Inspection Reports for
South Ogden Post Acute
5540 South 1050 East, Ogden, UT, 84405
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
12.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Deficiencies: 4
Date: Aug 21, 2025
Visit Reason
The inspection was an unannounced routine visit to review compliance with nursing care facility regulations.
Findings
The facility was found compliant with most regulations, with a few noncompliances noted, including incomplete employee training and some policy deficiencies. No severe deficiencies or enforcement actions were indicated.
Deficiencies (4)
R432-40-3(2) Employee training was incomplete; an employee had not completed required online training regarding Rule R432-40.
R432-150-4(1)(a-e) The licensee did not fully provide dietary services, medical supervision, recreational therapy, and social services as required.
R432-150-4(2)(a-f) The licensee did not fully provide occupational, physical, respiratory, speech, and other therapies as ordered by licensed practitioners.
R432-150-4(13) The facility provided terminal care as allowed by regulation.
Report Facts
Number of rule noncompliances: 4
Inspection Report
Routine
Deficiencies: 3
Date: Mar 17, 2025
Visit Reason
Unannounced routine inspection conducted to assess compliance with nursing care facility regulations.
Findings
The inspection found 7 rule noncompliances related to various regulatory requirements including resident care, staff qualifications, medication management, and facility operations. Several areas were compliant, but some deficiencies were noted in care planning, dental services, and food service practices.
Deficiencies (3)
150-12(3) The licensee failed to ensure each individual who completes a portion of the assessment signs and certifies the accuracy of that portion of the assessment.
150-21(4)(a-d) The licensee failed to develop and implement adequate oral hygiene policies and procedures and referral services for residents without a personal dentist.
150-22(1) The licensee failed to provide each resident with a safe, palatable, well-balanced diet that meets daily nutritional and special dietary needs.
Report Facts
Number of rule noncompliances: 7
Inspection Report
Complaint Investigation
Deficiencies: 18
Date: Sep 14, 2023
Visit Reason
The inspection was conducted due to allegations of abuse, neglect, and exploitation involving residents at the facility. The investigation focused on verifying these allegations and ensuring resident safety and compliance with regulatory requirements.
Complaint Details
The complaint investigation was substantiated with findings of abuse, neglect, and exploitation involving multiple residents. The facility failed to protect residents from harm, failed to report and investigate allegations properly, and did not ensure adequate care and safety measures were in place.
Findings
The facility was found to have multiple deficiencies related to abuse, neglect, and exploitation, including failure to protect residents from harm, inadequate investigation of alleged abuse, and failure to maintain proper documentation and care. Several residents exhibited inappropriate behaviors and were not adequately monitored or protected. The facility also failed to comply with infection control, medication management, and life safety code requirements.
Deficiencies (18)
F600 - The facility failed to ensure residents were free from abuse, neglect, and exploitation, including failure to protect residents from inappropriate sexual behaviors and physical harm.
F609 - The facility failed to report alleged violations of abuse, neglect, or exploitation to the appropriate authorities within required timeframes.
F610 - The facility failed to thoroughly investigate and document allegations of abuse, neglect, or exploitation and failed to ensure all alleged violations were thoroughly investigated.
F676 - The facility failed to ensure residents received adequate assistance with activities of daily living, including hygiene and bathing.
F693 - The facility failed to ensure residents receiving enteral nutrition were properly assessed and cared for according to their care plans.
F760 - The facility failed to ensure residents were free from significant medication errors and administered medications safely.
F761 - The facility failed to properly label and store drugs and biologicals in accordance with professional standards.
F842 - The facility failed to maintain accurate, complete, and confidential medical records for residents.
F867 - The facility failed to develop and implement a quality assurance and performance improvement program addressing identified deficiencies.
F880 - The facility failed to establish and maintain an effective infection prevention and control program, including COVID-19 protocols.
F881 - The facility failed to implement an antibiotic stewardship program ensuring appropriate antibiotic use.
F883 - The facility failed to ensure residents received required influenza and pneumococcal immunizations or documented refusals.
K211 - The facility failed to maintain means of egress and exits in accordance with NFPA 101 Life Safety Code.
K321 - The facility failed to maintain hazardous areas enclosure and separation in accordance with NFPA 101.
K355 - The facility failed to maintain portable fire extinguishers in accordance with NFPA 101.
K374 - The facility failed to maintain smoke barrier doors in accordance with NFPA 101.
K712 - The facility failed to maintain and document required fire drills.
K918 - The facility failed to maintain electrical systems and conduct required testing and maintenance.
Report Facts
Sampled residents: 33
Deficiencies cited: 16
Resident incidents reported: 2567
Fire drills required: 12
Fire drills deficient: 1
Smoke compartments affected: 2
Electrical tests required: 12
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