Universal Health Care/north Raleigh
Inspection Findings
F-Tag F0636
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-08-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-09.
F-Tag F0641
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-20.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-09.
F-Tag F0761
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-20.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-09.
F-Tag F0880
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-20.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-09.
F-Tag F0883
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-08-20.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Past Non-Compliance.
The facility reported correction as of 2025-08-01.
F-Tag F0887
Federal health inspectors cited Universal Health Care/North Raleigh in Raleigh, NC for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-08-20.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of Universal Health Care/North Raleigh.
Correction Status: Past Non-Compliance.
The facility reported correction as of 2025-08-01.
Universal Health Care/North Raleigh in Raleigh, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.