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Complaint Investigation

University Nursing Center

Inspection Date: September 9, 2025
Total Violations 1
Facility ID 155200
Location UPLAND, IN
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

as she walked to edge of the nurses' station. CNA 8 looked directly in Resident 40's direction as she walked past her in the direction of the resident's room. CNA 8 returned and reapproached Resident 40.12:37:18 p.m. - CNA 8 abruptly placed the hat on Resident 40's head and propelled Resident 40 in her wheelchair down the hallway. During an interview, on 9/9/25 at 10:09 a.m., Resident 40 indicated she felt CNA 8 removed the headband aggressively from her head. CNA 8 did not verbalize she was removing the headband before she took it off of her head. She was visually impaired and could only make out shadows.On 9/9/25 at 10:43 a.m., the Administrator indicated CNA 8 could have taken more time switching out the headband for a hat. She felt CNA 8 was rushed and seemed a little bit irritated during the incident.

CNA 8 did not take the best approach with a visually impaired resident. The Administrator felt CNA 8 took

the headband off abruptly. Resident 40 is known for wearing hats, while the headbands were newer.

Resident 40 didn't complain often and had no other issues with CNA 8. Resident 40 was visually impaired and only saw shadows.On 9/9/25 at 10:50 a.m., the DON indicated CNA 8 abruptly removed the headband from Resident 40's head. CNA 8 was frustrated and was in a hurry. She didn't feel it was related to staffing ratios.On 9/9/25 at 10:55 a.m., the Corporate Nurse Consultant indicated the facility was being proactive in providing abuse in-servicing. Abuse education was offered both verbally and individually. On 9/9/25 at 1:27 p.m., CNA 11 indicated CNA 8 has had attitudes with Resident 40 in the past. CNA 11 had notified the DNS last week about CNA 8's attitude toward Resident 40.On 9/9/25 at 1:51 p.m., the DON indicated CNA 8 had no prior disciplinary actions and was never notified by staff members of any concerns with CNA 8.A current policy, titled Abuse Prohibition, Reporting and Investigation, provided by the Administrator, on 9/9/25 at 12:24 p.m., indicated the following: .Neglect. Failure to provide goods and services to a resident(s) necessary to avoid physical harm, pain, mental anguish, or emotional distress.This citation relates to Intake

  1. 2611663. Event ID:
  2. Facility ID:

    If continuation sheet

📋 Inspection Summary

UNIVERSITY NURSING CENTER in UPLAND, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 UPLAND, 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 NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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