Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
84% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 0
Date: Aug 6, 2025
Visit Reason
Routine unannounced inspection of Medallion Manor, an Intermediate Care Facility for Individuals with Intellectual Disabilities, to assess compliance with applicable state regulations.
Findings
The facility was found largely compliant with the rules governing Intermediate Care Facilities for Individuals with Intellectual Disabilities. Several areas of noncompliance were noted, primarily related to policies, procedures, and documentation requirements, but no rule noncompliances were recorded during this inspection.
Report Facts
Number of rule noncompliances: 0
Inspection Report
Renewal
Deficiencies: 0
Date: Aug 13, 2024
Visit Reason
The inspection was a recertification survey conducted from 2024-08-12 through 2024-08-13 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. No deficiencies were cited during this survey.
Inspection Report
Life Safety
Deficiencies: 1
Date: Aug 12, 2024
Visit Reason
The inspection was conducted as an Emergency Preparedness and Life Safety Code survey to assess compliance with federal regulations and NFPA standards.
Findings
The facility was found compliant with Emergency Preparedness requirements but non-compliant with Life Safety Code requirements related to electrical equipment and GFCI outlets. Several GFCI outlets near sinks were not installed or protected as required by NFPA standards.
Deficiencies (1)
K511: The facility did not maintain electrical equipment in accordance with NFPA 101 sections 19.5.1 and 9.1.2. Several GFCI outlets were missing or not protected within six feet of sinks, posing a safety hazard.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cole Julian | Administrator | Named as responsible for overseeing the plan of correction for GFCI outlet deficiencies. |
Inspection Report
Re-Inspection
Deficiencies: 3
Date: Sep 6, 2023
Visit Reason
A re-certification inspection was conducted from 09/05/2023 to 09/06/2023 to assess compliance with Intermediate Care Facilities for Individuals with Intellectual Disabilities regulations.
Findings
Deficiencies were identified related to the individual program plan and comprehensive functional assessment for Client 4, specifically lacking relevant interventions and toileting skills assessment. Additionally, a life safety survey found noncompliance with portable fire extinguisher maintenance and documentation requirements.
Deficiencies (3)
W240 Individual Program Plan did not describe relevant interventions to support Client 4 toward independence based on observation, record review, and interview.
W259 The comprehensive functional assessment of Client 4 was not reviewed annually by the interdisciplinary team and lacked toileting skills assessment, repeating a prior deficiency.
K355 Portable fire extinguishers were not maintained or documented correctly, lacking required records including maintenance dates, recharge dates, hydrostatic test dates, and condition descriptions.
Report Facts
Deficiency repeat: 1
Code citations: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee 1 | Interviewed regarding Client 4's toileting accidents | |
| Employee 2 | Interviewed regarding Client 4's brief usage and care | |
| Employee 4 | Interviewed regarding Client 4's care checks | |
| Qualified Intellectual Disabilities Professional | Interviewed about Client 4's toileting training and CFA | |
| Plant Manager | Present during emergency preparedness and life safety surveys |
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