Inspection Reports for Utah State Developmental Center
895 North 900 East, American Fork, UT, 84003
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Renewal
Deficiencies: 4
Date: Oct 17, 2023
Visit Reason
A recertification inspection was conducted from 10/16/2023 to 10/17/2023 to survey the Utah State Developmental Center according to federal regulations for Intermediate Care Facilities for Individuals with Intellectual Disabilities.
Findings
Non-compliance was identified and deficiencies were cited related to client records, protection of clients' rights, active treatment, and individual program plans. Specific incidents involving client restraint and incomplete incident reporting were noted, along with failures to ensure clients' rights to communicate privately and receive continuous active treatment.
Deficiencies (4)
The facility did not maintain a recordkeeping system documenting clients' health care and protection of rights for 2 of 11 sampled clients.
The facility did not ensure clients had the opportunity to communicate, associate, and meet privately for 2 of 10 sampled clients.
One client did not receive a continuous active treatment program including aggressive, consistent implementation of specialized training and health services.
Individual program plans were not completed or updated timely for sampled clients, including assessments and behavioral goals.
Report Facts
Incident report completion: 2
Sampled clients: 11
Sampled clients: 10
Incident duration: 1.3
Medication administration frequency: 18
Data collection frequency: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jared Brown | Lead Licensor | Approved the Plan of Correction on 12/11/2023. |
Inspection Report
Complaint Investigation
Deficiencies: 9
Date: Oct 17, 2023
Visit Reason
The inspection was conducted to investigate complaints related to medication administration, program implementation, and other regulatory compliance issues at the Utah State Developmental Center.
Complaint Details
The visit was complaint-related, investigating issues such as medication administration errors, failure to implement active treatment programs, inappropriate client behavior management, and fire safety concerns. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in multiple areas including medication administration errors, failure to implement active treatment programs, inadequate program documentation, inappropriate client behavior management, time-out room usage, fire safety maintenance, and infection control. Several clients' individual program goals were not consistently implemented or monitored.
Deficiencies (9)
Medication administration errors observed for Client 13, including failure to follow all medication program steps.
Facility did not develop an active treatment schedule that outlines the current active treatment program and is readily available for review by relevant staff.
Program documentation was not maintained in measurable terms for client individual program plan objectives.
Management of inappropriate client behavior included use of disciplinary techniques which are not permitted.
Placement of a client in a time-out room exceeded one hour.
Facility failed to maintain the fire sprinkler system in accordance with NFPA 25 and NFPA 101 standards.
Facility failed to maintain electrical equipment in accordance with NFPA 101 standards.
Infection control policies were not properly followed, including lack of personal protective equipment availability and improper food storage.
Egress doors were not maintained in the required means of egress, including delayed-egress locking arrangements.
Report Facts
Medication administrations: 11
Medication program goal frequency: 18
Time-out room placement duration: 1
Fire sprinkler system maintenance period: 5
Medication administrations reviewed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee 14 | Observed administering medication to Client 13 and acknowledged not following all medication program steps. | |
| Employee 15 | Interviewed regarding Client 2's program goals and medication program. | |
| Employee 7 | Observed dispensing medication to Client 2 and acknowledged medication goal issues. | |
| Employee 6 | Acknowledged PPE was not available and infection control issues. | |
| Employee 10 | Observed during incident involving Client 1 in time-out room. | |
| Employee 11 | Witnessed incident involving Client 1 and time-out room. | |
| QIDP 1 | Qualified Intellectual Disability Professional | Interviewed about Client 1's schedule and program implementation. |
| QIDP 2 | Qualified Intellectual Disability Professional | Interviewed about Client 3's schedule and program implementation. |
| QIDP 3 | Qualified Intellectual Disability Professional | Interviewed about Client 2's daily schedule and medication program. |
| QIDP 4 | Qualified Intellectual Disability Professional | Interviewed about Client 8's self-medication program. |
| Supervising Nurse | Provided data sheets for Client 2's medication program. | |
| Plant Manager | Monitored fire safety and maintenance work orders. | |
| Fire Marshall | Monitored fire safety and maintenance work orders. | |
| Maintenance Supervisor | Reviewed completed fire safety work orders. |
Viewing
Loading inspection reports...
