Inspection Reports for Legacy House Assisted Living of South Jordan

1517 West Temple Lane, South Jordan, UT, 84095

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 20 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

153% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

20 15 10 5 0
2025
Inspection Report Routine Deficiencies: 20 Jan 27, 2025
Visit Reason
The inspection was an unannounced routine inspection of the assisted living facility Legacy House of South Jordan to review compliance with licensing rules and regulations.
Findings
The inspection identified 22 rule noncompliances including issues with employee identification badges, job descriptions, annual in-service training, resident rights documentation, food service menu posting, emergency preparedness, maintenance, and staff fingerprinting compliance.
Deficiencies (20)
Description
1 employee was not wearing an identification badge
1 employee did not have an updated job description
3 employees did not receive all their required annual in-services
The resident's written legal rights did not include a statement that the resident could file a complaint with the state long-term care ombudsman or any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility
The resident's admission agreement did not include a notice that the department had the authority to examine resident records to determine compliance with licensing requirements
2 resident assessments were not used to develop their service plan
2 direct-care employees did not have the documented one-on-one 16 hours of training to include 4 hours of training in the secure unit
1 resident file did not include the ER dentist
There was no menu posted for resident viewing and the substitution log was not maintained
1 employee did not have a tuberculosis skin-test
Electrical panels were unlocked near the reception desk
Water temperature was 130.8 degrees Fahrenheit
The emergency plan was not developed or coordinated with state and local emergency disaster authorities
The emergency and disaster response plan did not include plans for severe weather, explosion, windstorm or epidemic
The licensee did not hold simulated fire drills quarterly on each shift
Emergency information was not posted in public locations throughout the facility
There was detergent pods and powder detergent in the downstairs laundry room, multisurface cleaner in the downstairs utility room, and antibacterial wipes under the sink in the dining room
2 terminated employee's files did not have all the required records
1 employee had not submitted fingerprints within 15 working days of their engagement
1 employee was not connected to DACS within 5 working days
Report Facts
Number of rule noncompliances: 22 Fingerprints submission delay: 15 Fingerprints submission delay count: 1 DACS connection delay count: 1 Employees without updated job description: 1 Employees missing annual in-service training: 3 Resident assessments not used for service plan: 2 Direct-care employees missing secure unit training: 2 Resident files missing ER dentist: 1
Report Jan 27, 2025
File
20250127-checklist-664408.pdf

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