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Statistics for Utah (Last 12 Months)

98
Total Providers
86
Total Inspections in the last 12 months
Information
This includes all types of inspections: standard annual surveys, life safety code surveys, re-surveys, complaint investigations, and follow-up inspections.
39.8%
Providers with Citations in the last 12 months
Information
Among all providers that received one or more inspections in the last 12 months, this represents the percentage that received at least one citation of any severity level.
7.1%
Providers with Serious Citations in the last 12 months

Financial Impact (Last 12 Months)

$111,870
Maximum Single Fine
$29,455
Median Fine
8
Max Payment Suspension Days
5
Median Suspension Days

Some of the Latest Corrective Actions taken by Facilities in Utah

The facilities implemented several corrective actions to address the safety and supervision deficiencies.

  • The facility assessed the resident for injuries, contacted police upon suspicion, and updated care plans as needed. Staff received training on abuse prevention and elopement protocols. (J - F0600 - UT)
  • The Director of Nursing audited residents with medical devices to ensure proper care planning and staff training. Staff were trained on safe transfers and accident prevention, including appropriate transfer techniques. The Administrator ensured transportation staff were trained and competent in securing residents during transport. (J - F0726 - UT) (J - F0689 - UT)
  • The facility partnered with an organization to provide training and new protocols for resident transport. Transportation staff were reeducated on proper securement procedures and underwent competency evaluations. The Quality Assurance Performance Improvement Committee approved the updated driver safety program and implemented ongoing audits. (G - F0689 - UT)
  • The facility audited residents' transfer statuses to ensure appropriate equipment was used. Staff received re-education on changes in condition, appropriate lifts, and safe transfer methods. Department heads conducted spot checks to verify compliance with transfer protocols. (G - F0689 - UT)

Latest Citations in Utah

Where do we get this info
Information
Our data comes from the CMS latest release (July 30, 2025) and state websites, both sourced from public records.
Resident Left Without Accessible Call Light During Shower
D
F0689
Short Summary

A resident who required extensive assistance with transfers was left in the shower without access to a call light, as the only available call light was out of reach from the shower chair. The resident, who preferred to shower independently after being assisted in, was unable to signal for help and had to use the shower head to attract attention until a CNA arrived.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Protect Residents from Sexual Abuse by Registered Nurse
J
F0600
Short Summary

A registered nurse engaged in inappropriate and abusive conduct with a resident with severe dementia, as captured on video, and two other residents later reported similar inappropriate interactions involving the same nurse. The incidents included unzipping pants, inappropriate touching, and applying cream without a physician's order, resulting in substantiated findings of abuse and significant distress for the residents involved.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Timely Report Alleged Verbal Abuse to State Agency
D
F0609
Short Summary

A resident with multiple chronic conditions reported that a nurse yelled at him after a prolonged wait for assistance, but the facility did not immediately report the allegation of verbal abuse to the State Survey Agency. The incident was not documented in the medical record, and leadership did not initiate a formal investigation or report until prompted by a surveyor, resulting in a deficiency for failure to follow required reporting procedures.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Investigate Alleged Verbal Abuse
D
F0610
Short Summary

A resident with multiple chronic conditions reported that a nurse yelled at him after he waited a prolonged period for assistance. The incident was not documented in the medical record, and no abuse or neglect investigation was initiated by the DON or AIT, nor was it reported to the State Survey Agency. A grievance was only completed after surveyor inquiry, and facility leadership initially minimized the event, resulting in a failure to respond appropriately to the alleged violation.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Assistive Device for Bed Mobility
D
F0558
Short Summary

A resident with limited mobility and chronic conditions was not provided with an assistive device for bed mobility despite repeated requests, due to facility policy classifying such devices as restraints. The resident resorted to using unstable objects like a nightstand drawer and walker for support, while staff acknowledged these makeshift solutions but did not escalate the issue. Facility leadership maintained a restraint-free policy, resulting in the resident's needs and preferences not being accommodated.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Perform Hand Hygiene During Meal Tray Delivery
E
F0880
Short Summary

Staff, including a CNA and CNAC, were observed delivering and setting up meal trays for multiple residents without performing required hand hygiene before or after entering rooms or handling residents' items. Interviews with the CNAC and DON confirmed that hand hygiene is expected during these tasks, but observations showed repeated non-compliance, resulting in a deficiency in the facility's infection prevention and control program.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Delay in Reporting Lab Results and Initiating Treatment for UTI
D
F0773
Short Summary

A resident with a history of diabetes and chronic kidney disease experienced a delay in treatment for a suspected UTI when lab results were not promptly obtained or reported to the provider. Although the urine sample was collected and showed signs of infection, there was a nine-day gap before the provider was notified and antibiotics were started. The DON acknowledged that the process for following up on lab results was not followed, leading to the delay in care.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Notify Resident Representatives After Serious Injury
D
F0580
Short Summary

A resident who recently returned from a hospital stay for pneumonia suffered a fall resulting in a femur fracture and required transfer to the ED. Staff attempted to contact the primary emergency contact multiple times without success and did not notify additional emergency contacts as required. The family was not informed of the injury or hospitalization until two days later, learning of the situation from the hospital.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Scheduled Bathing Assistance to Residents
D
F0676
Short Summary

Two residents with ADL deficits did not receive scheduled bathing assistance, with documentation showing multiple missed showers and some showers provided by a family member instead of staff. Staff interviews confirmed that showers were often missed and not documented, and the facility could not provide records showing that showers were offered or completed as scheduled.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Scheduled Showers and Oral Care for Dependent Resident
D
F0677
Short Summary

A resident with paralysis and aphasia requiring maximal assistance did not receive scheduled showers or twice-daily oral care as required. Documentation showed multiple missed showers and frequent lapses in oral hygiene, with facility staff confirming that care not documented was likely not completed.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

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