Mt Ogden Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Mt Ogden Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Feb 16, 2021

  Based on interview and record review it was determined that the facility failed to establish an infection prevention and control program designed to prevent the development and transmission of COVID-19. Specifically, the facility failed to ensure that a symptomatic Department Head (DH), who subsequently tested positive for COVID-19, was screened accurately and notification and evaluation was completed per the facility protocol, that negative [MEDICATION NAME] tests were followed with a molecular confirmation test, and that the symptomatic DH was excluded from work pending the results of the molecular Polymerase Chain Reaction (PCR) tests. The failure had the potential to expose 10 facility residents who have continued to test negative for COVID-19. […]

• No harm, potential for more than minimal, patternF812May 3, 2023

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service. Specifically, food items in the walk-in refrigerator and walk-in freezer located in the kitchen were open to air, and the resident snack refrigerator was not clean. Findings included: 1. On 4/30/23 at 9:13 AM, an initial walk through of the kitchen was completed. In the walk-in freezer, a box of beef hamburger patties were found open to air. A box of mixed frozen vegetables was also found to be open to air. In the walk-in refrigerator, a box of uncooked bacon strips was observed to be open to air. On 5/3/23 at 10:09 AM, a second walk through of the kitchen was completed. […]

• No harm, potential for more than minimal, isolatedF600Dec 5, 2024

  Based on interview and record review, the facility did not ensure that residents were free from abuse, neglect, misappropriation of resident property, and exploitation. Specifically, there were no interventions developed to prevent sexual abuse when 2 residents were in a relationship and one was cognitively impaired. This deficiency was found to have occurred at a past non-compliance. Resident Identifiers: 174 and 175. Findings included: 1. Resident 174 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses which included hemiplegia and hemiparesis, abnormalities of gait and mobility, essential hypertension, migraine, epilepsy, and gastro-esophageal reflux disease. […]

• No harm, potential for more than minimal, isolatedF607Dec 5, 2024

  Based on interview and record review, the facility did not implement their written policies and procedures for investigation of abuse allegations. Specifically, an incident of potential sexual abuse was not investigated timely. Resident identifiers: 174 and 175. Findings include: 1. Resident 174 was admitted to 4/28/24 with diagnoses which included hemiplegia and hemiparesis, abnormalities of gait and mobility, essential hypertension, migraine, epilepsy and gastro-esophageal reflux disease. 2. […]

• No harm, potential for more than minimal, isolatedF609Dec 5, 2024

  Based on interview and record review it was determined, for 2 out of 26 sampled residents, that the facility did not ensure that allegations of abuse, neglect, exploitation, or mistreatment were reported immediately, but not later than 2 hours after the allegation was made, if the allegation involved abuse or resulted in serious bodily injury, to the Administrator of the facility, the State Survey Agency (SSA), and adult protective services (APS), and the results of all investigations were reported to the Administrator and the SSA within 5 working days of the incident. Specifically, allegations of abuse were not reported at the time of the allegation to the SSA or APS. Resident identifiers: 174 and 175. Findings include: 1. […]