Starfile / North Carolina

Universal Health Care/Fuquay-Varina

410 S Judd Parkway SE, Fuquay Varina, NC 27526 · CCN 345561

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$76,047

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (71)2 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-10 · Health · corrected 2025-11-26

   Potential for more than minimal harm

2. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-12-10 · Health · corrected 2025-12-29

   Potential for more than minimal harm

3. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2025-12-10 · Health · corrected 2025-12-29

   Potential for more than minimal harm

4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-12-10 · Health · corrected 2025-12-29

   Potential for more than minimal harm

5. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-12-10 · Health · corrected 2025-12-29

   Potential for more than minimal harm

6. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-12-05 · Health · corrected 2025-01-02

   Potential for more than minimal harm

7. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-12-05 · Health · corrected 2025-01-02

   Potential for more than minimal harm

8. BF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-12-05 · Health · corrected 2025-01-02

   Potential for minimal harm

9. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-12-05 · Health · corrected 2025-01-02

   Potential for more than minimal harm

10. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-05 · Health · corrected 2025-01-02

    Potential for minimal harm

11. EF0641Ensure each resident receives an accurate assessment.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

13. BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-05 · Health · corrected 2025-01-02

    Potential for minimal harm

14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

15. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

16. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

17. DF0761Ensure 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.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

19. DF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-02

    Potential for more than minimal harm

20. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

21. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

22. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-10-18 · Health · corrected 2023-11-13

    Potential for minimal harm

23. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

24. BF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-10-18 · Health · corrected 2023-11-13

    Potential for minimal harm

25. BF0641Ensure each resident receives an accurate assessment.2023-10-18 · Health · corrected 2023-11-13

    Potential for minimal harm

26. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

28. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

30. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

31. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-18 · Health · corrected 2023-11-13

    Immediate jeopardy

32. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

33. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

34. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

35. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

36. EF0759Ensure medication error rates are not 5 percent or greater.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

37. EF0761Ensure 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.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

39. EF0814Dispose of garbage and refuse properly.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

40. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-18 · Health · corrected 2023-11-13

    Potential for minimal harm

41. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

42. DF0880Provide and implement an infection prevention and control program.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

43. JF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-10-18 · Health · corrected 2023-11-13

    Immediate jeopardy

44. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

45. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-10-18 · Health · corrected 2023-11-13

    Potential for more than minimal harm

46. EF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

47. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

48. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

49. CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-06-17 · Health · corrected 2022-07-15

    Potential for minimal harm

50. DF0583Keep residents' personal and medical records private and confidential.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

51. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-06-17 · Health · corrected 2022-07-15

    Potential for minimal harm

52. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-06-17 · Health · corrected 2022-07-15

    Potential for minimal harm

53. DF0641Ensure each resident receives an accurate assessment.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

54. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

55. CF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-06-17 · Health · corrected 2022-07-15

    Potential for minimal harm

56. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

57. BF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-06-17 · Health · corrected 2022-07-15

    Potential for minimal harm

58. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-17 · Health · corrected 2022-07-15

    Actual harm

59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

60. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

62. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

63. GF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-06-17 · Health · corrected 2022-07-15

    Actual harm

64. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

66. FF0814Dispose of garbage and refuse properly.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

67. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

69. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

70. EF0880Provide and implement an infection prevention and control program.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

71. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-06-17 · Health · corrected 2022-07-15

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in Fuquay Varina

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.