Universal Health Care Lillington

Health Inspections

Health Inspections 1
Health Deficiencies
This Nursing Home: 2
NC State Average: 4
U.S. Average: 6
NC Deficiencies Range: 1–17
Complaints & Incidents: 1
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

October 25, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	11/12/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	11/12/2012

September 29, 2011 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	Low	Few	10/21/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Few	10/21/2011
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Low	Few	10/21/2011

October 22, 2010 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	High	Few	12/6/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	High	Few	12/6/2010
Evaluate a residentâs decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before.	High	Few	12/6/2010
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	12/6/2010
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	Low	Some	12/6/2010
Ensure residents maintain acceptable nutritional status.	Low	Few	12/6/2010
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.	Low	Few	12/6/2010
Conduct initial and periodic assessments of each resident's functional capacity.	Low	Few	12/6/2010
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Low	Few	12/6/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	12/6/2010
Review or revise the resident's care plan after any major change in physical or mental health.	Low	Few	12/6/2010
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	12/6/2010
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.	Low	Few	12/6/2010
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	12/23/2010
Send unopened mail from residents and promptly deliver unopened mail to residents.	Very Low	Some	12/6/2010
Give residents a notice of rights, rules, services and charges.	Very Low	Some	12/6/2010
Ensure each resident receives an accurate assessment by a qualified health professional.	Very Low	Some	12/6/2010

May 22, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	6/21/2012

March 14, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	4/3/2012

September 29, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Few	10/21/2011

February 26, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	3/11/2011
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	3/11/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	High	Few	3/11/2011

December 06, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Some	Few	12/23/2010
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	12/23/2010

October 22, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	High	Few	12/6/2010
Ensure services provided by the nursing facility meet professional standards of quality.	Low	Few	12/23/2010
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.	Low	Few	12/6/2010
Evaluate a residentâs decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before.	High	Few	12/6/2010
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.	Low	Few	12/6/2010
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Low	Few	12/6/2010
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Few	12/6/2010
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	12/6/2010
Ensure residents maintain acceptable nutritional status.	Low	Few	12/6/2010
Give residents a notice of rights, rules, services and charges.	Very Low	Some	12/6/2010
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	High	Few	12/6/2010
Send unopened mail from residents and promptly deliver unopened mail to residents.	Very Low	Some	12/6/2010
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	Low	Some	12/6/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	12/6/2010
Conduct initial and periodic assessments of each resident's functional capacity.	Low	Few	12/6/2010
Ensure each resident receives an accurate assessment by a qualified health professional.	Very Low	Some	12/6/2010

December 11, 2009 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	12/30/2009

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.