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Complaint Investigation

University Nursing Center

October 10, 2025 · Upland, IN · 1564 S University Blvd
Citations 3
CMS Rating 2/5
Beds 75
Provider ID 155200
Healthcare Facility
University Nursing Center
Upland, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
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 NURSING CENTER in UPLAND, IN — inspection on October 10, 2025.

Found 3 citations. 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

no later than 2 hours to the Long-Term Care Division of the Indiana Stated Department of Health via

jeopardy to resident health or Services.10. It is the responsibility of every employee of American Senior Communities to report safety abuse situations, but also suspicion of abuse and unusual observations and circumstances to his/her immediate supervisor and to the Executive Director.12.

Each covered individual shall report to the

enforcement entities any reasonable suspicion of a crime against any resident in the facility.ASC QAPI.Physical or Sexual abuse by staff or other residents will be tracked by the Quality Assessment and Assurance Committee (QAA).

The immediate jeopardy that began on 10/3/25 was removed on 10/10/25 when the facility completed abuse training for all staff, increased monitoring and surveillance for Resident B and Resident C, updated care plans, and Resident C was sent to be evaluated at a psychiatric facility.

The deficient practice was corrected by 10/7/25, after the facility implemented a systemic plan that included the following actions: education of all staff regarding resident abuse, completed physical assessments of residents on the secured dementia care unit, and developed quality assurance actions for ongoing monitoring.

This citation relates to Intake 2636500.3.1-27(a)(1)

155200 10/10/2025

University Nursing Center 1564 S University Blvd Upland, IN 46989

individual Responsibilities ( staff herein refers to covered individuals) a) When staff suspect a crime

entity. b) The ED will coordinate timely reporting to the Indiana Department of Health and to law

immediately. g) Examples of crimes that would be reported, but are not limited to: iii) Rape; iv) Assault and battery; v) Sexual abuse.Cross reference F-F600.This citation relates to Intake 2636500.3.1-28(c)

155200 10/10/2025

University Nursing Center 1564 S University Blvd Upland, IN 46989

following: .Policy: .Investigation: The Executive Director is the designated individual responsible for

to the Director of Nursing Services.2.

Staff member(s) will maintain the resident initiating the abuse

The individual who witnessed the abuse will report the situation immediately to his/her supervisor and Executive Director. 4.

The staff member in charge will initiate the investigation immediately.9. It is the responsibility of the Administrator/Director of Nursing to report the abuse, or allegations of abuse, immediately, within 2 hours to the Indiana State Department of Health via the IDOH (Indiana

suspicion of a crime policy .Cross reference F-F600.This citation relates to Intake 2636500.3.1-28(d)

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.


More Reports

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.