Inspection Reports for Quail Meadow Assisted Living and Memory Care
UT, 84414
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Inspection Report
Routine
Census: 22
Deficiencies: 20
Jun 18, 2024
Visit Reason
The inspection was an unannounced routine inspection to review compliance with assisted living facility regulations.
Findings
The inspection identified 22 rule noncompliances including issues with employee orientation and training, medication administration documentation, emergency preparedness, housekeeping, maintenance, and resident rights documentation.
Deficiencies (20)
| Description |
|---|
| One employee providing personal care was not 18 years of age or a certified nurse aide. |
| Four employees did not receive orientation and core competency training within 30 days of hire. |
| Three direct care employees did not have 16 hours of documented one-on-one job training. |
| One employee did not receive annual in-service and core competency training. |
| One resident who self-administers insulin did not have documentation of assessment to do so. |
| Licensed health care professional was not notified when medication errors occurred. |
| Resident's written legal rights did not include a statement about filing complaints with the state long-term care ombudsman or advocacy groups. |
| The licensee did not document and retain substitutions to the menu served to residents for three months. |
| Dietitian consultation was not provided quarterly for two residents requiring therapeutic diets. |
| Laundry and maintenance rooms were not locked; cleaning agents and hazardous materials were accessible. |
| Housekeeping personnel were not trained on cleaning solutions, procedures, equipment use, linen handling, and waste disposal. |
| Two light fixtures outside resident rooms were not working; one resident's maintenance request for a light bulb was not fulfilled. |
| Pest control program was not conducted by licensed personnel; maintenance and pest control work was not documented. |
| One resident room and a public bathroom had water temperatures outside the required 105-120°F range. |
| Emergency and disaster response plan was not developed with state and local authorities and lacked several required elements. |
| Emergency and disaster plan did not include instructions on recruiting additional help, delivery of essential care under emergency conditions, or contingency for reduced personnel. |
| Facility did not hold simulated fire drills during the 3rd quarter of 2023; observed drills lacked resident participation and evacuation assessment. |
| Emergency in-house equipment and supplies were incomplete, missing emergency lighting, heating, and potable water. |
| Telephone numbers of emergency medical personnel and agencies were not posted in public locations. |
| Narcotic record binder was left on the medication cart, not protected against unauthorized access. |
Report Facts
Number of rule noncompliances: 22
Inspection start time: 1100
Inspection end time: 1630
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