Uintah Health Care Special Service District

In the surveyor’s words

From the most serious findings on record at Uintah Health Care Special Service District, in the surveyor’s own words.

• Immediate jeopardy, isolatedF740Sep 25, 2025

  Based on interview and record review it was determined, for 2 out of 22 sampled residents, that the facility failed to ensure that each resident received and the facility provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Specifically, the facility failed to provide behavioral health care and services to a resident who had expressed a desire to commit suicide and interventions and monitoring were not implemented prior to the resident successfully committing suicide. […]

• No harm, potential for more than minimal, patternF605Sep 25, 2025

  Based on interview and record review it was determined, for 3 out of 22 sampled residents, that the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug was any drug when used- (1) In excessive dose (including duplicate drug therapy); or (2) For excessive duration; or (3) Without adequate monitoring; or (4) Without adequate indications for its use; or (5) In the presence of adverse consequences which indicate the dose should be reduced or discontinued. Specifically, residents were prescribed psychotropic medications and monitoring was not conducted for episodes of behavior, adverse side effects, and non-pharmacological interventions. Resident identifiers: 3, 5, and 22. Findings included:1. […]

• No harm, potential for more than minimal, patternF711Feb 9, 2022

  Based on interview and record review it was determined the facility did not ensure that the physician reviewed the resident's total program of care, including medications and treatments, during required visits. Specifically, for 4 out of 21 sampled residents, the physician did not include an evaluation of the resident's condition and total program of care, including medications and treatments, and a decision about the continued appropriateness of the resident's current medical regimen. Resident identifiers: 11, 22, 25, and 28. Findings included: 1. […]

• No harm, potential for more than minimal, patternF880Feb 9, 2022

  Based on observation, interview, and record review it was determined the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, staff were not sanitizing the vital signs cart contents between residents including the forehead thermometer. In addition, staff did not use hand hygiene while assisting residents during dining resulting in cross contamination. Resident identifiers: 7 and 20. Findings included: 1. The following observations were made of the dining meal service: a. […]

• No harm, potential for more than minimal, isolatedF628Sep 25, 2025

  Based on interview and record review, it was determined for 1 out of 22 sampled residents, that the facility failed to send a copy of the discharge notice to a representative of the Office of the State Long-Term Care Ombudsman. Specifically, the facility was only notifying the Ombudsman of residents who transferred to a hospital. Resident Identifier: 38. Findings Included: Resident 38 was admitted to the facility on [DATE] with diagnoses which included, unspecified fracture of left femur, unspecified fracture of right humerus, and unspecified fall.Resident 38's medical record was reviewed 9/23/35 through 9/25/25.A review of resident 38's progress notes revealed:a. […]