Rocky Mountain Care - Logan

In the surveyor’s words

From the most serious findings on record at Rocky Mountain Care - Logan, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 12, 2026

  Based on interview and record review, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, for 3 out of 46 sampled residents, a resident experienced a change in condition after a fall, was not provided treatment for 2.5 hours, and ended up passing away. Another resident complained of hip pain after a fall and was not sent to the hospital for 10 hours. These examples will be cited at harm. In addition, a resident was not provided treatment when he was experiencing low oxygen saturation levels. Resident identifiers: 74, 86, and 90. Findings included:HARM1. […]

• Actual harm, isolatedF686Feb 12, 2026

  Based on interview and record review, the facility did not ensure that a resident received care consistent with professional standards of practice, to prevent pressure ulcers and did not develop pressure ulcers unless the individual's clinical condition demonstrated that they were unavoidable. Specifically, for 1 out of 46 sampled residents, a resident was admitted to the facility with surgical wounds and Moisture Associated Skin Damage (MASD) and was discharged with a stage 4 pressure ulcer. This example will be cited at a harm level. Resident identifier: 89. […]

• Actual harm, isolatedF689Feb 12, 2026

  Based on observation, interview, and record review, the facility did not ensure that the environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 2 out of 46 sampled residents, a resident sustained a fall with a head injury while left unsupervised in the shower. This will be cited at a harm level. Additionally, a resident was involved in a motor vehicle accident that resulted in injuries while being transported in the facility vehicle, and the facility hot water temperatures registered as high as 130 degrees inside resident rooms. Resident identifiers: 32 and 44. Findings included: HARM 1. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observation and interview, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, there was undated food in the refrigerator and freezer, expired items in dry storage, expired items in the resident refrigerator, and the sanitizer bucket was not testing at the required sanitation levels. Findings included:1. On 2/9/26 at 8:21 AM, an initial tour of the kitchen was conducted. The following observations were made:a. Multiple cups with different liquids with lids were undated in the refrigerator.b. An opened bag of frozen vegetables that was undated in the freezer. c. An opened bag of buns was undated in the freezer.d. An opened bag of corndogs with an opened date of 12/5/25, was open to air.e. […]

• No harm, potential for more than minimal, patternF610Feb 12, 2026

  Based on interview and record review, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility did not have evidence of a thorough investigation. Specifically, for 9 out of 46 sampled residents, residents with fractures, a motor vehicle accident involving a resident, allegations against staff regarding care and abuse, a resident that self harmed, and an allegation against a spouse of abuse were not thoroughly investigated to determine if there was abuse or neglect. Resident identifiers: 32, 38, 86, 87, 88, 91, 92, 93, and 95. Findings included:1. Resident 86 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included dementia, major depressive disorder, epilepsy, and unsteadiness on feet. […]