Deficiencies (over last year)
Deficiencies (over last year)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 12
Date: May 21, 2024
Visit Reason
Unannounced routine inspection to assess compliance with assisted living facility regulations.
Findings
The inspection identified 12 rule noncompliances related to administrator duties, personnel training, resident assessments, service plans, secure unit requirements, emergency preparedness, and medication administration.
Deficiencies (12)
R432-270-8(1)(a-p) The administrator did not report a suspected abuse investigation to APS within the required timeframe.
R432-270-9(7)(a)-(f) Core competency training was not documented in four employee files.
R432-270-9(9)(a)-(l) Multiple employees lacked required in-service training relevant to their job responsibilities.
R432-270-9(10) The administrator did not complete the required annual dementia and Alzheimer's specific training.
R432-270-13(1) Two residents in the secure unit did not have memory assessed on their resident assessments.
R432-270-13(3)(a)-(b) One resident's assessment was not accurate at the time of assessment (diet).
R432-270-14(3)(a)-(e) The service plan did not include the frequency of services provided.
R432-270-16(6) On multiple dates, staff working at night were not certified nurse aides as required in the secure unit.
R432-270-16(2)(a)-(b) The secured unit admission agreement did not state that the unit is locked.
R432-270-16(3) Three employees working in the memory care unit did not have the required four hours of one-on-one training in the secure unit.
R432-270-26(2)(a)-(c) The emergency disaster plan did not coordinate with state and local authorities and lacked required elements for resident protection and staff response.
R432-270-26(6)(g)-(j) The emergency and disaster response plan lacked instructions on recruiting additional help, delivery of essential care by alternate means, and care during emergencies with reduced personnel or additional residents.
Report Facts
Number of rule noncompliances: 12
Employees lacking core competency training: 4
Residents without memory assessment: 2
Employees lacking secure unit training: 3
Loading inspection reports...



