{"idNumber":"F23-106448","name":"Pepperwood Senior Living Memory Care South Jordan Inc","address":{"suggestedAddress":null,"id":null,"addressOne":"2664 West 11400 South","addressTwo":"","city":"South Jordan","state":"UT","zipCode":"84095","county":null,"addressString":" 2664 West 11400 South South Jordan, UT 84095","valid":true},"phone":"3853060353","type":null,"licenseType":"Assisted Living Facility - Type II","capacity":66,"underAgeTwoCapacity":66,"initialRegulationDate":"2016-09-20","expirationDate":"2028-06-30","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":null,"licenseTypes":[{"name":"Assisted Living Facility - Type II","licenseExpirationDate":"2028-06-30","status":null,"totalCapacity":66,"underAgeTwoCapacity":66}],"inspections":[{"id":null,"inspectionDate":"2026-06-09","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-04-29","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[1006571],"findings":[{"ruleId":33506,"ruleNumber":"R432-35-3(6)","ruleDescription":"Not Eligible may not work","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2026-06-09","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On June 9, 2026, the licensor verified that the Administrator ensured all employees were eligible to work in the Direct Access Clearance System, as stated in rule.  ","appealDate":null,"declarativeStatement":"The licensee was provided technical assistance with R432-35-3(6). During the inspection the licensor reviewed the record of one (1) employee who was determined not eligible in the Direct Access Clearance System (DACS) and was currently engaged in a position with direct resident access. \n\n","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-10-14","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-07-08","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":27835,"ruleNumber":"R432-270-18(1)","ruleDescription":"Activity and recreational programs","complaintDates":"06/27/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-14","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On October 14, 2025 the licensor verified that the licensee had an activities and recreational program.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-18(1) by not ensuring residents were encouraged to maintain and develop their fullest potential for independent living through participation in activity and recreational programs. During the inspection, the licensor observed that the facility did not have an operating activity and recreational program.","underAppeal":false},{"ruleId":24917,"ruleNumber":"R432-270-26(2)(a)-(c)","ruleDescription":"Plans with emergency disaster authorities","complaintDates":"06/27/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-10-14","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On October 14, 2025, the licensor verified that the licensee had an emergency disaster plan.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-26(2)(a)-(b) by not ensuring the licensee and the administrator developed and coordinated plans with state and local emergency disaster authorities, to outline the protection or evacuation of residents and arrangements for staff response or the provision of additional staff to ensure the safety of any resident with physical or mental limitations. During the inspection, the facility’s emergency response plan was requested by the licensor but not provided.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-11","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-05","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-04-17","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":24795,"ruleNumber":"R432-270-13(1)","ruleDescription":"Signed and dated resident assessment completed prior to admission","complaintDates":"04/16/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-06-11","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On June 11, 2025, the licensor verified signed and dated resident assessments were completed every six months, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-13(1) by not ensuring a signed and dated resident assessment was completed for each resident at least every six months. During the inspection, the licensor identified that assessments for 3 residents were not completed at least every six months.<br/><br/>This is a repeat non-compliance from the inspections dated July 1, 2024 and July 31, 2024.","underAppeal":false},{"ruleId":24792,"ruleNumber":"R432-270-15(3)(a)-(c)","ruleDescription":"Type II RN Nursing Services","complaintDates":"04/16/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-06-11","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On June 11, 2025, the licensor verified a registered nurse was employed or contracted with the facility, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-15(3)(a-c) by not ensuring a registered nurse was employed or contracted to provide or supervise nursing services, including a nursing assessment on each resident, general health monitoring on each resident, and routine nursing tasks. During the inspection, the licensor identified that the provider had not employed or contracted a registered nurse since the end of February 2025 to provide or supervise nursing services.","underAppeal":false},{"ruleId":24839,"ruleNumber":"R432-270-19(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":"04/16/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-06-11","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On June 11, 2025, the licensor verified the facility's unlicensed medication technicians were delegated by the licensed health care professional prior to administering medications to the residents, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-19(7)(b) by not ensuring that facility staff administered medications only after delegation by a licensed health care professional under the scope of their practice. During the inspection, documentation of medication delegations for 6 unlicensed facility staff who administered medications was not provided to the licensor upon request.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-08-08","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-31","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-01","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[664381],"findings":[],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":null,"cmsCertNumber":null}