Deficiencies (over last year)
Deficiencies (over last year)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 14
Date: Oct 8, 2025
Visit Reason
Unannounced routine inspection conducted to assess compliance with assisted living facility regulations.
Findings
The inspection found 14 rule noncompliances across various regulatory requirements including resident rights, personnel qualifications, medication administration, and facility maintenance. Several areas were compliant, but some deficiencies were noted requiring corrective action.
Deficiencies (14)
R432-1-11(2)(a-c) The licensee failed to develop and enforce policies for patient or resident medical cannabis use, designated employee responsibilities, and storage and access to medical cannabis.
R432-270-4(2) The licensee did not ensure the facility is licensed as a type I facility for individuals capable of exiting without assistance.
R432-270-6(2) The administrator of a type I facility did not meet the requirement of having an associate degree or two years experience in a health care facility.
R432-270-10(4)(a-f) The licensee accepted a resident who requires intermittent care from a licensed health care professional but did not meet all criteria for type I assisted living licensee admissions.
R432-270-10(9)(a-b) The licensee failed to assign a worker on-site 24/7 to assist hospice patients who cannot evacuate without assistance, exceeding the 25% hospice patient census limit.
R432-270-14(2) The licensee did not hire or contract with a registered nurse to provide or delegate medication administration for residents who cannot self-medicate.
R432-270-18(2) The licensee did not ensure each resident's medication program is administered by one of the approved methods.
R432-270-19(1)(b) The licensee required residents to deposit personal funds with the facility, which is not permitted.
R432-270-19(3)(a-f) The licensee failed to maintain a full, complete, and separate accounting system for each resident's personal funds as required.
R432-270-19(4) The licensee did not make individual financial records available on request through quarterly statements to residents or their legal representatives.
R432-270-19(5) The licensee did not purchase a surety bond or provide assurance satisfactory to OL that resident personal funds deposited with the facility are secure.
R432-270-22(10) The licensee failed to ensure employee hygiene and infection control measures are implemented when food service personnel also work in housekeeping.
R432-270-28(1) The licensee did not have any residents currently on respite services as required to provide intermittent care.
R432-270-29(1)(b) The licensee is not providing adult day care services and has not submitted policies and procedures for OL approval.
Report Facts
Number of rule noncompliances: 14
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