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Inspection Reports for Abbington Manor AL II

215 North Center Street, Lehi, UT, 84043

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Inspection Report Summary

The most recent inspection on January 10, 2024, identified several deficiencies related to training, medication administration, hazardous material security, and emergency preparedness. Earlier inspections were not provided for comparison, so broader patterns are unclear. The main issues involved lack of department-approved care competency training, medication errors during a medication pass, unsecured hazardous materials including oxygen tanks, and incomplete emergency plans that did not coordinate with authorities or assign responsibilities. There were no complaint investigations or enforcement actions listed in the available reports. Without prior inspection data, it is not possible to determine a clear trend in compliance.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 11 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

39% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

12 9 6 3 0
2024
Unclassified
State average

Inspection Report

Routine
Deficiencies: 11 Date: Jan 10, 2024
Visit Reason
The inspection was an announced routine inspection conducted to review compliance with assisted living facility regulations.
Findings
The facility was generally compliant with most regulations; however, several deficiencies were noted including lack of department-approved care competency training, absence of personnel health program policies, medication administration errors, unsecured hazardous materials, unsecured oxygen tanks, and deficiencies in emergency preparedness plans.
Deficiencies (11)
The facility does not have a department approved care competency training.
No personnel health program policies and procedures established that protect the health and safety of personnel, residents and the public.
One medication pass was observed with late medications given; medications were not administered according to the prescribing order.
One medication pass was observed with late medications given; the licensed health care professional was not notified.
One medication pass was observed with late medications given; a medication error report was not completed.
Fabric refresher in unsecured cabinet in laundry room. Eye irritant.
Unsecured oxygen tanks in wellness center.
Emergency plan not coordinated with state and local authorities.
Do not have plans for an explosion.
Plan not reviewed and updated as necessary.
No names of person in charge or of persons with decision making authority. No names of people who are to be notified in an emergency in order of priority. No assignment of personnel to specific tasks during an emergency. Does not include procedures to evacuate and transport residents and staff to a safe place to other prearranged locations. Does not include instructions on how to recruit additional help, supplies and equipment to meet the residents needs after an emergency or disaster. Does not include a method of delivery of essential care and services to facility occupants by alternate means. Does not include methods for delivery of essential care and services to facility occupants if personnel are reduced by an emergency.
Report Facts
Medication pass with late medications: 1 Medication pass with late medications: 1 Medication pass with late medications: 1

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