Inspection Reports for
Lotus Park Assisted Living
3518 South 2625 West, West Haven, UT 84401, West Haven, UT, 84401
Back to Facility ProfileDeficiencies (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
Complaint Investigation
Deficiencies: 12
Date: Apr 7, 2025
Visit Reason
The inspection was a complaint investigation combined with an unannounced annual relicensure inspection.
Complaint Details
The inspection was complaint-related as indicated by the inspection type 'Compliant Investigation'. Specific complaint details or substantiation status were not explicitly stated.
Findings
The facility was found noncompliant in multiple areas including quality assurance program, administrator duties, medication administration delegation, incident report maintenance, fire and disaster plan completeness, housekeeping personnel training, pet vaccination, and staff training in CPR, first aid, and Heimlich maneuver. Several policies and procedures were also not fully implemented or documented.
Deficiencies (12)
R432-270-6(2)(a-b) The quality assurance program did not consist of at least the administrator and a health care professional and did not meet at least quarterly to act on quality issues.
R432-270-8(1)(a-p) The administrator did not review every incident at least quarterly.
R432-270-11(8)(a-g) The licensee did not ensure that the prospective resident or the resident's responsible person signed a written admission agreement before admission.
R432-270-13(2) A licensed health care professional did not complete one resident's assessment.
R432-270-19(7)(a-f) Five employees were not delegated by the current licensed health professional to administer medications to residents.
R432-270-21(6) The licensee did not ensure that incident reports were maintained to document resident deaths.
R432-270-23(6)(a-e) The licensee did not ensure that housekeeping personnel were trained in all required areas.
R432-270-26(4)(a-k) The fire and disaster plan did not include plans for epidemic and mass casualty.
R432-270-26(6)(a-j) The fire and disaster plan did not include instructions on how to recruit additional help, supplies, and equipment to meet residents' needs after an emergency or disaster; delivery of essential care and services to facility occupants by alternate means; delivery of essential care and services if additional persons are housed in the facility during an emergency; and delivery of essential care and services to facility occupants if personnel are reduced by an emergency.
R432-270-26(8)(a-d) The ability of each resident to evacuate was not included in the fire drill documentation. Each resident participant was not listed.
R432-270-27(1)(a-d) Five employees did not have training in CPR, first aid, and the Heimlich maneuver.
R432-270-28(6) Pets that are kept at the facility did not have current vaccinations.
Report Facts
Number of rule noncompliances: 13
Employees not delegated for medication administration: 5
Employees lacking CPR, first aid, Heimlich training: 5
Date of inspection: Apr 7, 2025
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