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-07-2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-07-2019
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.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-07-2019
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-07-2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
05-07-2019
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.
Category:
Nursing and Physician Services Deficiencies
Scope:
K
Corrected:
05-07-2019
Post nurse staffing information every day.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
05-07-2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-07-2019
Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-07-2019
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-16-2019
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.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-16-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
05-07-2019
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
Category:
Administration Deficiencies
Scope:
F
Corrected:
05-07-2019
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
K
Corrected:
08-02-2019
Implement a program that monitors antibiotic use.
Category:
Infection Control Deficiencies
Scope:
F
Corrected:
05-07-2019
Plan the resident's discharge to meet the resident's goals and needs.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
G
Corrected:
10-19-2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
06-16-2019
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Category:
Resident Rights Deficiencies
Scope:
G
Corrected:
06-16-2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
06-03-2018
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
06-03-2018
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
06-03-2018
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Category:
Nursing and Physician Services Deficiencies
Scope:
F
Corrected:
06-03-2018
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-03-2018
Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
06-03-2018
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
06-03-2018
Have a plan that describes the process for conducting QAPI and QAA activities.
Category:
Administration Deficiencies
Scope:
D
Corrected:
06-03-2018
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
06-03-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-14-2018
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-19-2018
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.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-19-2018
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
10-19-2018
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
10-19-2018
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-08-2017
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-08-2017
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-08-2017
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
12-08-2017
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
12-08-2017
Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
12-08-2017
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Category:
Administration Deficiencies
Scope:
D
Corrected:
12-08-2017
Develop and maintain an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-07-2019
Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-07-2019
Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-07-2019
Create arrangements with other facilities to receive patients.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-07-2019
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-07-2019
Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
05-07-2019
Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
06-03-2018
Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
06-03-2018
Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
06-03-2018
Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
06-03-2018
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
12-08-2017

Learn more about University East Rehabilitation Center at the following resources

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University East Rehabilitation Center

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