Inspection Reports for
Autumn Park Assisted Living

548 North 1100 East, Washington, UT, 84780

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 21 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

166% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

24 18 12 6 0
2025

Inspection Report

Routine
Deficiencies: 21 Date: Apr 22, 2025

Visit Reason
The inspection was an unannounced routine regulatory compliance check of Autumn Park Assisted Living II to assess adherence to licensing rules and regulations.

Findings
The inspection identified 26 rule noncompliances across various regulatory areas including staff identification badges, administrator duties, personnel records, resident rights, service plans, nursing services, medication administration, housekeeping, maintenance, emergency preparedness, and training requirements.

Deficiencies (21)
Two direct care employees were observed to not be wearing name badges.
Significant change logs did not include the facility's action or response.
The licensee did not have a written and signed job description on file at the facility.
Two employees did not have all of the required orientation trainings.
Two employees did not have all required trainings.
The licensee did not ensure that 1 employee had a health inventory and 2 employees had TB skin-tests.
Five admission agreements did not include that the resident may file a complaint with the state long-term care ombudsman.
One resident admission agreement did not include the notice that the department has the authority to examine resident records to determine compliance.
Two resident service plans did not include hospice services.
Five service plans did not include the services provided, who will provide the services, how the services were provided, and the frequency of services.
There was no written policy for defining the level of nursing services provided by the facility.
The facility did not maintain preventative maintenance according to a written schedule.
The licensee did not ensure that hot water temperature delivered to public and resident care areas was maintained at temperatures between 105-120 degrees Fahrenheit.
Missing emergency plan elements including instructions on how to contain a fire and use alarm systems, assignment of personnel to tasks, evacuation procedures, recruitment of additional help, and delivery of essential care under emergency conditions.
There were no fire or disaster drills held in 2024.
One employee did not have a current food handler's permit.
One employee who was identified to work the night shift did not have all required training.
Did not have a first aid manual that was current.
One resident's medications were not returned to the resident's responsible person as documented upon discharge.
One resident record was not maintained and did not include the admission agreement, resident assessment, and resident service plan.
The licensee did not have a background authorization form for one employee.
Report Facts
Number of rule noncompliances: 26 Number of employees without required orientation trainings: 2 Number of employees without required trainings: 2 Number of admission agreements missing complaint notice: 5 Number of resident service plans missing hospice services: 2 Number of service plans missing required service details: 5 Number of resident records missing key documents: 1 Number of employees without background authorization form: 1 Number of employees without current food handler's permit: 1

Employees mentioned
NameTitleContext
Scott GillAdministratorNamed as individual informed of the inspection

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