Inspection Reports for Welcome Home Assisted Living
633 East Medical Drive, Bountiful, UT, 84010
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
17 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
115% worse than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Deficiencies: 17
Date: Apr 3, 2024
Visit Reason
The inspection was an unannounced routine inspection to review compliance with assisted living facility regulations.
Findings
The inspection identified multiple rule noncompliances including deficiencies in quality assurance committee composition and meetings, administrator qualifications and duties, personnel training and orientation, resident assessments and service plans, medication administration, emergency preparedness, housekeeping, food services, and management of resident funds. Several policies and procedures were not available for review. The facility failed to meet requirements for fire and disaster drills, emergency plans, and staff training. Medication cart security and pet vaccination compliance were also noted deficiencies.
Deficiencies (17)
Quality assurance committee did not consist of administrator and health care professional and did not meet quarterly.
Policies and procedures were not available for review; administrator was at sister facility.
Administrator was not reviewing and documenting quarterly every injury, accident, and incident.
Licensee did not ensure 3 new hire employees received documented orientation or core competency training within 30 days of hire.
Licensee did not ensure each employee received documented annual in-service training on 3 employees.
Facility administrator did not annually complete minimum 4 hours of core competency training including dementia and Alzheimer's specific training.
Licensee did not ensure qualified direct care personnel were on premises 24 hours a day.
Licensee did not ensure 3 residents admitted to secure unit had admission agreement indicating placement in secure unit.
Medication cart stored in dining room was unlocked and accessible.
Facility did not have policies governing destruction and disposal of unused, outdated, or recalled medications.
Facility does not manage any resident funds.
Licensee did not have policy and procedures easily accessible to staff and department.
Fire and disaster drills were not held the required amount of times.
Emergency and disaster response plan lacked key elements including names of persons in charge, notification priority, recruitment of additional help, and delivery of essential care under emergency conditions.
Names and numbers of emergency personnel were not posted in public locations throughout the building.
Licensee did not ensure pets for 2 residents had current vaccinations.
Licensee did not enter required information into DACS before engagement as a covered individual and did not ensure 1 employee had signed criminal background screening authorization form.
Report Facts
Number of rule noncompliances: 30
Date: Apr 3, 2024
Date: Apr 8, 2024
Date: Apr 19, 2024
Date: Apr 30, 2024
Date: May 3, 2024
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