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Universal Health Care & Rehab

📍 430 Brookwood Avenue Ne, Concord, NC 28025 📞 (704) 788-4115 🛏️ 120 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $16,985

$16,985
Jan 9, 2025

Fine

2021 1 penalties totaling $14,508

$14,508
Jul 15, 2021

Fine

2020 1 penalties totaling $47,448

$47,448
Dec 29, 2020

Fine

2019 2 penalties totaling $59,453

$45,548
May 23, 2019

Fine

$13,905
Feb 22, 2019

Fine

2018 3 penalties totaling $17,790

$13,627
Apr 7, 2018

Fine

$4,163
Apr 7, 2018

Fine

$0
Apr 7, 2018

Payment Denial

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Health Violations by Year

2025 4 violations

Tag 0580 D Apr 11, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 2, 2025
Tag 0684 D Apr 11, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 2, 2025
Tag 0600 J Jan 9, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 12, 2024
Tag 0609 D Jan 9, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 28, 2025

2024 16 violations

Tag 0550 E Jul 16, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 5, 2024
Tag 0578 D Apr 18, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: May 8, 2024
Tag 0585 D Apr 18, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: May 8, 2024
Tag 0602 E Apr 18, 2024

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: May 8, 2024
Tag 0607 D Apr 18, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 8, 2024
Tag 0623 B Apr 18, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: May 8, 2024
Tag 0644 D Apr 18, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: May 8, 2024
Tag 0677 E Apr 18, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 8, 2024
Tag 0698 D Apr 18, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 8, 2024
Tag 0730 E Apr 18, 2024

Observe each nurse aide's job performance and give regular training.

✓ Corrected: May 8, 2024
Tag 0756 E Apr 18, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: May 8, 2024
Tag 0757 E Apr 18, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 8, 2024
Tag 0761 E Apr 18, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: May 8, 2024
Tag 0806 D Apr 18, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: May 9, 2024
Tag 0812 F Apr 18, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 8, 2024
Tag 0867 F Apr 18, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: May 8, 2024
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2023 3 violations

Tag 0661 J Oct 17, 2023

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Oct 18, 2023
Tag 0812 E Oct 17, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 18, 2023
Tag 0867 E Oct 17, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Oct 18, 2023

2022 6 violations

Tag 0641 D Dec 8, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 29, 2022
Tag 0656 D Dec 8, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 29, 2022
Tag 0684 D Dec 8, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 29, 2022
Tag 0812 F Dec 8, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 29, 2022
Tag 0842 D Dec 8, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 29, 2022
Tag 0867 F Dec 8, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Dec 29, 2022
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2021 13 violations

Tag 0686 D Sep 20, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 11, 2021
Tag 0551 D Jul 15, 2021

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Sep 20, 2021
Tag 0561 D Jul 15, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Sep 20, 2021
Tag 0565 E Jul 15, 2021

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Sep 20, 2021
Tag 0584 E Jul 15, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Sep 20, 2021
Tag 0641 D Jul 15, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 20, 2021
Tag 0657 D Jul 15, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 20, 2021
Tag 0684 D Jul 15, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 20, 2021
Tag 0687 D Jul 15, 2021

Provide appropriate foot care.

✓ Corrected: Sep 20, 2021
Tag 0760 D Jul 15, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 20, 2021
Tag 0812 E Jul 15, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 12, 2021
Tag 0835 E Jul 15, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag 0925 D Jul 15, 2021

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Aug 12, 2021

2020 1 violations

Tag 0880 K Dec 29, 2020

Provide and implement an infection prevention and control program.

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2019 26 violations

Tag 0585 C Jul 2, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jul 15, 2019
Tag 0812 F Jul 2, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 15, 2019
Tag 0550 D May 23, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 20, 2019
Tag 0567 D May 23, 2019

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Jun 20, 2019
Tag 0584 D May 23, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 20, 2019
Tag 0585 D May 23, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jun 20, 2019
Tag 0636 D May 23, 2019

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jun 20, 2019
Tag 0637 D May 23, 2019

Assess the resident when there is a significant change in condition

✓ Corrected: Jun 20, 2019
Tag 0641 D May 23, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 20, 2019
Tag 0655 D May 23, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 20, 2019
Tag 0656 D May 23, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 20, 2019
Tag 0657 D May 23, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 20, 2019
Tag 0680 C May 23, 2019

Ensure the activities program is directed by a qualified professional.

✓ Corrected: Jun 20, 2019
Tag 0732 C May 23, 2019

Post nurse staffing information every day.

✓ Corrected: Jun 20, 2019
Tag 0761 E May 23, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jun 20, 2019
Tag 0773 D May 23, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Jun 20, 2019
Tag 0808 D May 23, 2019

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jun 20, 2019
Tag 0812 F May 23, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 15, 2019
Tag 0842 C May 23, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 20, 2019
Tag 0849 D May 23, 2019

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Jun 20, 2019

2018 14 violations

Tag 0677 D Jun 11, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 18, 2018
Tag 0732 C Jun 11, 2018

Post nurse staffing information every day.

✓ Corrected: Jun 18, 2018
Tag 0867 D Jun 11, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jun 18, 2018
Tag 0689 J May 11, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 11, 2018
Tag 0561 D Apr 7, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 11, 2018
Tag 0582 C Apr 7, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: May 11, 2018
Tag 0585 D Apr 7, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: May 11, 2018
Tag 0660 D Apr 7, 2018

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: May 11, 2018
Tag 0677 D Apr 7, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 11, 2018
Tag 0692 D Apr 7, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 11, 2018
Tag 0697 D Apr 7, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: May 11, 2018
Tag 0710 D Apr 7, 2018

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

✓ Corrected: May 11, 2018
Tag 0759 D Apr 7, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 11, 2018
Tag 0880 D Apr 7, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 11, 2018
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2017 1 violations

Tag 0431 D Feb 24, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Mar 13, 2017
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