Inspection Reports for
St. Joseph Villa
451 East Bishop Federal Lane, Salt Lake City, UT, 84115
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Census: 173
Capacity: 221
Deficiencies: 3
Date: Aug 22, 2024
Visit Reason
A Comparative Federal Monitoring Survey was conducted following a State Agency Annual Survey to assess compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found noncompliant with fire safety and emergency preparedness regulations, including failure to maintain sprinkler systems and smoke barriers, and deficiencies in the emergency preparedness plan affecting all residents.
Deficiencies (3)
K 353 Sprinkler System - Maintenance and Testing: The facility failed to maintain sprinkler heads free from corrosion, affecting four sprinkler heads in the kitchen area.
K 372 Subdivision of Building Spaces - Smoke Barrier: The facility failed to maintain smoke barriers, with two unsealed penetrations above a door on the first floor.
E 006 Plan Based on All Hazards Risk Assessment: The facility failed to develop and maintain an emergency preparedness plan that includes a documented risk assessment and strategies addressing missing residents.
Report Facts
Deficiencies cited: 3
Census: 173
Total Capacity: 221
Sprinkler heads corroded: 4
Unsealed penetrations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Wilhelm | Reviewer | Reviewed the inspection report. |
| Maintenance Director | Interviewed regarding sprinkler system and smoke barrier findings; reported findings to QA&A committee. | |
| Administrator | Verified census and findings during exit interview. |
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