Provider Name: MEADOW PEAK REHABILITATION
Address: 6084 SOUTH SUMMIT VISTA BOULEVARD, TAYLORSVILLE, UT 84129
Phone: (385) 255-1105
County: Salt Lake (170)
Ownership Type: For profit - Limited Liability company
Certified Beds: 75
Average Residents Per Day: 68.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MEADOW PEAK SV LLC
First Approved Date: April 28, 2021
Affiliated Entity: MISSION HEALTH SERVICES (355)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.66183, LPN Staff Hours Per Day: 0.7173, RN Staff Hours Per Day: 0.6785, Licensed Staff Hours Per Day: 1.3959
Total Nurse Staff Hours Per Day, per resident: 4.05774
Weekend Nurse Staff Hours: 3.47584, Weekend RN Staff Hours: 0.5345
PT Staff Hours Per Day, per resident: 0.1148
Nurse Staff Turnover: 66.2, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 4, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2241, Case Mix LPN Hours Per Day: 0.8155, Case Mix RN Hours Per Day: 0.4223
Adjusted Nurse Aide Hours Per Day, per resident: 2.43820, Adjusted LPN Hours Per Day: 0.6491, Adjusted RN Hours Per Day: 0.6054
Total Adjusted Nurse Hours Per Day, per resident: 3.69446
Adjusted Weekend Nurse Hours Per Day, per resident: 3.16465
Health Survey Dates and Scores: Cycle 1: 2022-10-27 (Score: 52), Cycle 2: 2021-04-28 (Score: 0), Cycle 3: (Score: .)
Total Weighted Health Score: 31.200
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 10, Total Fines in Dollars: 40289.19, Payment Denials Number: 0, Total Penalties Number: 10
Location and GPS: 6084 SOUTH SUMMIT VISTA BOULEVARD,TAYLORSVILLE,UT,84129 (40.6963, -112.017)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Allow residents to self-administer drugs if determined clinically appropriate.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0039, Version: New
Description: Conduct testing and exercise requirements.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Fire Safety, Tag: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Fire Safety, Tag: 0374, Version: New
Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16