Inspection Reports for Cedar Health and Rehabilitation
411 West 1325 North, UT, 84721
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Routine
Deficiencies: 2
Jun 26, 2025
Visit Reason
The inspection was an unannounced routine inspection conducted to review compliance with state regulations for Cedar Health and Rehabilitation nursing care facility.
Findings
The facility was found compliant with most rules, with some non-compliances noted including deficiencies in developing comprehensive care plans within required timeframes and ensuring dietary needs are met. The inspection covered a wide range of regulatory requirements including resident rights, care plans, medication management, staffing, and facility maintenance.
Deficiencies (2)
| Description |
|---|
| The licensee failed to develop a comprehensive care plan within seven days after completion of the comprehensive assessment and to periodically review and revise the care plan as the resident's condition changes. |
| The licensee failed to provide each resident with a safe, palatable, well-balanced diet that meets the daily nutritional and special dietary needs. |
Report Facts
Inspection duration: 4
Number of rule noncompliances: Not explicitly stated
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Spencer Eaton | Provider | Named as individual informed of the inspection |
| Jessica Bolander | Licensor | Conducted the inspection |
| Amy Williams | Licensor | Conducted the inspection |
| Nicole Kololli | Licensor | Conducted the inspection |
| Catherine Bristow | Licensor | Conducted the inspection |
| Tiffany Stone | Licensor | Conducted the inspection |
| Jessica | Referenced in resident rights section (F561) | |
| Cathie | Referenced in comprehensive care plan section (F656) | |
| Nicole | Referenced in comprehensive care plan and medication error monitoring sections (F656, F759) | |
| Amy | Referenced in comprehensive care plan section (F656) |
Inspection Report
Complaint Investigation
Deficiencies: 7
Jul 13, 2023
Visit Reason
The inspection was conducted in response to allegations of abuse, neglect, exploitation, or mistreatment involving multiple residents at Cedar Health and Rehabilitation.
Findings
The facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately and thoroughly investigated. Multiple resident incidents involving falls and injuries were not reported to the State Survey Agency within required timeframes. The facility also failed to coordinate assessments for residents with serious mental illness and did not properly label and store drugs and biologicals.
Complaint Details
The complaint investigation was substantiated as the facility failed to report multiple abuse allegations timely and did not thoroughly investigate incidents involving resident falls and injuries. Resident identifiers included 9, 15, 23, 43, 46, and 124. The facility also failed to coordinate PASARR assessments and maintain proper medication and food safety procedures.
Deficiencies (7)
| Description |
|---|
| Failure to report alleged violations involving abuse, neglect, exploitation, or mistreatment immediately and thoroughly investigate all allegations. |
| Failure to report multiple falls with fractures to the State Survey Agency within required timeframes. |
| Failure to coordinate assessments with the PASARR program for residents with serious mental illness. |
| Failure to properly label and store drugs and biologicals, including insulin pens without expiration dates. |
| Failure to maintain food safety standards including unclean dish machine and food storage areas. |
| Failure to provide adequate assistance with activities of daily living for dependent residents. |
| Failure to maintain proper documentation and investigation of resident falls and injuries. |
Report Facts
Sample residents reviewed: 30
Residents with falls not reported timely: 6
Insulin pens found without expiration date: 4
Residents reviewed for PASARR coordination: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Williams | Accepted Plan of Correction on 08/07/2023 | |
| Cole Julian | Team Coordinator | Listed on survey tracking form |
| Director of Nursing | DON | Interviewed regarding resident falls and investigations |
| Registered Nurse 1 | RN 1 | Interviewed regarding medication cart and insulin pens |
| Unit Manager | UM 1 | Interviewed regarding resident care and nail care |
| Certified Nursing Assistant 1 | CNA 1 | Interviewed regarding nail care documentation |
| Certified Nursing Assistant 2 | CNA 2 | Interviewed regarding nail care documentation |
| Certified Nursing Assistant 3 | CNA 3 | Interviewed regarding nail care documentation |
| Certified Nursing Assistant 4 | CNA 4 | Interviewed regarding nail care documentation |
| Dietary Manager | DM | Interviewed regarding food safety and dish machine cleaning |
| Plant Operations Director | POD | Interviewed regarding dish machine condition |
| Resident Advocate | RA | Interviewed regarding PASARR referral process |
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