Based on interview and record review, the facility failed to ensure that the residents had the right to be treated with respect and dignity and free from any chemical restraint. Specifically, for 1 out 33 sampled residents, a resident was given an as needed (PRN) dose of clonazepam without asking for it. Resident identifier: Resident 11. Findings included: Resident 11 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included, tracheostomy status, major depressive disorder, generalized anxiety disorder, dependence on ventilator, and muscular dystrophy.On 8/10/26 at 12:54 PM, an interview was conducted with resident 11. Resident 11 stated that she was given anti-anxiety medication by a nurse and had not requested the medication. …
F605 citations in Utah
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Utah cites F605 more often than its own record predicts
2.21 times the share F605 takes of citations nationally.
Of every deficiency written in Utah in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F605 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% | 8.41× |
| 2025 | 1.56% | 2.21× |
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