Deficiencies (over last year)
Deficiencies (over last year)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Renewal
Deficiencies: 12
Date: Jan 17, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility license to ensure compliance with licensing requirements and regulations.
Findings
The inspection identified multiple areas of noncompliance across various regulatory sections including personnel qualifications, resident rights, medication administration, and emergency preparedness. Several deficiencies were noted with some corrected during the inspection.
Deficiencies (12)
Two direct-care employees were not certified nurse assistants and did not have 16 hours of one-on-one training.
One employee did not have a health inventory on file and one employee did not have a health inventory completed by 1/18/2024.
There was no certified nurse aide on duty on 1/16/2024.
The facility did not have a health inventory for one employee and did not have documentation of a tuberculosis test for one employee.
The facility did not have a written policy for medication administration and did not ensure residents' medications were properly stored and administered.
The facility did not maintain proper documentation for resident assessments and service plans.
The facility failed to ensure adequate staffing and supervision for residents requiring assistance.
The facility did not conduct required emergency drills and did not maintain proper emergency preparedness documentation.
The facility did not maintain proper records for resident funds and did not ensure secure handling of resident funds.
The facility did not ensure proper housekeeping and sanitation practices, including proper disposal of waste and maintenance of clean environments.
The facility did not maintain proper food service and dietary records, including menu planning and food safety.
The facility did not ensure compliance with resident rights, including proper notification and documentation of resident transfers and discharges.
Report Facts
Deficiencies cited: 148
Noncompliance counts: 47
Corrected during inspection: 6
Uncorrected noncompliance: 6
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