Inspection Reports for
The Retreat at Sunbrook
359 N Dixie Dr, St. George, UT 84770, United States, UT, 84770
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
49% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 0
Date: Sep 9, 2025
Visit Reason
The inspection was a routine regulatory compliance check of an assisted living facility to verify adherence to state licensing rules and regulations.
Findings
The facility was generally compliant with most licensing rules, including administration, personnel, resident rights, medication administration, and emergency preparedness. Technical assistance was provided in several areas. There were no residents receiving medical cannabis, no respite or adult day care services provided, and no residents independently administering medications.
Report Facts
Rule noncompliance counts: 54
Rule compliance counts: 184
Rule not assessed counts: 0
Inspection Report
Routine
Deficiencies: 8
Date: Oct 2, 2023
Visit Reason
Unannounced routine inspection of The Retreat at Sunbrook assisted living facility to review compliance with licensing rules and regulations.
Findings
The inspection identified 10 rule noncompliances including issues with employee health inventory documentation, hospice resident care plans, resident assessments, service plans, dietary services, maintenance of fire doors, emergency preparedness, and documentation of resident evacuation ability during drills.
Deficiencies (8)
R432-270-8(13)(a)-(d) An employee did not have a health inventory completed and on file.
R432-270-10(9)(a)-(c) Hospice residents did not have a copy of diagnosis or orders for care.
R432-270-12(1) Resident was not assessed prior to admission.
R432-270-12(3) Resident assessments did not accurately reflect resident status at time of assessment.
R432-270-13(2) A resident was assessed who required home health services and the home health services were not addressed on the service plan.
R432-270-21(7) A resident had a cardiac diet ordered and did not receive quarterly documented dietitian visits.
R432-270-24(1)(a)-(d) Fire doors in the hallway toward the memory care unit and near the dining room lacked astragal devices; gaps exceeded 1/2 inch. East memory care exit door not maintained and free of hazards.
R432-270-25(8)(a)-(d) Did not document the ability of each resident to evacuate during emergency drills.
Report Facts
Number of rule noncompliances: 10
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