Deficiencies (over last year)
Deficiencies (over last year)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
11% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 7
Date: Oct 4, 2023
Visit Reason
The inspection was an unannounced routine regulatory compliance check of Southgate Senior Living assisted living facility to assess compliance with state licensing rules and regulations.
Findings
The inspection identified 14 rule noncompliances including issues with employee licensing and clearance, medication administration delays, unsecured chemicals, fire door malfunctions, incomplete wander risk agreements for secure unit residents, and deficiencies in emergency preparedness drills and documentation.
Deficiencies (7)
Two citations related to DACS clearance and employee linkage were issued with a correction date of 2023-10-05.
Medication administration was delayed during the 8:00 AM medication pass, with six residents receiving medications late and no medication error incident reports completed.
Residents admitted to the secure unit did not have required wander risk management agreements in place.
Electrical panels were unlocked and accessible in the health care coordinator's office, and fire doors on the main stairwell and second floor hallway did not close or latch properly.
Unsecured chemicals were found in the secure unit's first floor activities closet and kitchen.
No fire drills were conducted for the first shift in the second quarter and for the third shift in the third quarter; emergency information was not posted in the secure unit on the first or second floor.
Medication errors were not reviewed during quality assurance meetings as required.
Report Facts
Number of rule noncompliances: 14
Medication administration delay count: 6
Secure unit residents without wander risk agreements: 3
Loading inspection reports...
