Inspection Reports for Advanced Health Care of St George
1934 East Riverside Drive, UT, 84790
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Routine
Deficiencies: 1
May 12, 2025
Visit Reason
The inspection was an unannounced routine visit conducted to ensure compliance with nursing care facility regulations.
Findings
The facility was found to be largely compliant with most regulatory requirements, with only one rule noncompliance noted during the inspection.
Deficiencies (1)
| Description |
|---|
| One rule noncompliance was identified during the inspection. |
Report Facts
Number of rule noncompliances: 1
Inspection Report
Complaint Investigation
Deficiencies: 5
Jun 29, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to notify the physician and resident representative of significant changes in a resident's condition, specifically elevated blood glucose levels and delayed insulin administration.
Findings
The facility failed to notify the physician and resident representative about significant changes in resident 77's condition, including elevated blood glucose levels and delayed insulin administration. Additionally, the facility did not ensure residents received treatment and care according to professional standards, including bowel protocol and medication administration. Another finding involved failure to provide routine and emergency drugs to resident 15 due to medication unavailability. Resident 181 was found not free of significant medication errors related to opioid administration.
Complaint Details
The complaint investigation was substantiated as the facility failed to notify the physician and resident representative of significant changes in resident 77's condition, failed to provide timely insulin and medication, and failed to ensure residents were free from significant medication errors.
Severity Breakdown
SS=D: 4
SS=E: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to notify physician and resident representative of significant change in resident's condition (elevated blood glucose levels) and delayed insulin administration for resident 77. | SS=D |
| Failure to ensure residents received treatment and care in accordance with professional standards, including bowel protocol and medication administration for resident 77. | SS=D |
| Failure to provide routine and emergency drugs to resident 15 due to medication unavailability. | SS=D |
| Failure to ensure residents are free of significant medication errors, specifically opioid administration for resident 181. | SS=D |
| Hazardous areas not properly fire and smoke separated from other sections of the facility, deficiency affected 2 of 5 smoke compartments. | SS=E |
Report Facts
Resident sample size: 23
Deficiencies cited: 5
Medication administration times: 4
Bowel protocol audit times: 4
Hazardous area compartments deficient: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Kololli | Administrator | Accepted Plan of Correction |
| Director of Nursing | Named in findings related to medication errors, insulin administration, and bowel protocol | |
| Licensed Practical Nurse 1 | LPN | Interviewed regarding medication orders and insulin administration |
| Licensed Practical Nurse 2 | LPN | Interviewed regarding medication refills and pharmacy communication |
| Registered Nurse 1 | RN | Interviewed regarding bowel protocol and medication administration |
| Certified Nurse Assistant 1 | CNA | Observed and reported bowel movement status |
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