Based on interview, facility document review, and facility policy review, the facility failed to consistently follow up on concerns presented by the Resident Council (RC) and provide a verbal or written response to the RC regarding any actions taken to address their concerns. There was incomplete or no follow-up documented for 5 (January, May, July, August, and September 2024) of 10 months of RC minutes reviewed. Findings included: A facility policy titled, Grievances/Complaints, Recording and Investigating, revised April 2017, indicated, All grievances and complaints filed with the facility will be investigated and corrective actions will be taken to resolve the grievance(s). The policy also specified, 5. …
F565 citations in Utah
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Utah cites F565 more often than its own record predicts
1.68 times the share F565 takes of citations nationally.
Of every deficiency written in Utah in 2024, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F565 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 |
|---|---|---|
| 2023 | 0.23% | 0.76× |
| 2024 | 0.52% | 1.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction