Inspection Reports for The Retreat at Sunbrook
359 N Dixie Dr, St. George, UT 84770, United States, UT, 84770
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Routine
Deficiencies: 0
Sep 9, 2025
Visit Reason
The inspection was conducted to assess compliance with Utah administrative rules for assisted living facilities, including licensing, resident rights, medication administration, staffing, emergency preparedness, and other regulatory requirements.
Findings
The facility is a Type II assisted living provider and was found to be generally compliant with the applicable rules. Technical assistance was provided in several areas. There were no residents receiving medical cannabis or respite services, no residents independently administering medications, and no residents requiring adaptive eating equipment or therapeutic diets. No noncompliance or deficiencies with severity levels were explicitly noted.
Report Facts
Resident census: Not explicitly stated in the report
Facility type: 2
Certified nurse aide staffing: 1
Hot water temperature range: 105-120
Medication storage temperature range: 36-46
Food service interval: 14
Inspection Report
Routine
Deficiencies: 6
Oct 2, 2023
Visit Reason
The inspection was an unannounced routine visit conducted to assess compliance with assisted living facility regulations, including review of documentation, resident care, safety, and facility operations.
Findings
The inspection identified 10 rule noncompliances covering areas such as resident assessments, service plans, dietary services, housekeeping, maintenance, emergency preparedness, and documentation of resident rights and staff training. Specific deficiencies included missing documentation for hospice residents, incomplete resident assessments, lack of quarterly dietitian visits, unsafe storage of cleaning agents, and incomplete emergency evacuation documentation.
Deficiencies (6)
| Description |
|---|
| Hospice residents did not have a copy of diagnosis or orders for care. |
| A resident's assessment did not include a therapeutic diet or home health services; multiple residents assessed as independent with insulin administration but did not receive insulin. |
| A resident had a cardiac diet ordered and did not receive quarterly documented dietitian visits. |
| Second floor laundry room contained cleaning agents, bleach, and enzyme boost stored beneath the sink, accessible and not locked. |
| Fire doors in the hallway toward the memory care unit and near the dining room lacked astragal devices; gap between doors exceeded 1/2 inch; East memory care exit door not maintained and free of hazards. |
| Did not document the ability of each resident to evacuate during emergency drills. |
Report Facts
Number of rule noncompliances: 10
Inspection date: Oct 2, 2023
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