Inspection Reports for Medallion Manor

UT

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Deficiencies per Year

4 3 2 1 0
2023
2024
2025
Unclassified
Inspection Report Routine Deficiencies: 0 Aug 6, 2025
Visit Reason
The inspection was conducted using a checklist tool by the Utah Department of Health & Human Services to ensure compliance with licensing and regulatory requirements for an Intermediate Care Facility for Individuals with Intellectual Disabilities.
Findings
The report details compliance with numerous regulatory rules covering areas such as client rights, staffing, medication management, emergency planning, and facility operations. The inspection found no rule noncompliances at the time of the visit.
Report Facts
Number of rule noncompliances: 0
Inspection Report Renewal Deficiencies: 0 Aug 12, 2024
Visit Reason
The inspection was a recertification survey conducted to determine compliance with the 42 Code of Federal Regulations for Intermediate Care Facilities for Individuals with Intellectual Disabilities.
Findings
Medallion Manor was found to be in compliance with all applicable regulations, and no deficiencies were cited during the survey.
Inspection Report Life Safety Deficiencies: 1 Aug 12, 2024
Visit Reason
The inspection was conducted as an Emergency Preparedness and Life Safety Code survey on 08-12-2024 to assess compliance with federal regulations and NFPA codes.
Findings
The facility was found to be in compliance with Emergency Preparedness requirements but not in compliance with Life Safety Code requirements related to electrical equipment and GFCI outlets. Several GFCI outlets were not maintained properly, including a sink at the nurse's station that was not GFCI protected and was within six feet of the sink.
Deficiencies (1)
Description
Facility did not maintain electrical equipment in accordance with NFPA 101 19.5.1 and 9.1.2, affecting several GFCI outlets including a sink at the nurse's station that was not GFCI protected and was within six feet of the sink.
Employees Mentioned
NameTitleContext
Cole JulianAdministratorNamed in relation to the plan of correction for GFCI outlet deficiencies.
Inspection Report Annual Inspection Deficiencies: 2 Sep 6, 2023
Visit Reason
A re-certification inspection was conducted from 9/5/2023 to 9/6/2023 to assess compliance with Intermediate Care Facilities for Individuals with Intellectual Disabilities regulations.
Findings
Two deficiencies were cited: one related to the individual program plan (IPP) and comprehensive functional assessment (CFA) not describing relevant interventions for a sampled client, and a repeat deficiency regarding portable fire extinguishers not maintained according to NFPA standards.
Deficiencies (2)
Description
The individual program plan (IPP) did not describe relevant interventions to support the individual toward independence for Client 4.
The facility did not maintain portable fire extinguishers in accordance with NFPA standards, including failure to provide required maintenance records.
Report Facts
Number of sampled clients: 4 Client age: 35 Admission date: Apr 29, 2005 IPP date: Jun 20, 2023 CFA date: Nov 7, 2022 Plan of correction compliance date: Oct 31, 2023
Employees Mentioned
NameTitleContext
April ClarsonLCSW, QIDPApproved the plan of correction on 9/20/2023
Milan LopezAdministratorSigned the inspection report and plan of correction

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