F59

UNIVERSITY NURSING & REHAB CTR

Grade F 59/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

122

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

180 EPPS BRIDGE RD, ATHENS, GA 30606
7065495382

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.11h
LPN
0.82h
CNA
2.41h
Total
3.34h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CYPRESS SKILLED NURSING LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2013

100%

CYPRESS OPERATING LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2013

ENIN TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2013

SNF TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2013

CYPRESS SKILLED NURSING LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2014

BENDER , SARA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2025

MACATULA, MARIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

NORDHOLM, KATHERINE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2014

OVITS, ISAAC

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2014

PATTERSON, DIANNE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2018

POPE, DOROTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2003

PUGHSLEY, SONIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

REDDICK, JOANE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

SIMS, DEMARIOUS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

UDO, EMEM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2023

VAUGHAN, ALYSSA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2025

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (30)

December 9, 2023Health14 deficiencies
0881FMinimal harm, Widespread

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jan 23, 2024
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 23, 2024
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0624DMinimal harm, Isolated

Prepare residents for a safe transfer or discharge from the nursing home.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Jan 23, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2024
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0745DMinimal harm, Isolated

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 23, 2024
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 23, 2024
May 2, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 16, 2023
February 23, 2023Health3 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 9, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Apr 9, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 9, 2023
June 20, 2022Health8 deficiencies1 severe
0578DMinimal harm, Isolated

Honor 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.

Resident Rights Deficiencies

Corrected Aug 12, 2022
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Aug 12, 2022
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 12, 2022
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 12, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 12, 2022
0678KImmediate jeopardy, Pattern

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Aug 12, 2022
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 12, 2022
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 12, 2022
February 7, 2019Health4 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Mar 24, 2019
0584EMinimal harm, Pattern

Honor 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.

Resident Rights Deficiencies

Corrected Mar 24, 2019
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 24, 2019
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Mar 24, 2019

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Frequently Asked Questions

What is the CareGrader rating for UNIVERSITY NURSING & REHAB CTR?

UNIVERSITY NURSING & REHAB CTR in ATHENS, Georgia has a CareGrader grade of F (Poor), with a composite score of 59 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for UNIVERSITY NURSING & REHAB CTR?

UNIVERSITY NURSING & REHAB CTR has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does UNIVERSITY NURSING & REHAB CTR have?

UNIVERSITY NURSING & REHAB CTR has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does UNIVERSITY NURSING & REHAB CTR have?

UNIVERSITY NURSING & REHAB CTR has 122 certified beds with approximately 106 current residents (87% occupancy). The facility is located at 180 EPPS BRIDGE RD, ATHENS, Georgia 30606. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.