Inspection Reports for
Haven at Sky Mountain
2192 West 100 North, Hurricane, UT, 84737
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Capacity: 90
Deficiencies: 19
Date: Jan 28, 2024
Visit Reason
Unannounced routine inspection of Haven at Sky Mountain Assisted Living Facility to assess compliance with state licensing and regulatory requirements.
Findings
The inspection identified multiple areas of noncompliance including incomplete administrator certification and training, missing documentation for resident assessments and hospice care, medication administration issues, unsecured hazardous materials, incomplete emergency preparedness, and deficiencies in resident rights and service plans.
Deficiencies (19)
The administrator has not completed the required department-approved national certification program for type II facilities.
Significant change log was not maintained for 9 of 12 months; one resident's significant change in November was undocumented along with the facility's response.
One employee had not completed the required core competency training and orientation.
The administrator had not completed at least four hours of core competency training including dementia-specific training.
Health inventory was not completed for one employee.
Medication technician did not wash or sanitize hands between resident contacts.
Not all medication technicians have been delegated by the current nurse to administer medications.
One medication was not available and no medication error incident report was completed.
Medication errors are not incorporated into the facility quality improvement process.
Narcotic logs containing protected health information were left unattended on medication carts.
Two residents on therapeutic diets did not have quarterly dietitian consultation documented.
Memory care laundry was unlocked with detergent accessible; chemicals unsecured in laundry rooms and hair salon were open with supplies accessible.
One resident did not have hospice orders and plan of care in the file.
One resident in the secure unit did not have a secure unit agreement or documented wander risk agreement.
The provider did not have an emergency evacuation plan for each secure unit addressing evacuation ability.
No documentation of fire drills for the night shift for the 1st, 2nd, and 3rd quarters of 2024; drills lacked resident participation and evacuation ability documentation.
Facility lacked emergency lighting, extra blankets, and an emergency radio as required for emergency preparedness.
Facility did not have a current edition of a first aid manual available.
Pet vaccination records have not been maintained by the facility.
Report Facts
Total licensed capacity: 90
Secured beds: 34
Number of months significant change log was not maintained: 9
Residents without 6-month assessments: 5
Residents without frequency on some ADLs: 7
Fire drill quarters missing documentation: 3
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