The Laurels Of University Park
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
need the pain medication even if it is scheduled. On 10/28/25 at 1:35 PM an interview was conducted with LPN #3. When asked to describe Resident R2, LPN #3 stated, He came in rehab (rehabilitation) and had wounds, he was alert x(times) two (name and rehab), knew his wife and had dialysis. When shown the MAR (medication administration record) for March 2025 with the orders of Oxycodone ER 10 mg give 1 tablet by mouth every 12 hours for moderate to severe pain and Oxycodone-Acetaminophen tablet 5-325 mg, give 1 tablet by mouth every 8 hours as needed for pain 4-6 pain and asked if the Oxycodone ER 10 mg every 12 hours should have been clarified, LPN #3 stated, Yes, I would have expected the staff to clarify the Oxycodone ER 10 mg give 1 tablet by mouth every 12 hours for moderate to severe pain to include a number range.On 10/28/25 at 2:45 PM, ASM #1, the administrator, ASM #2, the director of nursing and ASM #4, the regional clinical coordinator, were made aware of the findings. A review of the facility's Physician Order policy revealed, Physician orders are obtained to provide a clear direction in the care of the resident. If an order is missing a component the licensed nurse will contact the physician for clarification.No further information was provided prior to exit. References: Oxycodone is used to relieve severe pain.
Oxycodone is in a class of medications called opiate (narcotic) analgesics. This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a682132.htmlLexapro (Escitalopram) is used to treat depression in adults and children and teenagers [AGE] years of age or older. This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a603005.html. Renvela (Sevelamer) is used to control high blood levels of phosphorus in people with chronic kidney disease who are on dialysis (medical treatment to clean the blood when the kidneys are not working properly). This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a601248.html.
Narcan - Prescription and nonprescription (over the counter) naloxone nasal spray is used along with emergency medical treatment to reverse the life-threatening effects of a known or suspected opiate (narcotic) overdose in adults and children. This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a616003.
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THE LAURELS OF UNIVERSITY PARK in RICHMOND, VA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 RICHMOND, VA, (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 THE LAURELS OF UNIVERSITY PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.