Inspection Reports for
Covington Senior Living of Lehi

301 North 1200 East, Lehi, UT, 84043

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Deficiencies (over last year)

Deficiencies (over last year) 19 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

141% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

20 15 10 5 0
2025

Inspection Report

Routine
Deficiencies: 19 Date: May 5, 2025

Visit Reason
The inspection was an unannounced routine regulatory compliance check of Covington Senior Living of Lehi assisted living facility.

Findings
The inspection identified 18 rule noncompliances across various regulatory areas including quality assurance, employee training, resident rights, resident assessments, medication administration, food services, housekeeping, maintenance, emergency preparedness, and secure unit admissions. Several deficiencies were corrected during the inspection.

Deficiencies (19)
R432-270-6(2)(a-b) The 2nd quarter quality assurance meetings did not consist of at least the facility administrator and a health care professional.
R432-270-7(1)(a-e) The administrator did not complete all required qualifications including a department-approved national certification program within six months of hire for type II facilities.
R432-270-8(1)(a-p) The administrator reviewed at least quarterly every injury, accident, and incident to a resident or employee but did not document appropriate corrective action.
R432-270-9(8)(a)-(c) One employee was not a certified nurse aide and did not have 16 hours of one-on-one job training.
R432-270-9(9)(a)-(l) One employee did not have documented core competency training in their file.
R432-270-9(14)(a-g) One employee did not have a tuberculosis test in file and three employees did not have health inventory forms.
R432-270-10(2)(a)-(b) Resident rights documentation did not contain a statement that the resident may file a complaint with the state long-term care ombudsman and other advocacy groups.
R432-270-11(10)(a)-(c) The licensee did not make the hospice services part of six residents' service plans that explained who was responsible to meet the resident's needs.
R432-270-12(6)(a)-(c) The licensee did not have a plan for mass casualty emergencies.
R432-270-15(2) The type II assisted living licensee did not employ or contract with a registered nurse to provide or delegate medication administration for residents who cannot self-medicate.
R432-270-16(2)(a)-(b) The licensee did not ensure that each resident admitted to the secure unit had an admission agreement indicating placement in the secure unit.
R432-270-19(18) Food items were stored in the medication refrigerator.
R432-270-20 The licensee does not manage resident funds as required by regulations.
R432-270-21(6) No incident reports were maintained for the deaths of two deceased residents.
R432-270-22(8)(a)-(c) Five employees did not have a current food handler's permit.
R432-270-24(6)(a)-(e) 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.
R432-270-25(1) The licensee did not have current elevator inspections for elevators 1 and 2.
R432-270-26(4)(a-k) The licensee did not have a plan for mass casualty emergencies.
R432-270-26(8)(a)-(d) The licensee did not have a fire drill for 2nd shift during the 3rd quarter.
Report Facts
Rule noncompliances: 18 Employees without food handler's permit: 5 Residents with hospice service plan deficiencies: 6 Residents with inaccurate assessments: 2 Residents with service plan development deficiencies: 4 Incident reports missing: 2

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