Inspection Reports for
The Ashford of Springville
333 South 950 West, Springville, UT, 84663
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
22 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
178% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Routine
Deficiencies: 22
Date: Sep 18, 2024
Visit Reason
Unannounced routine inspection to review compliance with assisted living facility regulations.
Findings
The inspection identified multiple areas of noncompliance including deficiencies in administration, personnel training, resident assessments, medication administration, resident rights, food services, housekeeping, maintenance, emergency preparedness, and record-keeping.
Deficiencies (22)
R432-270-8(1)(a-p) The administrator failed to maintain a significant change log for one resident.
R432-270-9(9)(a-l) Three staff did not attend required in-service trainings relevant to their job responsibilities.
R432-270-9(14)(a-g) One staff did not have a tuberculosis skin-test within 14 days of hire.
R432-270-10(2)(a)-(b) No statement was provided that residents may file complaints with the state long-term care ombudsman or advocacy groups.
R432-270-11(5)(a-c) One resident was not able to evacuate with limited assistance of one person.
R432-270-11(9)(a)-(c) One resident did not have hospice orders on file.
R432-270-13(1) Three resident assessments were not completed prior to admission and ten resident assessments were missing sections.
R432-270-13(3)(a)-(b) Two resident assessments did not accurately reflect the resident's status at the time of assessment.
R432-270-13(5) One resident had a significant change and did not receive a significant change assessment.
R432-270-14(3)(a)-(e) Ten resident service plans did not include the frequency of services for medication administration.
R432-270-15(1) No nursing services policies were developed defining the level of nursing services provided by the facility.
R432-270-19(7)(a-f) Five employees did not have medication delegation from the delegating authority.
R432-270-20(5) The provider does not have a surety bond to secure resident personal funds.
R432-270-20(6)(a-d) One resident with over $150 in funds did not have those funds deposited into an interest-bearing account within five days of receipt.
R432-270-21(2) Narcotic logs containing protected health information were left out on the medication cart on the 2nd floor.
R432-270-26(5) The facility's emergency and disaster plan was not reviewed and updated as necessary to conform with local emergency plans.
R432-270-26(6)(a)-(j) The emergency and disaster plan did not include instructions on recruiting additional help, delivery of essential care by alternate means, care if additional persons are housed during an emergency, and care if personnel are reduced by an emergency.
R432-270-26(8)(a)-(d) Fire drills did not include documentation of the ability of each resident to evacuate.
R432-270-26(10)(a-g) The facility did not have an emergency radio as required.
R432-270-23(5) Cleaning agents were stored in the resident laundry room on the 1st floor.
R432-270-23(6)(a-e) One housekeeper did not have required housekeeping training.
R432-270-22(7) One resident on a therapeutic diet did not have a dietary consultation provided at least quarterly.
Report Facts
Number of rule noncompliances: 25
Resident assessments not completed prior to admission: 3
Resident assessments missing sections: 10
Resident assessments not accurately reflecting status: 2
Resident service plans missing frequency of medication administration: 10
Employees without medication delegation: 5
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