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Deficiency Records for City Creek Post Acute
A list of the most recent deficiencies for City Creek Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for City Creek Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-12 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-28 | 2023-10-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-15 | 2023-09-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-08-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-13 | 2023-08-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-13 | 2023-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-13 | 2023-08-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-13 | 2023-08-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-13 | 2023-08-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-13 | 2023-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-13 | 2023-08-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-10 | 2023-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-13 | 2022-10-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-13 | 2022-10-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-13 | 2022-10-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-15 | 2022-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-23 | 2022-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-15 | 2022-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-28 | 2022-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-13 | 2022-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-06-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-06 | 2021-06-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-06 | 2021-06-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-06 | 2021-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-06 | 2021-06-19 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-06 | 2021-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-06-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-05-06 | 2021-06-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-11 | 2021-06-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-11 | 2019-11-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-11 | 2019-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-11 | 2019-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-11 | 2019-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-11 | 2019-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-11-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-11 | 2019-11-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-09-11 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-11 | 2019-11-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-09-25 | 2019-11-06 | N |
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