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Health Inspection

University Park Rehabilitation And Healthcare

June 6, 2024 · Fort Wayne, IN · 1400 Medical Park Dr
Citations 1
CMS Rating 2/5
Beds 104
Provider ID 155567
Healthcare Facility
University Park Rehabilitation And Healthcare
Fort Wayne, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  26 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

UNIVERSITY PARK REHABILITATION AND HEALTHCARE in FORT WAYNE, IN — inspection on June 6, 2024.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF812
Minimal harm or Some Based on observation, interview and record review, the facility failed to ensure a clean environment was affected

During an observation on 6/2/24 at 10:32 AM, Resident 14's floor (room [ROOM NUMBER]) had multiple gray spots and marks consistent with wheelchair wheels.

The floor in the area of the marks was sticky.

During an observation on 6/2/24 at 1:52 PM, Resident 5's (room [ROOM NUMBER]) dirty clothes were observed on the floor behind her bed.

During an observation on 6/3/24 at 9:31 AM, Resident 32's (room [ROOM NUMBER]) room had a pervasive urine odor eminating into the hall.

The Assistant Director of Nursing (ADON) indicated the urine odor was coming frim the matterss.

Daily Housekeeping Schedules indicated housekeeping should wipe furniture (tables, dressers, etc ), toilet bowl and seat (spot clean walls, etc ), restock paper supplies, empty waste basket, sweep, and mop.

The Daily Housekeeping Schedule dated from 5/20/24 to 6/4/24 indicated 300 Hall rooms were cleaned 5/27/24, 5/31/24, 6/4/24.

The Floor Tech Cleaning Schedule indicated on 5/24/24 room [ROOM NUMBER] no mention what was done, and 6/4/24 room [ROOM NUMBER]'s floor was waxed.

In an interview on 06/04/24 at 10:23 AM, the Chief Nursing Officer (CNO) indicated the hall was hard to keep clean and smelling good because so many residents refuse to bathe, ad/or leave the room.

The CNO indicated the facility had thrown away 2 mattresses.

155567

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 155567 B.

Wing 06/06/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

University Park Rehabilitation and Healthcare 1400 Medical Park Dr Fort Wayne, IN 46825

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FORT WAYNE, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from UNIVERSITY PARK REHABILITATION AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.