Inspection Reports for
Our House of Tooele
251 East 1000 North, Tooele, UT, 84074
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
21 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
166% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Routine
Deficiencies: 21
Date: Nov 3, 2025
Visit Reason
Unannounced routine inspection of Our House of Tooele Assisted Living Facility to assess compliance with Utah assisted living regulations.
Findings
The inspection found multiple areas of noncompliance including incomplete employee orientation and training, medication administration errors, inaccurate resident assessments, inadequate emergency preparedness plans, and improper storage of hazardous materials. Several resident service plans were not fully aligned with assessments. The facility also failed to maintain required documentation and conduct required drills on schedule.
Deficiencies (21)
R432-270-8(15) The licensee failed to ensure all employees completed required health inventory, tuberculosis screening, and infection control training.
R432-270-8(16) The licensee did not provide documented annual in-service training on job-related infection control topics to all employees.
R432-270-17(5) The licensee failed to provide locked storage for potentially dangerous recreational equipment such as scissors in the memory care unit.
R432-270-18(7) Medication administration was not consistently delegated and supervised according to regulations, resulting in late medication administration.
R432-270-18(14) The licensed health care professional was not notified of medication errors as required.
R432-270-18(15) Medication error incident reports were not completed for identified medication errors.
R432-270-22(5) Cleaning agents and hazardous materials were not stored in locked areas to prevent unauthorized access.
R432-270-25(8) The facility failed to conduct required emergency drills on all shifts and document resident participation and evacuation ability.
R432-270-25(1) The facility failed to maintain hot water temperatures between 105 and 120 degrees Fahrenheit in public and resident care areas.
R432-270-25(6) The emergency and disaster response plan did not address key elements including assignment of personnel, evacuation procedures, and alternate care delivery methods.
R432-270-8(15) Employee orientation files for multiple staff lacked documentation of required topics including ethics, confidentiality, resident rights, fire and disaster plans, and abuse reporting.
R432-270-9(7) Employee orientation did not include all required topics within 30 days of hire for several employees.
R432-270-9(9) Annual in-service training was incomplete for several employees, missing topics such as communication skills, abuse reporting, and dementia care.
R432-270-10(5) Resident rights documents did not include the right to file complaints with the long-term care ombudsman and advocacy groups.
R432-270-12(1) One resident assessment was not signed by a licensed health care professional at least every six months.
R432-270-12(3) One resident assessment contained inaccurate information about medication and gender.
R432-270-13(5) One resident assessment was not revised and updated after a significant change in medical condition.
R432-270-14(2) Resident assessments were not consistently used to develop or update service plans for some residents.
R432-270-14(5) One service plan did not include the frequency of services to be provided.
R432-270-21(7) Dietitian consultation was not provided quarterly or documented for residents requiring therapeutic diets.
R432-270-22(6) One housekeeping employee file lacked documentation of training related to housekeeping duties.
Report Facts
Medication errors: 2
Resident assessments reviewed: 10
Employee files reviewed: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dara Merrill | Administrator | Named in findings related to employee orientation, resident assessments, medication errors, and emergency preparedness |
| Mariah | Licensor | Observed infection control and medication pass issues |
| Karla Ramirez | Named in technical assistance for employee health inventory | |
| Jordan Ma'ae | Named in technical assistance for employee health inventory | |
| Jennipher Jimenez | Named in technical assistance for employee health inventory | |
| Monica Martinez | Housekeeping Director | Named in findings for missing housekeeping training documentation |
| Arturo Quintero | Dietary Director | Named in findings for missing annual training and missing criminal background screening authorization form |
Loading inspection reports...
