Based on observation, interview, and record review, the facility did not ensure that nursing staff had the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care. Specifically, Certified Nursing Assistants (CNA)'s had not been educated on the correct way to use a Hoyer lift, approved Hoyer slings, and how to identify a transfer sheet. Additionally, a resident was dropped from the Hoyer lift while on a transfer sheet and died. Resident identifier: 3. NOTICE:Notice of Immediate Jeopardy (IJ) was given verbally to the Administrator on [DATE] at 11:00 AM. …
F726 citations in Utah
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Utah cites F726 less often than its own record predicts
0.37 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F726 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 the facility did not have sufficient nursing staff with the appropriate competencies and skills set to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, inadequate oversight by the Director of Nursing resulted in multiple system failures in resident care areas which placed residents at harm. Resident identifiers: 1, 3, 4, 5, 9, 10, 13, 15, 16, 20, 26, 27, 28, 29, 32, 34, 38, 45, 46, 49, 51, 52, 53, 55, 57, 61, 65, 120, 269, and 371. Findings included: 1. …
Based on interview and record review, for 1out of 54 sampled residents, the facility did not ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. Specifically, Certified Nursing Assistants (CNAs) were not provided training on how to determine what brief size residents needed and a resident developed a wound from an improperly fitted brief. Resident identifier: 22. Findings included:Resident 22 was admitted on [DATE] with diagnoses which included sepsis due to other specified staphylococcus, atrial fibrillation, type 2 diabetes mellitus and protein-calorie malnutrition. On 5/5/26 at 10:19 AM, an interview was conducted with resident 22. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.38× |
| 2024 | 0.35% | 0.52× |
| 2025 | 0.22% | 0.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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