Southern Utah Veterans Home - Ivins

In the surveyor’s words

From the most serious findings on record at Southern Utah Veterans Home - Ivins, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF697May 20, 2025

  On 5/20/25 at 9:50 AM, a follow-up interview was conducted with Director of Nursing (DON). The DON stated hopefully staff were able to anticipate resident's pain. The DON stated the expectation was for staff to assess the general criteria of pain like where, how bad, and if it had happened before, and then complete a full assessment if it was not identified before. The DON stated nurses provided interventions and contacted the physician for pain medication. The DON stated if the interventions were not effective, staff should notify the provider for additional assistance. The DON stated resident 78 had multiple medications available and resident 78 was discussed in their clinical meeting. […]

• No harm, potential for more than minimal, patternF804May 20, 2025

  Based on observation, interview, and record review, the facility did not provide food that was palatable, attractive, and served at a safe and appetizing temperature. Specifically, for 9 out of 35 sampled residents, residents complained of food quality, a test tray was not attractive or palatable, and Dining Committee meetings revealed complaints of food. Resident identifiers: 5, 24, 29, 39, 58, 78, 91, 94, and 101. Findings include: 1. On 5/13/25 at 9:17 AM, an interview was conducted with resident 5. Resident 5 stated the food was good and bad. Resident 5 stated the evening meal was awful and hot dogs were served 3 days a week. Resident 5 stated he felt like chicken was served too often. 2. On 5/12/25 at 3:29 PM, an interview was conducted with resident 39. […]

• No harm, potential for more than minimal, isolatedF561May 20, 2025

  Based on observation and interview it was determined, for 1 of 35 sampled residents, that the facility did not ensure that the resident had the right to self determination through support of the resident's choice. Specifically, a resident had their aerosolized can of deodorant removed from their possession. Resident identifier: 39. Findings included: Resident 39 was admitted to the facility on [DATE] with diagnoses which consisted of type II diabetes mellitus, chronic obstructive pulmonary disease, emphysema, cervicalgia, hypertension, low back pain, and pulmonary hypertension. On 5/12/25 at 3:31 PM, an interview was conducted with resident 39. Resident 39 stated that the facility took his deodorant and told him he could not have it because it was a metal can. […]

• No harm, potential for more than minimal, isolatedF580May 20, 2025

  Based on interview and record review it was determined, for 1 of 35 sampled residents, that the facility did not immediately consult with the resident's physician when there was a significant change in the resident's physical status or a need to alter treatment. Specifically, a resident had complaints of uncontrolled pain and the physician was not notified. Resident identifier: 75. Findings included: Resident 75 was admitted to the facility on [DATE] with diagnoses which included encounter for palliative care, dementia, cognitive communication deficit, traumatic brain injury, post-traumatic stress disorder, cervical disc disorder, radiculopathy, hemiplegia and hemiparesis right side, and a history of falls. On 5/13/25 at 9:17 AM, an interview was conducted with resident 75. […]

• No harm, potential for more than minimal, isolatedF582May 20, 2025

  Based on interview and record review, it was determined, the facility did not inform each resident periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare/Medicaid or by the facility's per diem rate. Specifically, for 1 out of 3 sampled residents, a resident was not issued a Notice of Medicare Non-coverage (NOMNC) when the Medicare part A services were terminated. Resident identifier: 74. Findings include: The facility provided a list of residents who had been discharged from Medicare covered Part A stay with days remaining. Resident 74 was on the list with a discharged date from Part A of 12/7/24 and he remained in the facility. […]