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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 (28 years)
Capacity120
Residents97
Percent Occupied81%
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 1 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 9, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

June 24, 2016 - 13 months 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 HarmComplaintGive residents a notice of rights, rules, services and charges.

December 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionOffer other nutritional food to each resident who will not eat the food served.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

August 25, 2015 - 2 years 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
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 HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

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 - 3 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 - 3 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 - 3 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.

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.

2hr 55min
2hr 35min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
25min
60min
ReportedExpected
RN
4hr 35min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

67.3%
95.3%
95.3%
95.3%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.8%
90.2%
90.2%
92.0%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.0%
-
-
-
52.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
17.5%
22.2%
23.1%
21.7%
27.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
32.7%
36.0%
24.1%
24.2%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose ability to move independently worsened
23.8%
26.8%
24.4%
20.0%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antipsychotic medication
19.2%
23.1%
12.1%
15.1%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
6.5%
6.3%
9.8%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who self-report moderate to severe pain
7.5%
11.1%
9.9%
6.8%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who lose too much weight
9.6%
13.9%
6.7%
5.6%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of high risk long-stay residents with pressure ulcers
3.9%
4.1%
7.2%
11.1%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who have depressive symptoms
12.5%
14.8%
18.5%
8.1%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a urinary tract infection
1.2%
1.2%
3.7%
8.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents experiencing one or more falls with major injury
1.9%
2.3%
2.8%
0.8%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

82.1%
84.3%
87.0%
82.1%
88.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.5%
79.1%
79.1%
79.1%
85.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
70.6%
61.5%
50.0%
48.0%
64.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who made improvements in function
14.9%
17.9%
11.7%
20.0%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who self-report moderate to severe pain
2.9%
2.6%
0.0%
1.7%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who newly received an antipsychotic medication
0.8%
0.6%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents with pressure ulcers that are new or worsened