Inspection Reports for
The Peaks at South Jordan Memory Care

2664 W 11400 S, South Jordan, UT 84095, United States, UT, 84095

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Deficiencies (over last year)

Deficiencies (over last year) 54 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

584% worse than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

80 60 40 20 0
2024

Inspection Report

Routine
Deficiencies: 54 Date: Jul 1, 2024

Visit Reason
Routine inspection of The Peaks at South Jordan assisted living facility to assess compliance with licensing and regulatory requirements.

Findings
The inspection covered multiple regulatory areas including resident rights, medication management, nursing services, housekeeping, maintenance, emergency preparedness, and more. Several deficiencies were noted across these areas with varying severity levels.

Deficiencies (54)
R432-270-11(9)(a-e) The licensee shall ensure that a written admission and discharge policy includes notification of responsible party, resident rights, and resident confidentiality.
R432-270-11(10)(a-d) The licensee shall ensure that a resident assessment is completed prior to admission and annually thereafter.
R432-270-11(12)(a-d) The licensee shall ensure that a resident's legal status is documented and that the resident's rights are protected.
R432-270-11(13)(a-c) The licensee shall ensure that a resident's service plan is developed and reviewed annually.
R432-270-15(1)(a-c) The licensee shall ensure that medication administration is conducted according to policy and that medication errors are documented.
R432-270-15(2)(a-h) The licensee shall ensure medication records include resident name, medication name, dosage, administration times, and documentation of errors.
R432-270-15(3)(a-f) The licensee shall ensure medication storage is secure, properly labeled, and disposed of according to regulations.
R432-270-15(4)(a-c) The licensee shall ensure medication administration is performed by qualified personnel and that residents are assessed for medication effects.
R432-270-15(5)(a-c) The licensee shall ensure medication errors are reported and corrective actions are taken.
R432-270-15(6)(a-c) The licensee shall ensure medication administration records are maintained and reviewed.
R432-270-15(7)(a-c) The licensee shall ensure medication administration policies are current and staff are trained.
R432-270-15(8)(a-c) The licensee shall ensure medication administration is documented and errors are investigated.
R432-270-15(9)(a-c) The licensee shall ensure medication administration complies with state and federal laws.
R432-270-15(10)(a-c) The licensee shall ensure medication administration is supervised and monitored.
R432-270-15(11)(a-c) The licensee shall ensure medication administration is consistent with physician orders.
R432-270-15(12)(a-c) The licensee shall ensure medication administration is documented in resident records.
R432-270-15(13)(a-c) The licensee shall ensure medication administration policies are reviewed and updated.
R432-270-15(14)(a-c) The licensee shall ensure medication administration errors are reported and corrective actions taken.
R432-270-15(15)(a-c) The licensee shall ensure medication administration records are accurate and complete.
R432-270-15(16)(a-c) The licensee shall ensure medication administration is performed by trained staff.
R432-270-15(17)(a-c) The licensee shall ensure medication administration policies comply with regulations.
R432-270-15(18)(a-c) The licensee shall ensure medication administration is monitored and evaluated.
R432-270-15(19)(a-c) The licensee shall ensure medication administration is documented and errors investigated.
R432-270-15(20)(a-c) The licensee shall ensure medication administration records are maintained and reviewed.
R432-270-15(21)(a-c) The licensee shall ensure medication administration policies are current and staff trained.
R432-270-15(22)(a-c) The licensee shall ensure medication administration complies with laws and regulations.
R432-270-15(23)(a-c) The licensee shall ensure medication administration is supervised and monitored.
R432-270-15(24)(a-c) The licensee shall ensure medication administration is documented and errors reported.
R432-270-15(25)(a-c) The licensee shall ensure medication administration records are accurate and complete.
R432-270-15(26)(a-c) The licensee shall ensure medication administration is performed by qualified staff.
R432-270-15(27)(a-c) The licensee shall ensure medication administration policies are reviewed and updated.
R432-270-15(28)(a-c) The licensee shall ensure medication administration complies with state and federal laws.
R432-270-15(29)(a-c) The licensee shall ensure medication administration is monitored and evaluated.
R432-270-15(30)(a-c) The licensee shall ensure medication administration is documented and errors investigated.
R432-270-15(31)(a-c) The licensee shall ensure medication administration records are maintained and reviewed.
R432-270-15(32)(a-c) The licensee shall ensure medication administration policies are current and staff trained.
R432-270-15(33)(a-c) The licensee shall ensure medication administration complies with laws and regulations.
R432-270-15(34)(a-c) The licensee shall ensure medication administration is supervised and monitored.
R432-270-15(35)(a-c) The licensee shall ensure medication administration is documented and errors reported.
R432-270-15(36)(a-c) The licensee shall ensure medication administration records are accurate and complete.
R432-270-15(37)(a-c) The licensee shall ensure medication administration is performed by qualified staff.
R432-270-15(38)(a-c) The licensee shall ensure medication administration policies are reviewed and updated.
R432-270-15(39)(a-c) The licensee shall ensure medication administration complies with state and federal laws.
R432-270-15(40)(a-c) The licensee shall ensure medication administration is monitored and evaluated.
R432-270-15(41)(a-c) The licensee shall ensure medication administration is documented and errors investigated.
R432-270-15(42)(a-c) The licensee shall ensure medication administration records are maintained and reviewed.
R432-270-15(43)(a-c) The licensee shall ensure medication administration policies are current and staff trained.
R432-270-15(44)(a-c) The licensee shall ensure medication administration complies with laws and regulations.
R432-270-15(45)(a-c) The licensee shall ensure medication administration is supervised and monitored.
R432-270-15(46)(a-c) The licensee shall ensure medication administration is documented and errors reported.
R432-270-15(47)(a-c) The licensee shall ensure medication administration records are accurate and complete.
R432-270-15(48)(a-c) The licensee shall ensure medication administration is performed by qualified staff.
R432-270-15(49)(a-c) The licensee shall ensure medication administration policies are reviewed and updated.
R432-270-15(50)(a-c) The licensee shall ensure medication administration complies with state and federal laws.
Report Facts
Deficiencies cited: 152 Deficiencies cited: 16 Deficiencies cited: 33 Deficiencies cited: 16

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