{"idNumber":"F23-106788","name":"Spring Gardens Orem ","address":{"suggestedAddress":null,"id":null,"addressOne":"1925 North State Street","addressTwo":"","city":"Orem","state":"UT","zipCode":"84057","county":null,"addressString":" 1925 North State Street Orem, UT 84057","valid":true},"phone":"8014942020","type":null,"licenseType":"Assisted Living Facility - Type II","capacity":114,"underAgeTwoCapacity":36,"initialRegulationDate":"2017-09-06","expirationDate":"2028-07-31","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":null,"licenseTypes":[{"name":"Assisted Living Facility - Type II","licenseExpirationDate":"2028-07-31","status":null,"totalCapacity":114,"underAgeTwoCapacity":36}],"inspections":[{"id":null,"inspectionDate":"2025-07-17","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-04","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24901,"ruleNumber":"R432-270-25(1)","ruleDescription":"Written schedule for maintenance","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-17","findingText":"The licensee was out of compliance with R432-270-25(1) by not ensuring that maintenance was conducted to ensure that the facility spaces and grounds were safe and in compliance with Rule R432-6. During the Inspection, an environmental tour of the kitchen was conducted and Co2 tanks were observed to be unsecured.\n\nThis non-compliance was previously cited during the relicensure inspection, dated  3/31/2025.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On July 17, 2025, the Licensor Verified that the Licensee ensured that maintenance was conducted to ensure that the facility spaces and grounds were safe and in compliance with Rule R432-6, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-31","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[643558],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-30","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-12","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-04","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":24839,"ruleNumber":"R432-270-19(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":"10/25/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-12-04","findingText":"The provider was out of compliance with this rule by not ensuring medications were administered according to the prescribing order.  During the inspection, 2 residents did not receive their medication according to the prescribing order.  <br/><br/>This noncompliance was previously written on the 2/14/2024 and 4/9/2024 inspections.","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 12/4/2024, the licensor verified that the provider had put systems in place to prevent these types of medication errors from occurring, as stated in rule","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-11-13","inspectionTypes":"Focus, Non On-Site","checklistIds":[],"findings":[{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-12-12","findingText":"The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 11/02/2024 and was not reported until 11/11/2024.","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 12/12/2024, this licensing investigator verified that the provider came into compliance as required by rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-08-05","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-13","inspectionTypes":"Conditional, Monitoring Inspection, Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-04-09","inspectionTypes":"Conditional, Monitoring Inspection, Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24839,"ruleNumber":"R432-270-19(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-05-13","findingText":"The provider was out of compliance with this rule by not ensuring medications were administered according to the prescribed order. During the inspection, 2 residents were identified not to receive their medications according to the prescribed order.","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 5/13/2024, The licensor verified that medications were being administered according to the prescribing order, as stated in rule.","appealDate":null,"underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-14","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":24729,"ruleNumber":"R432-270-8(1)(a)-(p)","ruleDescription":"Administrator Duties","complaintDates":"02/07/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-04-09","findingText":"The provider was out of compliance with this rule by not ensuring the administrator documented appropriate corrective action on incident reports quarterly, completed an investigation when there was reason to believe a resident had been subjected to neglect, and reported suspected neglect in accordance with Section 62A-3-305. During the inspection, 3 incident reports were reviewed and were not observed to contain documented appropriate corrective action. Additionally, a review of facility neglect investigations was conducted and identified that the administrator failed to document a complete investigation and failed to report the suspected neglect in accordance with Section 62A-3-305.","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 4/9/2024, the Licensor verified that the Administrator reviewed at least quarterly every injury, accident, and incident to a resident and documented appropriate corrective action, completed an investigation when there was reason to believe a resident had been subjected to neglect, and reported suspected abuse in accordance with Section 62A-3-305 as stated by rule.","appealDate":null,"underAppeal":false},{"ruleId":24839,"ruleNumber":"R432-270-19(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":"02/07/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-05-13","findingText":"The provider was out of compliance with this rule by not ensuring medications were administered according to the prescribed order. During the inspection, 1 hospice resident was not administered narcotic pain medication, according to the prescribed order, to assist with the alleviation of pain during the dying process.","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 5/13/2024, The licensor verified that medications were being administered according to the prescribing order, as stated in rule.","appealDate":null,"underAppeal":false},{"ruleId":24788,"ruleNumber":"R432-270-13(5)","ruleDescription":"Significant change","complaintDates":"02/07/2024","findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":null,"findingText":"The provider was out of compliance with this rule by not ensuring the resident's service plan was updated to reflect a significant change in condition. During the inspection, 1 resident had a significant change in condition and the service plan was not updated to reflect those changes.","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":null,"appealDate":null,"underAppeal":false},{"ruleId":24752,"ruleNumber":"R432-270-9(2)","ruleDescription":"Services Provided","complaintDates":"02/07/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-04-09","findingText":"The provider was out of compliance with this rule by not ensuring staff performed services in accordance with a resident's written service plan. During the inspection, staff were not observed to have performed services in accordance with 1 resident's written service plan, which included safety and wellness checks every two (2) hours.  One (1) resident was not provided wellness checks for approximately 6 1/2 hours.","cmpAmount":1500.0,"warnCmpAmount":200.0,"correctionAction":"On 4/9/2024, the Licensor verified the resident service plans were updated to reflect significant changes in condition as stated by rule.","appealDate":null,"underAppeal":false}],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":null,"cmsCertNumber":null}