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Deficiency Records for Intermountain Health Holy Rosary Hospital

View the most recent health deficiencies and inspection results for Intermountain Health Holy Rosary Hospital. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Intermountain Health Holy Rosary Hospital. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Meet other general requirements that are deficient. Fire Safety 2025-02-27 2025-04-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-02-27 2025-04-04 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2025-02-27 2025-04-04 N
Implement a program that monitors antibiotic use. Health 2025-02-27 2025-04-04 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-02-27 2025-04-04 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-02-27 2025-04-04 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2025-02-27 2025-04-04 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-06-06 2024-07-11 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-02-15 2024-04-06 N
Meet other general requirements that are deficient. Fire Safety 2024-02-15 2024-04-06 N
Ensure each resident receives an accurate assessment. Health 2024-02-15 2024-03-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-15 2024-03-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-15 2024-03-31 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-15 2024-03-31 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-02-15 2024-03-31 N
Provide and implement an infection prevention and control program. Health 2024-02-15 2024-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-15 2024-03-31 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-16 2023-04-07 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 2023-02-16 2023-04-07 N
Establish staff and initial training requirements. Fire Safety 2023-02-16 2023-04-07 N
Address subsistence needs for staff and patients. Fire Safety 2023-02-16 2023-04-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-16 2023-03-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-16 2023-03-31 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-02-16 2023-03-31 N
Provide and implement an infection prevention and control program. Health 2023-02-16 2023-03-31 N

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