F610 in Utah. Pick another state for the same tag.
Against expectation — 2025
Utah cites F610 more often than its own record predicts
Versus expected share1.76×
1.76 times the share F610 takes of citations nationally.
Share of Utah citations2.67%
Of every deficiency written in Utah in 2025, this is the portion that was F610.
Utah2.67%
National1.51%
Share of all citations that were F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F610 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.
K · Immediate jeopardy, patternAugust 20, 2025
Based on interview and record review, the facility in response to allegations of abuse, neglect, or mistreatment did not have evidence that all alleged violations were thoroughly investigated. Specifically, for 9 out of 32 sampled residents, allegations of sexual abuse, elopements, injuries of unknown origins and fractures were not investigated or the allegations were not investigated thoroughly. Resident identifiers: 2, 11, 27, 31, 33, 36, 42, 47 and 49. NOTICE On 8/8/25 at 1:15 PM, Immediate Jeopardy (IJ) was identified when the facility failed to implement Centers for Medicare and Medicaid Services recommended practices to investigate various forms of abuse. …
Based on interview and record review, the facility in response to an allegation of abuse, neglect, or mistreatment did not have evidence that the alleged violation was thoroughly investigated. Specifically, for 1 out of 9 sampled residents, an investigation into the cause of a broken tracheostomy flange in a comatose resident that was dependent on a ventilator was not investigated. This will be cited at a harm level. Resident identifier: 9.Findings included: Resident 9 was admitted to the facility on [DATE] with diagnoses which included anoxic brain damage, acute and chronic respiratory failure, tracheostomy status, and pneumonia due to pseudomonas. …
E · No harm, potential for more than minimal, patternAugust 5, 2026
Based on interview and record review, the facility failed to ensure, for 2 of 7 sampled residents, that alleged violations involving residents were thoroughly investigated. Specifically, facility-reported incident investigations lacked complete information regarding interviews, protective measures, substantiated determinations, and systemic corrective actions. Resident Identifiers: 1 and 3. On 8/5/2026, the surveyor conducted a review of a facility reported incidents.The facility reported an incident involving Resident 1 on 7/7/2026. The facility failed to provide documentation of a 5 day follow-up investigation. The facility reported an incident involving Resident 1 on 7/1/2026. The facility's investigation stated, Follow up to [Resident 1]. …
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