Deficiency Records for Rock Canyon Respiratory and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Rock Canyon Respiratory and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-11 | 2023-10-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-09-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-04-06 | 2023-05-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-06 | 2023-05-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-03 | 2023-01-17 | 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 | 2022-12-15 | 2023-01-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-15 | 2023-01-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-12-15 | 2023-01-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-15 | 2023-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-01-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-28 | 2022-06-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-09 | 2021-11-18 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2021-09-09 | 2021-11-18 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2021-09-09 | 2021-11-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-09 | 2021-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-09 | 2021-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-09 | 2021-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-09 | 2021-09-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-09 | 2021-09-23 | 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 | 2021-09-09 | 2021-09-23 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2021-09-09 | 2021-09-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-09 | 2021-09-21 | 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 | 2021-08-17 | 2021-09-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-17 | 2021-09-17 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-09 | 2021-09-09 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2021-09-09 | 2021-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-18 | 2021-06-25 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-10 | 2020-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2020-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-10 | 2020-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-10 | 2020-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-12 | 2019-12-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-12 | 2019-12-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-11-12 | 2019-12-26 | 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 | 2019-11-12 | 2019-12-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-12 | 2019-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-12 | 2019-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-12 | 2019-12-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-11-12 | 2019-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-12 | 2019-12-10 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-11-12 | 2019-12-10 | 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 | 2023-08-10 | Not Fixed | Y |
| 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 | 2023-08-10 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-10 | Not Fixed | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-10 | Not Fixed | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-03 | Not Fixed | N |
