Stonehenge of Orem

In the surveyor’s words

From the most serious findings on record at Stonehenge of Orem, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF880Mar 5, 2026

  Based on observation and record review, it was found that the facility failed to handle, store, process, and transport linens so as to prevent the spread of infection and to conduct an annual review of its infection prevention and control program (IPCP) and update their program, as necessary. Specifically, a Certified Nursing Assistant (CNA) and laundry staff handled, transported, and processed soiled linens in a way that did not prevent the spread of infection and the facility did not conduct an annual review of its IPCP policies and procedures.Findings included: 1.On 3/2/26 at 9:28 AM, an observation was made of CNA 1 donning personal protective equipment (PPE) to enter room [ROOM NUMBER], which was an isolation room for influenza. CNA 1 was observed to put on a gown, mask, and gloves. […]

• No harm, potential for more than minimal, isolatedF755Mar 14, 2024

  Based on observation, interview and record review it was determined that the facility did not provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident. Specifically, the facility did not have a process in place to destroy narcotics when not administered to the residents. Resident identifiers: 129 and 130. Findings included: On 3/13/24 at 8:30 AM, an observation was made of the facility medication cart located on the South hallway with Licensed Practical Nurse (LPN) 1. The following medications were observed inside: a. […]