Home › Georgia › Clarke County › University Nursing & Rehab Center
University Nursing & Rehab Center
180 Epps Bridge Road, Athens, GA 30606 · CMS Certification Number (CCN) 115467
At a glance
- CMS overall rating
- ★☆☆☆☆ 1 of 5
- Health inspection citations
- 23 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 11 from complaints)
- Fire safety citations
- 18
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- May 14, 2026
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Georgia average | U.S. average |
|---|---|---|---|
| Overall | ★☆☆☆☆ 1 of 5 | 2.7 | 3 |
| Health inspections | ★★☆☆☆ 2 of 5 | 2.9 | 2.8 |
| Staffing | ★☆☆☆☆ 1 of 5 | 2.3 | 2.9 |
| Quality measures | ★★☆☆☆ 2 of 5 | 2.9 | 3.6 |
| Long-stay quality | ★★★☆☆ 3 of 5 | Not published | Not published |
| Short-stay quality | ★☆☆☆☆ 1 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | May 14, 2026 | 6 | 6 | 0 |
| Cycle 2 | April 3, 2025 | 14 | 3 | 11 |
CMS weighted health inspection score: 53 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
23 health citations across 3 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
May 14, 2026: 6 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0887 | 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 | Standard | Deficient, Provider has date of correction Corrected 06/19/2026 |
| D | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 06/19/2026 |
| F | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 06/19/2026 |
| D | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 07/01/2026 |
| D | F-0655 | 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 | Standard | Deficient, Provider has date of correction Corrected 07/01/2026 |
| D | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 07/01/2026 |
April 3, 2025: 3 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| F | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/05/2025 |
| D | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/05/2025 |
| E | F-0584 | 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 | Standard | Deficient, Provider has date of correction Corrected 05/05/2025 |
December 9, 2023: 14 citations (Standard + Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| F | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| F | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| E | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0661 | 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 | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0656 | 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 | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0625 | 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 | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| E | F-0623 | 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 | Standard + Complaint | Deficient, Provider has date of correction Corrected 01/23/2024 |
| D | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 01/23/2024 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Fire safety inspections
18 fire safety citations across 3 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 05/14/2026 | D | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 06/19/2026 |
| 05/14/2026 | E | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 06/19/2026 |
| 05/14/2026 | D | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 06/19/2026 |
| 05/14/2026 | E | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 06/19/2026 |
| 05/14/2026 | D | K-0221 | Provide rooms that can be unlocked from inside without a key. Egress Deficiencies | Deficient, Provider has date of correction Corrected 06/19/2026 |
| 04/03/2025 | D | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 04/03/2025 | F | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 04/03/2025 | F | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 04/03/2025 | F | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 07/15/2025 |
| 04/03/2025 | F | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 07/15/2025 |
| 04/03/2025 | D | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 04/03/2025 | E | K-0200 | Meet other general requirements. Egress Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 04/03/2025 | F | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies | Deficient, Provider has date of correction Corrected 05/05/2025 |
| 12/09/2023 | D | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/23/2024 |
| 12/09/2023 | D | K-0364 | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/23/2024 |
| 12/09/2023 | D | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/23/2024 |
| 12/09/2023 | D | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/23/2024 |
| 12/09/2023 | F | K-0281 | Install proper backup exit lighting. Egress Deficiencies | Deficient, Provider has date of correction Corrected 01/23/2024 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Staffing
| Measure | This facility | Georgia average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 2.97 | 3.56 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.14 | 0.5 | 0.69 |
| LPN/LVN hours per resident per day | 0.66 | Not published | Not published |
| Nurse aide hours per resident per day | 2.16 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 2.67 | Not published | Not published |
| RN hours per resident per day, weekends | 0.15 | Not published | Not published |
| Total nursing staff turnover (%) | 74.1 | 46 | 45.8 |
| Registered nurse turnover (%) | 75 | Not published | Not published |
| Administrators who have left | 0 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Facility details
- Legal business name
- Universe Cypress LLC
- Ownership type
- For profit - Corporation
- Chain
- Cypress Skilled Nursing (5 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 122
- Average residents per day
- 93.8
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- First approved for Medicare/Medicaid
- January 1, 1990
- County/parish
- Clarke
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Owners and managers reported to CMS
26 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| OVITS, ISAAC | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PATTERSON, DIANNE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CYPRESS SKILLED NURSING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BENDER, SARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MACATULA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| NORDHOLM, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OVITS, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PATTERSON, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POPE, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PUGHSLEY, SONIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| REDDICK, JOANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SIMS, DEMARIOUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| UDO, EMEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| VAUGHAN, ALYSSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CYPRESS SKILLED NURSING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BENDER, SARA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MACATULA, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| NORDHOLM, KATHERINE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OVITS, ISAAC | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PATTERSON, DIANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POPE, DOROTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PUGHSLEY, SONIA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| REDDICK, JOANE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SIMS, DEMARIOUS | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| UDO, EMEM | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| VAUGHAN, ALYSSA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026
Check it yourself
- Medicare Care Compare: University Nursing & Rehab Center. Full inspection reports, quality measures and staffing.
- HFR online complaint form. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 25, 2026. Not a ranking or endorsement.