Based on interview and record review, it was determined that the facility did not maintain all mechanical, electrical, and patient care equipment in a safe and operating condition. Specifically, a ventilator did not alarm when a resident's tracheostomy tube's flange broke and dislodged and the resident went into cardiac arrest and died. This will be cited at a harm level. Resident identifier: 9. 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. …
F908 citations in Utah
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Utah cites F908 less often than its own record predicts
0.39 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah in 2024, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F908 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 maintain all mechanical, electrical, and patient care equipment in safe operating condition. Specifically, the facility dishwasher spilled water onto the floor whenever a dishwashing cycle was run. Findings included: On 2/12/24 at 12:35 PM, an interview was conducted with the Dietary Manager (DM). The Dietary Manager stated that the dish machine was serviced by Ecolab once a month. On 2/12/24 at 12:36 PM, the facility's mechanical dishwashing machine was tested . While the dishwashing machine was running, water flowed from the bottom of the machine onto the floor. On 2/14/24 at 9:21 AM, an interview was conducted with the Custodial Staff (CS). …
What else Utah surveyors cite →
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