Deficiencies (last 2 years)
Deficiencies (over 2 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: Nov 6, 2025
Visit Reason
Routine inspection of an assisted living facility to assess compliance with licensing rules and regulations.
Findings
The inspection checklist covers multiple regulatory areas including identification badges, provider duties, policies, employee training, resident rights, admissions, resident assessments, nursing services, medication administration, food services, housekeeping, maintenance, emergency preparedness, and more. Several noncompliance findings were noted across various sections.
Deficiencies (1)
R432-3-11.1 Compliance: The licensee did not comply with the rule, resulting in 163 noncompliance findings.
Report Facts
Noncompliance findings: 163
Corrected during inspection: 0
Compliance required by date: 75
Inspection Report
Routine
Deficiencies: 8
Date: Dec 27, 2023
Visit Reason
The inspection was an unannounced routine compliance review of the assisted living facility Family Tree of West Point conducted by the Utah Department of Health & Human Services.
Findings
The inspection found 12 rule noncompliances across various regulatory requirements including licensing, administrator duties, personnel qualifications, resident rights, admissions, nursing services, medication administration, and emergency preparedness. Several areas were compliant while some had noncompliances noted.
Deficiencies (8)
R432-270-5(2) Licensing: The licensee did not ensure the assisted living facility is licensed as a type I facility if individuals under care are capable of achieving enough mobility to exit the facility without assistance.
R432-270-5(4) Licensing: The licensee did not provide social care to the individuals under care as required for a type I assisted living facility licensee.
R432-270-6(2)(a-b) Licensee: The licensee failed to implement a quality assurance program that includes a committee consisting of at least the facility administrator and a health care professional meeting quarterly to identify and act on quality issues.
R432-270-8(1)(a-p) Administrator Duties: The administrator did not complete all required duties including injury and incident reviews, investigations of suspected abuse, and maintaining appropriate documentation.
R432-270-9(14)(a-g) Personnel: The licensee failed to ensure employee health screening and tuberculosis testing procedures were properly implemented.
R432-270-19(18) Medication Administration: The licensee did not ensure medications requiring refrigeration were stored at temperatures between 36 - 46 degrees Fahrenheit.
R432-270-23(5) Housekeeping Services: The licensee did not ensure cleaning agents, bleaches, insecticides, or poisonous materials were stored in a locked area to prevent unauthorized access.
R432-270-26(6)(a-j) Disaster and Emergency Preparedness: The licensee failed to complete all required emergency and disaster response plan elements including assignment of personnel and evacuation procedures.
Report Facts
Number of rule noncompliances: 12
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