Based on observation, interview and record review, the facility did not provide written notice, including the reason for the change, before the resident's room or roommate in the facility was changed. Specifically, for 2 out of 54 sampled residents, there was no documentation that a resident was notified of a room change. Resident identifiers: 52 and 121. Findings included:Resident 52 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included hypertension, protein calorie malnutrition, depression and anxiety. On 5/7/26 at 7:58 AM, an observation was made of room [ROOM NUMBER]. Resident 121's name was on the door but he had been observed in room [ROOM NUMBER] on 5/6/26. There was no documentation in resident 52's medical record regarding the room change. …
F559 citations in Utah
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Utah cites F559 more often than its own record predicts
2.01 times the share F559 takes of citations nationally.
Of every deficiency written in Utah in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F559 findings written in Utah, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2024 | 0.17% | 1.70× |
| 2025 | 0.22% | 2.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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