UNIVERSITY MANOR HEALTH & REHA
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-04-22 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-09-12 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.85
state median 3.20
Weekend staffing gap
−1%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.16
registered nurses only
Contract (agency) staff
19%
share of all nursing hours
Nursing staff turnover
48%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $32,394 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-22 | Fine | $16,801 |
| 2023-07-18 | Fine | $15,593 |
| 2023-07-18 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the SABER HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- NEW CASTLE HEALTH AND REHABILITATION CENTER (NEW CASTLE, DE) —
- GREY STONE HEALTH AND REHABILITATION CENTER (FORT WAYNE, IN) —
- Sage Bluff Health and Rehab Center (FORT WAYNE, IN) —
- Autumn Care Of Biscoe (Biscoe, NC) —
- Davidson Health & Rehab Center (Lexington, NC) —
- Matthews Health & Rehab Center (Matthews, NC) —
- Autumn Care of Waynesville (Waynesville, NC) —
- Davie Nursing and Rehabilitation Center (Mocksville, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-02-03 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-03 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-02 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-05 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-05 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-05 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-05 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-05 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-05 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-05 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-05 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-05 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-05 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-05 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-05 | F0800 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-12-05 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2024-12-05 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-10-09 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-04 | F0773 | Administration Deficiencies | D | not recorded |
| 2024-09-04 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-04-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-04-22 | F0730 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-04-22 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-12 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-09-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-12 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-12 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-09-12 | F0949 | Administration Deficiencies | F | not recorded |
| 2023-07-18 | F0921 | Environmental Deficiencies | D | not recorded |
| 2022-05-19 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2022-05-19 | F0640 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2022-05-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-05-19 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-19 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-05-19 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2019-04-18 | F0576 | Resident Rights Deficiencies | C | not recorded |
| 2019-04-18 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2019-04-18 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-04-18 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-04-18 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-04-18 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-04-18 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2019-04-18 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-04-18 | F0921 | Environmental Deficiencies | F | not recorded |