Inspection Reports for Spring Gardens Senior Living St. George
2654 Red Cliffs Dr, St. George, UT 84790, United States, UT, 84790
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Unclassified
Inspection Report
Routine
Deficiencies: 18
Dec 18, 2024
Visit Reason
Unannounced routine inspection conducted to assess compliance with assisted living facility regulations and licensing requirements.
Findings
The inspection identified 18 rule noncompliances including deficiencies in medication administration, emergency and disaster preparedness, incident reporting, maintenance issues such as fire doors not closing properly, and missing documentation such as criminal background screening authorization and incident reports for resident deaths.
Deficiencies (18)
| Description |
|---|
| Did not keep a copy of the physician's diagnoses and orders for care for one hospice patient resident. |
| One resident's assessment did not accurately reflect the resident's status at the time of assessment. |
| Did not ensure that the resident assessment was used to develop, review, and revise service plans. |
| Service plan did not include the frequency of services. |
| One resident did not receive medications per the prescribing order. |
| One resident received medications late and the health care professional was not notified. |
| Medication technician did not complete a medication error report for a late medication administration. |
| Disinfectant spray and air freshener were stored near the employee lounge in the second floor bathroom. |
| Fire doors by mailboxes did not close and latch properly. |
| Emergency evacuation plan for the secure unit did not address the ability of staff to evacuate residents in case of emergency. |
| Provider's emergency and disaster plan did not include the death of a resident. |
| Emergency and disaster response plan did not include delivery of essential care and services if additional persons are housed in the facility during an emergency and delivery of essential care and services by alternate means. |
| Residents did not participate in all required drills. |
| Facility lacked emergency heating and blankets. |
| Information such as the name of the person in charge and emergency contacts was not posted in public locations throughout the facility. |
| Three employees lacked first aid/CPR training documentation and worked alone or together multiple shifts in December. |
| Facility did not have incident reports for two resident deaths. |
| One employee did not have a signed criminal background screening authorization form in their file. |
Report Facts
Number of rule noncompliances: 18
Number of hospice patient residents: 1
Number of residents with inaccurate assessments: 1
Number of residents with medication errors: 1
Number of residents with late medication: 1
Number of employees lacking first aid/CPR training: 3
Number of resident deaths without incident reports: 2
Number of employees missing criminal background screening authorization: 1
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