Inspection Reports for Coral Desert Rehabilitation and Care
1490 East Foremaster Drive, UT, 84790
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Routine
Deficiencies: 11
Dec 15, 2022
Visit Reason
The inspection was a routine survey conducted to assess compliance with Medicare and Medicaid requirements, including comprehensive care plans, ADL care, nutrition/hydration, respiratory care, medication management, infection control, and life safety code compliance.
Findings
The facility was found to have multiple deficiencies related to comprehensive care plans, ADL care, nutrition and hydration, respiratory care, medication errors, labeling and storage of drugs, infection control, and life safety code violations. Immediate corrective actions were taken for all cited deficiencies, and plans of correction were submitted.
Deficiencies (11)
| Description |
|---|
| Failure to develop and implement comprehensive, person-centered care plans for residents, including measurable objectives and interventions. |
| Failure to provide necessary assistance with activities of daily living, including feeding assistance for residents who required it. |
| Failure to maintain acceptable nutritional and hydration status for residents, including timely interventions for weight loss. |
| Failure to ensure residents fed by enteral means received appropriate treatment and services to restore oral eating skills and prevent complications. |
| Failure to provide respiratory care consistent with professional standards, including oxygen orders and treatment plans. |
| Failure to ensure medication error rates were below 5 percent; observed medication errors including expired medications. |
| Failure to properly label and store drugs and biologicals, including expiration dates and secure storage. |
| Failure to maintain accurate and accessible resident medical records, including laboratory reports and documentation of care. |
| Failure to maintain food safety standards, including proper storage and discard of food items past use-by dates. |
| Failure to maintain infection prevention and control program, including hand hygiene and use of personal protective equipment. |
| Life safety code violation: use of extension cords and power strips not compliant with NFPA standards. |
Report Facts
Sampled residents: 19
Medication error rate: 6.67
Weight loss: 37.5
Weight loss: 20.72
Number of smoke compartments affected: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) 1 | Licensed Practical Nurse | Observed medication errors and failure to use hand hygiene during medication pass |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding CNA duties, medication administration, and infection control |
| Registered Nurse (RN) 1 | Registered Nurse | Interviewed regarding medication orders and insulin pen management |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Interviewed regarding weight loss interventions and laboratory orders |
| Registered Dietitian (RD) | Registered Dietitian | Interviewed regarding nutrition monitoring and supplementation |
| Licensed Practical Nurse (LPN) 1 | Licensed Practical Nurse | Observed medication administration and expiration date checks |
| Infection Preventionist (IP) | Infection Preventionist | Interviewed regarding infection control practices |
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