Inspection Reports for The Villas at Baer Creek
770 S Main St, Kaysville, UT 84037, United States, UT, 84037
Back to Facility Profile
Inspection Report
Renewal
Capacity: 16
Deficiencies: 11
Sep 8, 2025
Visit Reason
This inspection was conducted as a re-licensure renewal inspection for The Villas at Bear Creek assisted living facility to ensure compliance with licensing rules and regulations.
Findings
The inspection checklist reviewed multiple regulatory areas including identification badges, provider duties, administrator qualifications, personnel, resident rights, resident assessments, nursing services, medication administration, food services, housekeeping, maintenance, emergency preparedness, and other licensing requirements. Several non-compliance issues were noted, primarily marked as NC (Not Compliant) in various sections, but no immediate enforcement or closure was indicated.
Deficiencies (11)
| Description |
|---|
| Failure to ensure employees wore identification badges as required. |
| Non-compliance with provider duties to protect clients from abuse and mistreatment. |
| Administrator did not meet all qualifications for the type of facility. |
| Personnel files lacked documentation of required training and qualifications. |
| Resident rights were not fully protected, including issues with grievance procedures and access to records. |
| Resident assessments and service plans were incomplete or not updated as required. |
| Nursing services did not meet all regulatory requirements for staffing and care. |
| Medication administration policies and procedures were not fully compliant. |
| Food services did not fully comply with menu planning and food safety standards. |
| Housekeeping and maintenance services had deficiencies in sanitation and safety. |
| Emergency preparedness plans and drills were incomplete or not documented. |
Report Facts
Facility licensed capacity: 16
Inspection date: Sep 8, 2025
Number of pages: 58
Loading inspection reports...
