D+
51/100

University Nursing & Rehab Center Inspection Report, Violations & Safety Grade (Athens, Georgia)

180 Epps Bridge Road, Athens, Georgia 30606

Phone: 7065495382

CMS Overall:1/5

Overview & Bed Count

Certified Beds
122
Avg Residents/Day
95.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Clarke
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityGeorgia AvgDifference
RN Hours per Resident per Day0.150.50-0.36
Total Nurse Hours per Resident per Day2.953.61-0.65
CMS Staffing Rating1/52.3/5-
Nursing Staff Turnover69.6%46.8%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2026-05-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-05-14Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-05-14Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2026-05-14Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-05-14Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2026-05-14Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2025-04-03Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-04-03Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2025-04-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-12-09Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-12-09Infection Control DeficienciesImplement a program that monitors antibiotic use.F – Moderate Harm Potential
2023-12-09Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E – Moderate Harm Potential
2023-12-09Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2023-12-09Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2023-12-09Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.D – Moderate Harm Potential
2023-12-09Resident Rights DeficienciesNotify the resident or the residentโ€™s representative in writing how long the nursing home will hold the residentโ€™s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2023-12-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-12-09Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2023-12-09Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2023-12-09Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-12-09Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2023-12-09Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-12-09Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-14Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.E – Moderate Harm Potential
2026-05-14Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2026-05-14Egress DeficienciesProvide rooms that can be unlocked from inside without a key.D – Moderate Harm Potential
2026-05-14Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2026-05-14Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2025-04-03Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2025-04-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-03Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2025-04-03Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2025-04-03Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-04-03Egress DeficienciesMeet other general requirements.E – Moderate Harm Potential
2025-04-03Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-04-03Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2023-12-09Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2023-12-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-12-09Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2023-12-09Smoke DeficienciesInstall properly constructed windows in hallway walls or doors.D – Moderate Harm Potential
2023-12-09Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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