Based on observation, interview, and record review it was determined for 3 of 27 sampled residents that the facility did not promote the resident right of self-determination through support of the resident's choice. Specifically, the facility prevented cognitively intact residents from exiting the facility premises independently per their choice. Additionally, the physician's evaluation of the residents' ability to exit facility premises independently did not take into consideration the residents' cognitive abilities. The findings for resident 14 were cited at a harm level. Resident identifiers; 14, 25, and 31. Findings include: HARM 1. Resident 14 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 6/30/19 at 8:53 AM, resident 14 was interviewed. …
F561 citations in Utah
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Utah cites F561 more often than its own record predicts
2.32 times the share F561 takes of citations nationally.
Of every deficiency written in Utah in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F561 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.
Based on observation, interview, and record review, it was determined that, for 3 out of 23 sampled residents, the facility failed to ensure each resident had the right to choose activities, schedules, health care and providers of health care services consistent with his or her interests, assessments, and plan of care and other applicable provisions of this part; and to make choices about aspects of his or her life in the facility that were significant to the resident. Specifically, three residents were restricted to supervised smoking and designated smoking times when they were assessed to have the functional capacity to smoke independently and one resident's request to be taken off of an antipsychotic medication was not completed as ordered. Resident identifiers: 6, 32, and 66. 1. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 0.93% | 1.77× |
| 2024 | 0.17% | 0.42× |
| 2025 | 0.89% | 2.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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