Deficiencies (over last year)
Deficiencies (over last year)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Renewal
Capacity: 119
Deficiencies: 11
Date: Jan 22, 2025
Visit Reason
The inspection was conducted as a re-licensure renewal for the assisted living facility to ensure compliance with licensing requirements and regulations.
Findings
The inspection identified multiple noncompliance issues across various regulatory areas including personnel training, resident assessments, medication administration, and facility maintenance. Several deficiencies were noted with some corrected during the inspection and others requiring follow-up.
Deficiencies (11)
Two employees did not receive core competency training within 30 days of hire.
One resident assessment was not completed at the time of admission and three resident assessments were not used to develop a service plan.
One resident was not given medications as prescribed.
Resident assessments were not signed or dated by a licensed health care professional within six months of admission.
Medication errors were not incorporated into the facility's quality improvement process.
Resident funds were not managed properly; the facility did not maintain accurate financial records.
Emergency preparedness plans and procedures were incomplete and not fully implemented.
Housekeeping and laundry services did not meet required standards; cleaning agents were left unlocked and cleaning was inconsistent.
The facility failed to ensure that the emergency information was posted in public locations and that staff had current CPR and first aid training.
Resident rights were not fully protected; documentation and notification requirements were not consistently met.
The facility did not maintain accurate and complete resident records, including medication administration and incident reports.
Report Facts
Total licensed capacity: 119
Number of deficiencies noted: 136
Number of noncompliance counts: 47
Number of corrected deficiencies during inspection: 20
Number of rule noncompliances: 11
Number of uncorrected deficiencies: 9
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