With a score of 0/100, Universal Health Care/North Raleigh ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Universal Health Care/North Raleigh is near the national average, with 3.88 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 89 deficiencies at Universal Health Care/North Raleigh, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement policies and procedures for flu and pneumonia vaccinations..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.88 | 3.8 | Average |
| Registered Nurses (RN) | 0.61 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.99 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.28 | 2.4 | Average |
| Weekend Total Nursing | 3.31 | 3.8 | Below Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0883 Severity EDevelop and implement policies and procedures for flu and pneumonia vaccinations.Aug 19, 2025 · Infection Control Deficiencies
- Tag 0636 Severity DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Aug 19, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Aug 19, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 19, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 19, 2025 · 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 | 4.7% | 4.5% | Average |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 22.5% | 14.5% | Worse |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 18.9% | 14.0% | Worse |
| Excessive weight loss | 10.6% | 7.5% | Worse |
| New/worsened incontinence | 30.9% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $326,170
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 0★ → 0 pts (max 40)
- Health Inspection Rating: 0★ → 0 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 0★ → 0 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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