Inspection Reports for Covington Senior Living of Lehi

301 North 1200 East, Lehi, UT, 84043

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 16 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

103% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

16 12 8 4 0
2025

Inspection Report

Routine
Deficiencies: 16 Date: May 5, 2025

Visit Reason
The inspection was an unannounced routine regulatory compliance inspection of Covington Senior Living of Lehi to assess compliance with assisted living facility licensing rules.

Findings
The inspection identified 18 rule noncompliances across various regulatory requirements including quality assurance, administrator qualifications, personnel training, resident rights, admission and discharge policies, resident assessments and service plans, nursing services, medication administration, food services, housekeeping, maintenance, emergency preparedness, and others. Several deficiencies were noted with documentation, training, and policy implementation.

Deficiencies (16)
The 2nd quarter quality assurance meetings did not consist of at least the facility administrator and a health care professional.
One employee was not a certified nurse aide and did not have 16 hours of one-on-one job training.
One employee did not have core competency training in his file.
One employee did not have TB test in file. Three employees did not have health inventory forms.
Rights documentation did not contain a statement that the resident may file a complaint with the state long-term care ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility.
The licensee did not make the hospice services part of 6 residents' service plans that explained who was responsible to meet the resident's needs.
The licensee did not ensure that each resident admitted to the secure unit had an admission agreement that indicated placement in a secure unit.
The licensee did not ensure that the resident assessment accurately reflected the resident's status at the time of assessment for 2 residents.
The licensee did not ensure the resident assessment was used to develop, review, and revise the service plan for 4 residents.
Food items were stored in medication refrigerator.
The licensee does not manage resident funds.
Did not have current elevator inspections for elevators 1 and 2.
Did not have plan for mass casualty emergency.
Did not have a fire drill for 2nd shift 3rd quarter.
Five employees did not have a food handlers permit.
One housekeeping employee did not have training regarding proper use of equipment, proper handling of clean and soiled linens, and procedures for disposal of waste.
Report Facts
Number of rule noncompliances: 18 Deficiencies cited: 143 Deficiencies cited: 18 Deficiencies cited: 43 Deficiencies cited: 17 Deficiencies cited: 1 Deficiencies cited: 205

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