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Universal Health Care/North Raleigh

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About Universal Health Care/North Raleigh

General Information

Legal Business NameUniversal Health Care / North Raleigh, Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 7, 2004 (13 years)
Capacity132
Residents92
Percent Occupied70%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Universal Health Care/North Raleigh

Universal Health Care/North Raleigh
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina 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

October 8, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

September 17, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
ESomePotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

October 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

September 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

May 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Universal Health Care/North Raleigh 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.

2hr 30min
2hr 35min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
30min
1hr 15min
ReportedExpected
RN
4hr 15min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.8%
98.8%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.3%
98.8%
95.2%
92.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
54.9%
Q1 2015Q2 2015Q3 2015NC
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.0%
8.8%
8.5%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
20.3%
23.3%
13.8%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
4.0%
10.1%
8.5%
9.2%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
6.9%
14.8%
12.3%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
9.2%
12.5%
12.2%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
8.3%
9.9%
12.2%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
0.0%
2.5%
1.2%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
4.1%
4.9%
3.4%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

95.9%
99.2%
96.4%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
96.5%
95.2%
95.2%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
22.3%
28.2%
27.7%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
3.1%
2.4%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
0.0%
0.6%
2.6%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened