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Inspection Reports for All Seasons Senior Living of Cedar City

432 West 1325 North, Cedar City, UT, 84721

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Inspection Report Summary

The most recent inspection on November 4, 2024, identified multiple deficiencies related to resident assessments, service plans, medication administration, emergency preparedness, housekeeping, and record keeping. Earlier inspections also noted similar issues with training documentation, unsecured medications and resident charts, incomplete service plans, and missing emergency response plans. Inspectors cited concerns about unsecured items in the staff room, missing fire drills, and water temperature exceeding recommended levels. No complaint investigations or enforcement actions were listed in the available reports. The pattern of deficiencies suggests ongoing challenges with compliance in several operational areas.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 18 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

128% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

20 15 10 5 0
2024
Unclassified
State average

Inspection Report

Routine
Deficiencies: 18 Date: Nov 4, 2024
Visit Reason
The inspection was an unannounced routine regulatory compliance check of All Seasons Senior Living of Cedar City, Utah, conducted to assess compliance with assisted living facility licensing rules.
Findings
The inspection identified 17 rule noncompliances across various regulatory requirements including resident assessments, service plans, medication administration, emergency preparedness, housekeeping, and record keeping. Several deficiencies were noted such as unsecured resident charts and medications, missing fire drills, incomplete resident service plans, and lack of emergency response plans for certain scenarios.
Deficiencies (18)
2 employees did not have core competency training in file.
One employee did not have 16 hour one-on-one training.
1 employee did not have department approved core competency in file.
5 resident admission agreements did not include the notice that the department has the authority to examine resident records to determine compliance with licensing requirements.
There were 2 resident assessments that were not completed.
There were 4 resident service plans that did not include who will provide the service and how the services are provided and frequency services provided.
4 activities were on schedule and none of them were observed to be performed while the inspectors were in the facility.
There were scissors in the staff room that were not locked.
The medication errors were not incorporated into the facility quality improvement process.
There were medications unsecure in the staff room.
Resident charts were unsecure in staff room.
Current week menu was not posted for residents viewing.
There were cleaning agents unsecure in staff room.
There was an oxygen tank in the staff room that was not secure.
Water temperature was 107.5 degrees Fahrenheit.
The facility did not have emergency response plans addressing assignment of personnel to specific tasks, recruitment of additional help, delivery of essential care if additional persons are housed, and delivery of essential care if personnel are reduced.
Missing fire drills for multiple quarters and shifts in 2023 and 2024; drills missing resident participation and their ability to evacuate.
The facility did not have emergency information posted in prominent locations.
Report Facts
Number of rule noncompliances: 17 Missing fire drills: 9 Unsecured resident charts: 1 Unsecured medications: 1 Unsecured cleaning agents: 1 Unsecured oxygen tank: 1 Resident admission agreements missing notice: 5 Resident assessments incomplete: 2 Resident service plans incomplete: 4 Activities scheduled but not observed: 4

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