University Nursing & Rehab Center
Athens, Clarke County, Georgia · CCN 115467 · For-profit (Corporation) · part of Cypress Skilled Nursing (5 facilities, chain average 2 stars)
CMS rates University Nursing & Rehab Center 1 of 5 overall as of August 2026. 122 certified beds, 94 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 1 of 5 |
Staffing
| Total nurse staffing | 2.96858 hours per resident per day |
|---|---|
| Registered nurses | 0.13899 hours per resident per day |
| Weekend total | 2.66971 hours per resident per day |
| Nursing staff turnover | 74.1% (registered nurses 75%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-19 |
| 2026-05-14 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-01 |
| 2026-05-14 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-01 |
| 2026-05-14 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-01 |
| 2026-05-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-19 |
| 2026-05-14 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-19 |
| 2025-04-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-05 |
| 2025-04-03 | 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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-05 |
| 2025-04-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-05 |
| 2023-12-09 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
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 · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · tag F0624 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
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 · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
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 · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
| 2023-12-09 complaint survey |
Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · tag F0790 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-23 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Cypress Skilled Nursing LLC Organization | adp of the snf | — | 2025-11-20 |
| Cypress Skilled Nursing LLC Organization | operational/managerial control | — | 2014-01-01 |
| Bender, Sara Individual | adp of the snf | — | 2025-07-02 |
| Macatula, Maria Individual | adp of the snf | — | 2017-07-31 |
| Nordholm, Katherine Individual | adp of the snf | — | 2014-01-24 |
| Ovits, Isaac Individual | adp of the snf | — | 2014-01-01 |
| Patterson, Dianne Individual | adp of the snf | — | 2018-05-07 |
| Pope, Dorothy Individual | adp of the snf | — | 2003-09-01 |
| Pughsley, Sonia Individual | adp of the snf | — | 2024-11-05 |
| Reddick, Joane Individual | adp of the snf | — | 2025-02-11 |
| Sims, Demarious Individual | adp of the snf | — | 2025-03-18 |
| Udo, Emem Individual | adp of the snf | — | 2023-12-01 |
| Vaughan, Alyssa Individual | adp of the snf | — | 2025-04-10 |
| Ovits, Isaac Individual | managing control - governing body | — | 2014-01-01 |
| Patterson, Dianne Individual | managing control - governing body | — | 2018-05-07 |
| Bender, Sara Individual | operational/managerial control | — | 2025-07-02 |
| Macatula, Maria Individual | operational/managerial control | — | 2017-07-31 |
| Nordholm, Katherine Individual | operational/managerial control | — | 2014-01-24 |
| Ovits, Isaac Individual | operational/managerial control | — | 2014-01-01 |
| Patterson, Dianne Individual | operational/managerial control | — | 2018-05-07 |
| Pope, Dorothy Individual | operational/managerial control | — | 2003-09-01 |
| Pughsley, Sonia Individual | operational/managerial control | — | 2024-11-05 |
| Reddick, Joane Individual | operational/managerial control | — | 2025-02-11 |
| Sims, Demarious Individual | operational/managerial control | — | 2025-03-18 |
| Udo, Emem Individual | operational/managerial control | — | 2023-12-01 |
| Vaughan, Alyssa Individual | operational/managerial control | — | 2025-04-10 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for University Nursing & Rehab Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Clarke County.