Deficiencies (over last year)
Deficiencies (over last year)
16 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
103% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 16
Date: Aug 19, 2024
Visit Reason
Unannounced routine inspection of Riverway Assisted Living and Memory Care to assess compliance with Utah assisted living facility regulations.
Findings
The inspection identified 21 rule noncompliances across multiple regulatory areas including administrator duties, personnel training, resident rights documentation, medication administration errors, staffing deficiencies, fire safety issues, and housekeeping concerns.
Deficiencies (16)
R432-270-8(2) No signed job description for the administrator was on file.
R432-270-9(7)(a)-(f) Four employees lacked documented orientation training on ethics, confidentiality, residents' rights, policies, abuse reporting, and core competency.
R432-270-9(9)(a)-(l) Not all required in-service trainings were conducted for all employees.
R432-270-9(14)(a)-(g) Four employees did not have a health inventory on file.
R432-270-10(2)(a)-(b) Eight residents lacked admission agreements with written descriptions of legal rights including complaint filing rights.
R432-270-20 Facility does not manage resident funds as required by regulations.
R432-270-16(6) The facility did not ensure a certified nurse aide was on duty 24 hours per day.
R432-270-16(3) Three employees lacked four hours of documented secure unit training.
R432-270-19(7)(a)-(f) Two residents received medications late; one resident received crushed medications without an order.
R432-270-21(2) The tablet with EMAR and narcotic books containing PHI were left unsecured and accessible.
R432-270-22(7) No quarterly dietary consultation was completed for one resident requiring a therapeutic diet.
R432-270-23(5) Cleaning agents and chemicals were stored in unlocked, accessible locations.
R432-270-25(1) Fire doors on the second floor near room 209 were catching on carpet and would not close properly.
R432-270-26(8)(a)-(d) Fire drills for day, afternoon, and night shifts for 3rd and 4th quarters of 2023 were not conducted; drills lacked resident participation and evacuation practice.
R432-270-26(10)(a)-(g) The facility did not have emergency blankets available.
R432-270-27(2)(a)-(c) The facility did not have a current first aid manual on site.
Report Facts
Rule noncompliances: 21
Residents on hospice: 3
Employees lacking secure unit training: 3
Residents lacking legal rights documentation: 8
Residents with incomplete assessments: 6
Residents receiving medications late: 2
Employees lacking orientation training: 4
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