Inspection Reports for Holladay Park Plaza

Deficiencies related to medication administration failures and bed rail use were identified. Resident 3 missed multiple prescribed doses of calcium citrate supplements and Resident 9's bed rails were not implemented as ordered. Medication storage and supervision issues were also noted. All deficiencies were corrected by 9/22/2025.

Deficiencies related to medication administration failures and bed rail use were identified. Resident 3 missed multiple prescribed doses of calcium citrate supplements and Resident 9's bed rails were not implemented as ordered. Medication storage and supervision issues were also noted. All deficiencies were corrected by 9/22/2025.

Complaint investigation found two deficiencies related to initial comments that were not corrected at the time of visit.

Complaint investigation found two deficiencies related to initial comments that were not corrected at the time of visit.

Deficiencies included failure to provide written notice of bed hold policy, failure to follow physician orders for resident weights, and quality of care issues. Some deficiencies were corrected on first revisit but not corrected on second revisit.

Deficiencies included failure to provide written notice of bed hold policy, failure to follow physician orders for resident weights, and quality of care issues. Some deficiencies were corrected on first revisit but not corrected on second revisit.

One deficiency related to failure to report complete COVID-19 information to the National Healthcare Safety Network was identified and not corrected at time of visit.

One deficiency related to failure to report complete COVID-19 information to the National Healthcare Safety Network was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

Thirteen deficiencies identified including issues with resident privacy, grievances, assessment accuracy, care plan revisions, activities, quality of care, pressure ulcer prevention, range of motion, accident hazards, bowel/bladder care, mental health treatment, and infection control. Some deficiencies were corrected on first revisit but many remained uncorrected on second revisit.

Thirteen deficiencies identified including issues with resident privacy, grievances, assessment accuracy, care plan revisions, activities, quality of care, pressure ulcer prevention, range of motion, accident hazards, bowel/bladder care, mental health treatment, and infection control. Some deficiencies were corrected on first revisit but many remained uncorrected on second revisit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.

One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.