Based on interview and record review, the facility failed to inform residents, resident representatives, and resident families of the occurrence of a single confirmed infection of coronavirus disease of 2019 (COVID-19), or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other by 5:00 PM the next calendar day. Specifically, three facility staff members tested positive for COVID-19 and residents, resident representatives, and resident families were not notified of the outbreaks. Findings included: Review of the Facility COVID Testing - Employee Outbreak tracking log revealed the following: a. On 11/17/22, the Administrator (ADM) tested positive. b. …
F885 citations in Utah
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F885 citations were recorded in Utah for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Utah surveyors wrote
F885 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 interview and record review, it was determined that the facility did not inform resident families and representatives of a confirmed COVID-19 infection in a timely manner. Specifically, the facility did not send a notification to resident families and representatives by 5:00 p.m. the next calendar day following the occurrence of a confirmed COVID-19 infection. Findings included: On 6/28/22 at 1:57 PM, and interview was conducted with the Assistant Director of Nursing (ADON). The ADON stated that notification of a confirmed COVID-19 case would be sent to the primary email provided by the resident or family upon admission. The ADON stated a resident within the facility tested positive for COVID-19 during the evening of 6/26/22. …
What else Utah surveyors cite →
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