Uintah Basin Rehabilitation and Senior Villa

In the surveyor’s words

From the most serious findings on record at Uintah Basin Rehabilitation and Senior Villa, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation and interview, it was determined the facility did not store, distribute and serve food in accordance with professional standards for food service safety. Specifically, meal tray items were uncovered when delivered by staff and uncovered meal tray items were placed at nurses' stations for extended periods; snacks with packaging that read Keep Refrigerated were stored at room temperature; food within the kitchen fridge and freezer were observed unlabeled and left open to air; food was stored at ground level in the walk-in refrigerator; and kitchen staff were unable to demonstrate an ability to check the concentration of sanitizer within sanitation buckets and the dish washing machine. Findings included: 1. […]

• No harm, potential for more than minimal, patternF641Jul 15, 2021

  Based on observation, interview, and record review it was determined, for 5 of 27 sampled residents, the facility assessment did not accurately reflect the resident's status. Specifically, the facility did not ensure that all participants in the assessment process had the requisite knowledge to complete an accurate assessment for resident's documented with limited range of motion, a resident documented with nutritional concerns, and a resident documented with wandering behaviors. Resident identifiers: 3, 13, 15, 23, and 30. Findings include: 1. […]

• No harm, potential for more than minimal, patternF656Jul 15, 2021

  Based on observation, interview, and record review, it was determined the facility did not develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. Specifically, for 4 of 27 sampled residents, following witnessed and unwitnessed falls the facility did not maintain and update the comprehensive care plan to include the services that were to be furnished. Resident identifiers: 1, 3, 13, and 23. Findings included: 1. Resident 1 was admitted to the facility on [DATE] with medical diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 7/12/21 at 1:25 PM, resident 1 was interviewed. Resident 1 stated, I fell last week. […]

• No harm, potential for more than minimal, patternF689Jul 15, 2021

  Based on observation, interview, and record review it was determined, for 3 of 27 sampled residents, the facility did not ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, residents that had multiple falls were not provided interventions or adequate supervision to prevent falls from occurring. Resident identifiers: 3, 13, and 23. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF628Apr 16, 2026

  Based on interview and record review, it was determined that the facility did ensure a written notification of discharge was provided to a resident. Specifically, a resident who was transported to the hospital, and subsequently discharged from the facility, did not receive a written notice of discharge.On April 15, 2026, the surveyor reviewed Resident 2's electronic medical record and confirmed she was sent to the emergency room and discharged from the facility on September 26, 2026. No notice of discharge was present in the record. […]