Inspection Reports for South Ogden Post Acute

5540 South 1050 East, Ogden, UT, 84405

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

62% better than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Inspection Report

Routine
Deficiencies: 2 Date: Aug 21, 2025

Visit Reason
The inspection was an unannounced routine inspection conducted to review compliance with state nursing care facility regulations.

Findings
The inspection found four rule noncompliances (technical assistance issues) across various regulatory requirements including employee background checks and medical records documentation. The facility was generally compliant with most rules reviewed.

Deficiencies (2)
Failure to ensure engaged covered individuals submit fingerprints within 15 working days of engagement.
Failure to maintain complete and accurate medical records, specifically missing documentation of service agreements for respite services.
Report Facts
Number of rule noncompliances: 4

Inspection Report

Routine
Deficiencies: 0 Date: Mar 17, 2025

Visit Reason
The inspection was an unannounced routine visit conducted to ensure compliance with nursing care facility regulations.

Findings
The inspection checklist shows multiple areas of compliance and noncompliance across various regulatory requirements including resident rights, care plans, medication management, staff training, emergency preparedness, and facility maintenance. Several rules were found compliant while some had noncompliances noted.

Report Facts
Number of rule noncompliances: 7

Employees mentioned
NameTitleContext
Kacee MillerAdministratorNamed as the individual informed of the inspection
Marcie PriceLicensorConducted the inspection
Taryn DegrootLicensorConducted the inspection
Dawson CroxallLicensorConducted the inspection

Inspection Report

Life Safety
Deficiencies: 4 Date: Sep 14, 2023

Visit Reason
The document is a Life Safety Code survey conducted on 09/14/2023 to assess compliance with fire safety and emergency preparedness regulations at South Ogden Post Acute.

Findings
The facility was found not in compliance with several fire safety requirements including means of egress, fire drills, and electrical system maintenance. Deficiencies were identified in maintaining fire door assemblies, smoke barrier doors, fire drills, and generator load testing.

Deficiencies (4)
Means of Egress - General: Facility failed to provide documentation of annual fire door assembly inspection and testing.
Hazardous Areas - Enclosure: Facility failed to maintain fire and smoke separation in hazardous areas including laundry room door propped open.
Fire Drills: Facility failed to conduct required quarterly fire drills on all shifts and document them.
Electrical Systems - Essential Electric System Maintenance and Testing: Facility failed to provide documentation of monthly generator load test for several months.
Report Facts
Fire drills missed: 1 Fire door inspections missed: 1 Generator load tests missed: 3 Fire drills required: 12 Fire drills conducted: 11

Employees mentioned
NameTitleContext
Ronald KappAdministratorNamed in relation to plan of correction and signature on report
Maintenance ManagerResponsible for fire door inspections, fire drills, generator testing, and corrective actions
Housekeeping SupervisorEducated on keeping laundry room door closed

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