| University Nursing Center | |
| 1564 S University Blvd, Upland, Indiana 46989 | |
| (765) 998-2761 | |
| Name | University Nursing Center |
|---|---|
| Location | 1564 S University Blvd, Upland, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 75 |
| Occupancy Rate | 79.33% |
| Medicare ID (CCN) | 155200 |
| Legal Business Name | The Health and Hospital Corporation of Marion County |
| Ownership Type | Non Profit - Corporation |
| Chain | American Senior Communities (90 nursing homes) |
| Chain Average Overall Rating | 3.9 out of 5 |
| NPI Number | 1972663110 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Health and Hospital Corporation of Marion County |
| Doing Business As | University Nursing Center |
| Address | 1564 University Blvd, Upland, IN 46989 |
| Phone Number | 765-998-2761 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.28 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.01 | 0.86 |
| Nurse aide hours per resident per day | 1.85 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.92 | 3.42 |
| RN hours per resident per day on the weekend | 0.27 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 65.4% | 45.8% |
| Registered nurse turnover | 85.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $74,585 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 24, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2026 |
| Feb 20, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Mar 26, 2026 |
| Feb 3, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2026 |
| Oct 10, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Oct 10, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Oct 10, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Sep 9, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Sep 9, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Sep 9, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Sep 9, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Sep 9, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Sep 9, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Sep 9, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Sep 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Jul 22, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 5, 2025 |
| Feb 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Feb 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jan 30, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Oct 8, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| May 14, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2024 |
| May 14, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2024 |
| Nov 20, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 8, 2023 |
| Nov 20, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 20, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Sep 28, 2023 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622, Resident Rights, Complaint inspection | Actual harm, isolated | Corrected by Oct 20, 2023 |
| Aug 18, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2023 |
| Aug 18, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2023 |
| Aug 18, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.67 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.42 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 14.41 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.18 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.57 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.35 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.35 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.43 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.92 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.7 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.31 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.11 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9 | 15.38 |