CMS data shows University Nursing & Rehab Ctr earning a D grade with a score of 41/100, placing it below most facilities in Georgia. Prospective residents and families should carefully review the specific areas of concern detailed below.
With 3.29 total nurse hours per resident per day, University Nursing & Rehab Ctr falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 26 deficiencies at University Nursing & Rehab Ctr, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.29 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.10 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.38 | 2.4 | Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.11 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dApr 2, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Apr 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Dec 8, 2023 · Infection Control Deficiencies
- Tag 0881 Severity FImplement a program that monitors antibiotic use.Dec 8, 2023 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.8% | 4.5% | Worse |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 24.8% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 20.2% | 14.0% | Worse |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 27.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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