Inspection Reports for
Cache Valley Assisted Living
233 North Main Street, Providence, UT, 84332
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
16 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
103% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 16
Date: Apr 23, 2024
Visit Reason
The inspection was a routine assisted living facility inspection conducted to assess compliance with licensing rules and regulations.
Findings
The inspection checklist shows multiple compliance and non-compliance assessments across various licensing rules, including identification badges, licensing requirements, administrator qualifications, personnel, resident rights, nursing services, medication administration, housekeeping, maintenance, emergency preparedness, and other operational areas. Several rules were marked as non-compliant (NC) and some corrected during the inspection.
Deficiencies (16)
R432-270-8(1)(a-p) The administrator did not maintain the required records, including staffing, incident reports, and resident documentation. The administrator failed to complete required investigations and report to the department as mandated.
R432-270-9(11)(a-g) Licensed health care professionals did not review medication records timely, and medication errors were not reported as required.
R432-270-23(7) Housekeeping staff did not maintain clean and disease-free environments, including improper storage of shower stools and bathtubs.
R432-270-25(1) Maintenance staff failed to ensure safe and operable equipment, including unsecured bed rails and improper storage of hazardous items.
R432-270-26(5) Disaster and emergency plans were not adequately maintained or implemented, including failure to conduct fire and disaster drills with resident participation.
R432-270-28(1-8) Pets were not properly managed; residents' rooms lacked odor control, and some pets were not vaccinated or properly contained.
R432-270-29(5) Respite services were not coordinated properly, and staff did not ensure adequate training and supervision for respite care.
R432-270-31(1-5) Resident assessments and service plans were incomplete or not updated timely, lacking signatures and necessary documentation.
R432-270-32(1-6) Nursing services did not meet requirements for staffing, supervision, and medication administration, including lack of documented competency.
R432-270-33(1-19) Medication administration was deficient, including failure to document medication errors, lack of licensed health care professional oversight, and improper medication storage.
R432-270-34(1-5) Management of resident funds was inadequate, with failure to maintain accurate records and protect resident funds.
R432-270-36(1-8) Records were incomplete or improperly maintained, including failure to protect confidential information and maintain accurate admission and discharge records.
R432-270-37(1-7) Resident rights were not fully protected, including failure to ensure privacy, freedom from abuse, and proper grievance procedures.
R432-270-38(1-9) Resident care was deficient, including failure to prevent abuse, neglect, and exploitation, and inadequate supervision of residents.
R432-270-39(1-5) Activity programs were insufficient, lacking adequate planning, documentation, and resident participation.
R432-270-40(1-3) Adult day care services were not properly documented or supervised.
Report Facts
Non-compliance counts: 141
Compliance counts: 51
Not assessed counts: 9
Corrected during inspection counts: 8
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