Deficiency Records for City Creek Post Acute
Updated as of January 01, 2020
This is not the most recent data for City Creek Post Acute. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-11-07 | 2019-02-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-07 | 2019-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2019-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2019-01-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-08 | 2018-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-08 | 2018-12-06 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-11-08 | 2018-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-07 | 2018-09-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-09-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-03 | 2017-09-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-03 | 2017-08-31 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-03 | 2017-08-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-03 | 2017-08-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-03 | 2017-08-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-03 | 2017-08-31 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-03 | 2017-08-31 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-08-03 | 2017-08-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-03 | 2017-08-30 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-08-03 | 2017-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-03 | 2017-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-03 | 2017-08-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-03 | 2017-08-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-08-04 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-08-03 | 2017-08-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-13 | 2016-05-13 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-04-13 | 2016-05-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-04-13 | 2016-05-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-04-13 | 2016-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-13 | 2016-05-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-13 | 2016-05-13 | N |
| Approved construction type or materials. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-21 | 2016-04-26 | N |
