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Complaint Investigation

University Nursing Center

February 20, 2026 · Upland, IN · 1564 S University Blvd
Citations 1
CMS Rating 2/5
Beds 75
Provider ID 155200
Healthcare Facility
University Nursing Center
Upland, IN  ·  View full profile →
Inspection Summary

UNIVERSITY NURSING CENTER in UPLAND, IN — inspection on February 20, 2026.

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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies

not believe she entered a progress note after she assessed Resident B.

There should have been a

LPN 12 indicated she was in the dining room with LPN 11 when Resident B started coughing. LPN 12

food. LPN 11 asked staff members to get him thickened liquids. He drank the thickened liquids and spit it up as well. LPN 12 felt Resident B had food in his throat. He was still coughing but was able to breathe. He communicated by shaking his head yes and no.

Every time Resident B tried to talk, there was food in his mouth that would come out. LPN 11 propelled him out of the dining room to be assessed by LPN 4.

The Heimlich maneuver was not used on Resident B.On 2/20/26 at 11:58 a.m., the DON indicated there should have been a progress note in the EMR regarding Resident B's possible aspiration. If not a progress note, at least an SBAR or a documented event.

The next shift's nurse should have taken Resident B's vital signs and placed a progress note in the EMR regarding the resident's assessment.On 2/20/26 at 12:00 p.m., the Corporate Consultant indicated staff should have started a hot charting event or an infection control event.

The nurse would make a progress note under the open event.

She felt LPN 4 did more than what was documented.

After the hot charting was opened, on 2/13/26 at 2:41 p.m., regarding Resident B having started on an antibiotic, the following shifts should have documented Resident B's assessments in their progress notes. A current facility policy, dated 8/1988 and revised on 11/2018, titled Resident Change of Condition Policy, provided by the Administrator, on 2/20/26 at 3:30 p.m., indicated the following: .Life Threatening Change: D.

All nursing action, physician contacts, and resident assessment information will be documented in the medical record.

Acute Medical Change: D.

All nursing actions/ interventions will be documented in the medical record as soon as possible after resident needs have been met A current RN and LPN job description, revised 9/2025, titled Charge Nurse Job Specific Orientation Plan, provided by the Administrator, on 2/20/26 at 3:30 p.m., indicated the following: .

Daily documentation. 1.

Hot charting.

  • Daily event follow up This citation relates to Intake 2744188. 410 IAC (Indiana Administrative Code)
  • 16.2-3.1-37(a)

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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