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Nursing Center At University Village, The

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About Nursing Center At University Village, The

General Information

Legal Business NameTr & Snf Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 9, 1989 (27 years)
Capacity120
Residents92
Percent Occupied77%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Nursing Center At University Village, The

Nursing Center At University Village, The
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Florida Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 25, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

April 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,971 fine
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

January 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.

October 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$21,217 fine
---Payment DenialPayment denial for 62 days
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

August 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.

February 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.

October 28, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$47,125 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Nursing Center At University Village, The require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 15min
2hr 40min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
50min
1hr
ReportedExpected
RN
5hr 20min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

69.9%
67.3%
67.3%
93.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
81.9%
87.2%
88.5%
94.4%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
51.4%
Q1 2015Q2 2015Q3 2015FL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
11.0%
14.1%
19.2%
18.9%
Q1 2015Q2 2015Q3 2015FL
Received an Antipsychotic Medication
11.2%
11.1%
17.6%
14.1%
Q1 2015Q2 2015Q3 2015FL
Need for Help with ADLs has Increased
5.0%
7.7%
3.6%
5.6%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
8.5%
10.5%
11.7%
7.6%
Q1 2015Q2 2015Q3 2015FL
Lose Too Much Weight
6.7%
4.3%
8.3%
5.8%
Q1 2015Q2 2015Q3 2015FL
High Risk Residents With Pressure Ulcers
1.4%
2.8%
2.8%
1.9%
Q1 2015Q2 2015Q3 2015FL
Have Depressive Symptoms
9.8%
17.1%
13.0%
5.2%
Q1 2015Q2 2015Q3 2015FL
With a Urinary Tract Infection
3.6%
3.8%
3.8%
2.8%
Q1 2015Q2 2015Q3 2015FL
Experiencing One or More Falls with Major Injury
2.7%
3.0%
3.1%
2.7%
Q1 2015Q2 2015Q3 2015FL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015FL
Were Physically Restrained

Quality Measures for Short Stay Residents

80.2%
85.8%
77.7%
87.2%
Q1 2015Q2 2015Q3 2015FL
Assessed and Appropriately Given the Pneumococcal Vaccine
78.9%
77.5%
77.5%
84.9%
Q1 2015Q2 2015Q3 2015FL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.4%
15.7%
14.8%
14.3%
Q1 2015Q2 2015Q3 2015FL
Self Report Moderate to Severe Pain
2.4%
0.0%
4.1%
2.6%
Q1 2015Q2 2015Q3 2015FL
Newly Received an Antipsychotic Medication
0.5%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015FL
With Pressure Ulcers That Are New or Worsened