Inspection Reports for Sunshine Terrace Skilled Nursing
248 West 300 North, Logan, UT, 84321
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 12
Date: Feb 19, 2024
Visit Reason
The facility underwent a Recertification Survey from 02/19/2024 to 02/22/2024 to assess compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance with regulatory requirements, with deficiencies cited in grievance procedures, reporting of alleged violations, quality of care, food safety, infection prevention and control, emergency preparedness, and life safety systems.
Deficiencies (12)
Failure to ensure the provision of the right to file grievances anonymously, impacting residents' ability to execute this right.
Failure to report allegations of abuse within required timeframes for two residents.
Failure to ensure residents received treatment and care in accordance with professional standards for 2 of 7 residents.
Failure to adhere to food safety requirements, affecting 50 of 50 residents who received nutrition from the kitchen.
Failure to establish and maintain an infection prevention and control program to provide a safe, sanitary, and comfortable environment.
Failure to maintain emergency lighting system in accordance with NFPA 101 requirements.
Failure to maintain kitchen hood fire suppression system documentation and inspection.
Failure to maintain fire sprinkler system in accordance with NFPA 25 standards.
Failure to maintain portable fire extinguishers and complete required testing.
Failure to maintain electrical systems and receptacles in patient care areas according to NFPA 101.
Failure to maintain electrical equipment testing and maintenance documentation.
Failure to maintain electrical equipment in accordance with NFPA 101 and NFPA 99 standards.
Report Facts
Residents affected: 50
Residents reviewed: 7
Residents involved in abuse reporting deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cole Julian | Administrator | Signed plan of correction approval dated 03-19-2024. |
| Social Worker #5 | Named as grievance official involved in grievance investigation and reporting. | |
| Director of Nursing | Director of Nursing/Infection Preventionist | Involved in grievance and abuse reporting findings and interviews. |
| Administrator | Administrator | Interviewed regarding grievance and abuse reporting procedures. |
| Resident #28 | Resident involved in abuse allegation and grievance findings. | |
| Resident #39 | Resident involved in abuse allegation and grievance findings. | |
| Resident #50 | Resident involved in quality of care and wound care deficiencies. |
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