Deficiencies (last 2 years)
Deficiencies (over 2 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 7
Date: Aug 27, 2025
Visit Reason
Unannounced routine inspection to assess compliance with assisted living facility regulations.
Findings
The inspection found 7 rule noncompliances related to various regulatory requirements including medication administration, resident rights, and facility policies. Several areas received technical assistance.
Deficiencies (7)
R432-270-18(5)(a-b) Resident medication self-administration assessed for safety; facility staff assist with opening containers, reminders to refill prescriptions, and medication intake.
R432-270-18(6)(a-c) Family or designated persons may assist with medication administration with signed waiver; facility staff may not serve as designated responsible persons.
R432-270-18(7)(a-f) Medication administration delegated by licensed health care professional must follow Nurse Practice Act and include supervision and training.
R432-270-18(10) Licensed health care professional or pharmacist must review resident medications at least every six months.
R432-270-25(8)(a-b) Facility must provide emergency instruction and training to personnel and residents, including annual reviews and documented drills.
R432-270-25(9)(a-b) Administrator must be in charge during emergencies and make every effort to be present if off-site.
R432-270-25(10)(a-g) Facility must maintain in-house emergency supplies including first aid kit, emergency radio, lighting, blankets, food, heating equipment, and potable water.
Report Facts
Rule noncompliances: 7
Inspection Report
Routine
Deficiencies: 6
Date: Nov 1, 2023
Visit Reason
The inspection was an unannounced routine visit to review compliance with licensing regulations and facility policies.
Findings
The inspection checklist reviewed multiple regulatory compliance areas including staff identification, licensing, administrator qualifications, resident rights, admissions, service plans, nursing services, medication administration, facility records, and emergency preparedness. Several items were marked as compliant, while some deficiencies were noted, including lack of documented fire drills and absence of in-house heating equipment.
Deficiencies (6)
The facility did not document fire drills during the fourth quarter of 2022, first quarter of 2023, and during the first quarter of 2023 related disaster drills semi-annually.
The provider did not have in-house sufficient heating equipment.
Current menu was not posted for residents' viewing.
One staff member who prepares food did not have a current Food Handler's Permit.
Resident records were not accessible in the unlocked clean linen closet on the first floor.
Four closed resident files were reviewed and found missing a resident assessment and address of the physician and dentist in an emergency.
Report Facts
Inspection duration: 8.25
Number of rule noncompliances: 18
Viewing
Loading inspection reports...
