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 (over last year)
Deficiencies (over last year)
18 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
128% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Deficiencies: 18
Date: Dec 18, 2024
Visit Reason
Routine unannounced inspection of an assisted living facility to assess compliance with licensing and regulatory requirements.
Findings
The inspection identified 18 rule noncompliances across various regulatory areas including resident assessments, medication administration, emergency preparedness, and housekeeping. Several deficiencies related to documentation, staff training, emergency plans, and facility maintenance were noted.
Deficiencies (18)
R432-270-11(10)(a)-(c) The type II licensee accepted and retained 1 hospice patient resident and did not keep a copy of the physician's diagnoses and orders for care.
R432-270-13(3)(a)-(b) One resident's assessment did not accurately reflect the resident's status at the time of assessment.
R432-270-14(2) The licensee did not ensure that the resident assessment was used to develop, review and revise their service plans.
R432-270-14(3)(d) The licensee did not ensure that the service plan included the frequency of services.
R432-270-25(1) Fire doors by mailboxes did not close and latch.
R432-270-26(4)(d) The provider's emergency and disaster plan did not include the death of a resident.
R432-270-26(6)(h)-(i) The provider's 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 to facility occupants by alternate means.
R432-270-26(8)(a)-(d) The provider did not have emergency heating and blankets.
R432-270-26(11)(a)-(b) The following information was not posted in public locations throughout the facility: the name of the person in charge and names and telephone numbers of emergency medical personnel, agencies, and appropriate communication and emergency transport systems.
R432-270-27(1)(a)-(d) Three employees did not have first aid/CPR training in their files and worked alone or together multiple shifts in December.
R432-270-23(5) There was disinfectant spray and air freshener near the employee lounge on the second floor bathroom.
R432-270-19(7)(a)-(f) One resident did not receive their medications per the prescribing order.
R432-270-19(14) One resident received their medications late and the health care professional was not notified.
R432-270-19(15) One resident received their medications late and the medication technician did not complete a medication error report.
R432-270-21(6) The facility did not have incident reports for 2 residents' deaths.
R432-35-4(2)(a)-(b) One employee did not have a signed criminal background screening authorization form in their file.
R432-270-26(9) Residents did not participate in all drills.
R432-270-20(3)(a)-(f) The licensee did not have a system to ensure full, complete, and separate accounting of each resident's personal funds entrusted to the facility.
Report Facts
Rule noncompliances: 18
Residents: 126
Employees: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Three employees lacked first aid/CPR training and worked alone or together multiple shifts in December. | ||
| One employee lacked a signed criminal background screening authorization form. |
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