Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mt Ogden Health And Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to ensure proper storage and labeling of medications. An opened vial of Humulin for a resident was not labeled with an opened date, and a pill was taped back into a blister pack. An LPN confirmed the vial should have been dated, and the DON stated that medications should not be taped back into blister packs. The resident had multiple diagnoses, including type 2 diabetes and a tibia fracture.
The facility failed to protect two residents from potential abuse and neglect when they were involved in a relationship, with one resident being cognitively impaired. Despite staff awareness of their interactions, no interventions were developed, and care plans were not updated. The facility did not assess the residents' capacity to consent to a relationship, and no preventive measures were implemented to ensure their safety.
The facility failed to investigate and report an alleged sexual abuse incident between two residents in a timely manner. Despite being informed by another facility, the Administrator and DON did not conduct a full investigation or report the incident to the SSA promptly, as required by the facility's abuse prevention policies.
The facility failed to report allegations of abuse involving two residents in a timely manner. One resident, with conditions including hemiplegia and epilepsy, was involved in incidents of inappropriate behavior and possession of another resident's phone. Despite being aware of these incidents, the facility delayed reporting to the SSA and APS, violating policy and federal regulations.
The facility failed to thoroughly investigate an allegation of sexual abuse involving two residents. A resident alleged non-consensual contact by another resident during a nighttime visit. The investigation was delayed and incomplete, with no witnesses or additional information found to substantiate the claim. The facility's policy required immediate reporting and thorough investigation, which was not followed.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure the safe and secure storage of drugs and biologicals in accordance with accepted professional principles. During an observation of the 100-hall medication cart, it was found that a multi-dose vial of Humulin 100 ml/units injection solution for a resident was not labeled with an opened date. This oversight was confirmed by an LPN, who acknowledged that the vial should have been marked with an open date. Additionally, a medication blister pack for the same resident was found with a pill taped back into the blister pack, which is against proper medication handling procedures. The resident involved had multiple diagnoses, including a fracture of the lower end of the left tibia, type 2 diabetes mellitus with diabetic neuropathy, Bell's palsy, and muscle wasting and atrophy. The LPN confirmed that medications should not be taped back into blister packs and should be disposed of properly if refused. The DON also stated that insulin vials should be marked with an open date and that medication should not be taped back into blister packs, indicating a lapse in adherence to medication management protocols.
Failure to Prevent Abuse and Neglect in Resident Relationship
Penalty
Summary
The facility failed to ensure that residents were free from abuse, neglect, and exploitation, particularly in the case of two residents who were in a relationship, one of whom was cognitively impaired. Resident 174, who had a mildly impaired cognitive status, was involved in a relationship with Resident 175, who had moderate cognitive impairment. Despite staff awareness of their interactions, no interventions were developed to prevent potential sexual abuse, and the care plans for both residents were not updated during the period of the allegations. Resident 174 was observed asking Resident 175 to perform tasks for her, and they were seen entering each other's rooms, holding hands, and engaging in other intimate behaviors. Staff members, including CNAs and nurses, witnessed these interactions but did not report them to administration or update the residents' care plans. The facility did not document any assessment of the residents' capacity to consent to a relationship, and there was no evidence of relocation or other measures to prevent inappropriate interactions. Interviews with staff and residents revealed that the facility was aware of the close relationship between the two residents but failed to take appropriate action. The Director of Nursing and the Administrator believed that both residents were capable of making decisions about their relationship, but no formal assessment was conducted. The facility's lack of documentation and failure to implement preventive measures contributed to the deficiency, as they did not ensure the residents' safety and well-being.
Failure to Investigate and Report Alleged Abuse Timely
Penalty
Summary
The facility failed to implement its written policies and procedures for investigating allegations of abuse. An incident involving potential sexual abuse between two residents, identified as Resident 174 and Resident 175, was not investigated in a timely manner. Resident 174, who had diagnoses including hemiplegia, hemiparesis, and epilepsy, reported a sexual incident with Resident 175, who had diagnoses including atherosclerotic heart disease and dementia. The report was initially made by another facility on 10/18/24, but the facility did not conduct a full investigation at that time. The Administrator and Director of Nursing were aware of the situation but did not report it to the State Survey Agency until 11/6/24, as they were unsure if it needed to be reported since the residents were no longer at the facility. The facility's policy on abuse prevention and prohibition was not followed, as a complete investigation was not conducted, and the incident was not reported promptly. The lack of timely investigation and reporting constitutes a deficiency in adhering to the facility's abuse prevention policies.
Failure to Timely Report Allegations of Abuse
Penalty
Summary
The facility failed to report allegations of abuse involving two residents in a timely manner. Resident 174, who has diagnoses including hemiplegia, hemiparesis, and epilepsy, was involved in incidents where she asked another resident for assistance with personal tasks, which was against facility policy. Additionally, Resident 174 was found with another resident's phone in her bed, and there were reports of inappropriate behavior involving Resident 175, who has diagnoses including atherosclerotic heart disease and dementia. Despite being aware of these incidents, the facility did not report them to the State Survey Agency (SSA) or Adult Protective Services (APS) within the required timeframe. The facility's policy mandates immediate reporting of any potential abuse, neglect, or exploitation to the appropriate authorities. However, the incident involving Residents 174 and 175 was not reported to the SSA until 19 days after the facility became aware of it. This delay in reporting is a violation of the facility's policy and federal regulations, which require that such allegations be reported within two hours if they involve abuse or result in serious bodily injury. The failure to adhere to these reporting requirements constitutes a deficiency in the facility's handling of abuse allegations.
Failure to Investigate Alleged Sexual Abuse
Penalty
Summary
The facility failed to thoroughly investigate an allegation of suspected sexual abuse involving two residents. Resident 174, who had a history of hemiplegia, epilepsy, and other conditions, alleged that Resident 175, who had a history of heart disease and dementia, engaged in non-consensual sexual contact. The incident was reported to have occurred during a nighttime visit in Resident 174's room, where Resident 175 allegedly lifted Resident 174's shirt and touched her inappropriately. Resident 174 claimed to have yelled for Resident 175 to stop, and he left the room. However, Resident 174 did not report the incident to staff, and her roommate, who was allegedly present, did not recall the incident. The facility's investigation into the allegation was delayed and incomplete. The Director of Nursing (DON) and Administrator were informed of the incident but did not initiate a full investigation until weeks later. Interviews conducted with other residents and staff did not yield any witnesses or additional information to substantiate the claim. The investigation concluded as inconclusive, with no verification or refutation of the alleged incident. The facility's policy required immediate reporting and thorough investigation of such allegations, which was not adhered to in this case. The Administrator and DON acknowledged the delay in the investigation and the lack of immediate action. They were initially uncertain about the necessity of an investigation since the residents involved no longer resided at the facility. This uncertainty contributed to the delay in addressing the allegation. The facility's policy outlined specific steps for investigating abuse allegations, including immediate examination of the resident and interviews with potential witnesses, which were not fully executed in this instance.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Washington Terrace
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Terrace Transitional | 0 mi | ★★★★★ | 0 | 0 |
| Stonehenge Of Ogden | 1 mi | ★★★★★ | 0 | 0 |
| South Ogden Post-acute (cascades At South Ogden) | 1.1 mi | ★★★★★ | 14 | 0 |
| Mountain View Health Services | 1.7 mi | — | 14 | 1 |
| Pine View Transitional Rehab | 1.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.