{"idNumber":"F23-106885","name":"Hearthstone South Weber LLC","address":{"suggestedAddress":null,"id":null,"addressOne":"6980 South 475 East","addressTwo":"","city":"South Weber","state":"UT","zipCode":"84405","county":null,"addressString":" 6980 South 475 East South Weber, UT 84405","valid":true},"phone":"8018995344","type":null,"licenseType":"Assisted Living Facility - Type II","capacity":30,"underAgeTwoCapacity":30,"initialRegulationDate":"2019-07-17","expirationDate":"2028-04-30","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":null,"licenseTypes":[{"name":"Assisted Living Facility - Type II","licenseExpirationDate":"2028-04-30","status":null,"totalCapacity":30,"underAgeTwoCapacity":30}],"inspections":[{"id":null,"inspectionDate":"2026-08-12","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[1174203],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-29","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-04-30","inspectionTypes":"Complaint, Investigation Inspection, Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24901,"ruleNumber":"R432-270-25(1)","ruleDescription":"Written schedule for maintenance","complaintDates":"04/21/2025","findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-05-29","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On May 29, 2025, the licensor ensured that maintenance was conducted and the licensees phones were functioning and working properly, as stated in rule.","appealDate":null,"declarativeStatement":"The Licensee was out of compliance with R432-270-25(1) by not ensuring maintenance, including preventive maintenance, was conducted according to a written schedule, to ensure facility equipment was operable, in good repair, and in compliance with Rule R432-6. During the inspection, the facility phones were not found to be operable and in good repair.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-10","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":24784,"ruleNumber":"R432-270-11(10)(a)-(c)","ruleDescription":"Type II Hospice Patients","complaintDates":"02/17/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On April 30, 2025, the licensor verified that 1 hospice patients evacuation plan was accurate, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-11(10)(c)(i) by not ensuring all conditions of accepting and retaining a hospice patient resident were met. During the inspection, 1 hospice patient resident’s evacuation plan was reviewed and it was not accurate.","underAppeal":false},{"ruleId":25076,"ruleNumber":"R432-270-16(4)","ruleDescription":"One direct care staff in secure unit","complaintDates":"02/17/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On April 30, 2025, the licensor verified that the Administrator ensured that one direct care staff was in the secure unit continuously, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-16(4) by not ensuring that at least one direct care staff was in the secure unit continuously.  During the inspection, the licensor reviewed 2 incident reports, dated 3/6/2025 and 2/3/2025, that indicated the memory care aide had left the secure unit to assist the aide in the unsecured area of the facility.<br/><br/>This non-compliance was previously cited on 2/28/2024.","underAppeal":false},{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":"02/17/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence.  During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.","underAppeal":false},{"ruleId":24728,"ruleNumber":"R432-270-9(1)(a)-(e)","ruleDescription":"Qualified direct care personnel","complaintDates":"02/17/2025","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On April 30, 2025, the licensor verified that the Administrator ensured qualified direct-care staff were on the premises 24 hours a day to meet residents’ needs, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R432-270-9(1) by not ensuring qualified direct-care staff were on the premises 24 hours a day to meet residents’ needs.  During the inspection, the licensor reviewed incident reports, the staffing schedule, and a resident’s assessment; as well as conducted interviews with staff and residents. The licensor determined that, based on the information that was uncovered in the inspection, 1 resident’s needs were not being met due to inadequate staffing","underAppeal":false},{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":"02/17/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence.  During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.","underAppeal":false},{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":"02/17/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-04-30","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On April 30, 2025, the licensor verified that critical incident reporting requirements were met, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7-16(a) by not ensuring the reporting of critical incidents was happening within 1 business day of the critical incident occurrence.  During the inspection, the licensor reviewed a sample of incident reports and the corresponding critical incident report was not found in the department’s system.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-05","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-11-25","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[{"ruleId":24921,"ruleNumber":"R432-270-26(10)(a)-(g)","ruleDescription":"Emergency Supplies","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-12-05","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 12/5/2024, the licensor ensured that the providers in-house emergency supplies included heaters, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the emergency in- house supplies included heating equipment. During the inspection, the providers emergency heating equipment was observed and was not approved by the local fire jurisdiction.\n\n This non-compliance was previously cited on 10/17/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-10-17","inspectionTypes":"Complaint, Investigation Inspection, Unannounced, Annual Inspection","checklistIds":[],"findings":[{"ruleId":26154,"ruleNumber":"R380-80-4(3)","ruleDescription":"Report disabled or elder abuse","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-11-25","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 11/25/2024, the licensor verified that each individual who witnessed or suspected that a disabled or elder adult had been subjected to abuse, neglect, or exploitation, immediately reported to the Adult Protective Services intake office in the Division of Aging and Adult Services or law enforcement, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring that each individual who witnessed or suspected that a disabled or elder adult had been subjected to abuse, neglect, or exploitation immediately reported to the Adult Protective Services intake office in the Division of Aging and Adult Services or law enforcement.  During the inspection, the providers abuse reports and investigations were reviewed.  It was observed that the provider did not contact Adult Protective services immediately when it was suspected that 1 resident may have been subjected to abuse.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-30","inspectionTypes":"Conditional, Monitoring Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-17","inspectionTypes":"Conditional, Monitoring Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-06-19","inspectionTypes":"Conditional, Monitoring Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-06-06","inspectionTypes":"Conditional, Monitoring Inspection, Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-21","inspectionTypes":"Conditional, Monitoring Inspection, Follow-Up, Additional 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":"Extreme","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":1000.0,"warnCmpAmount":500.0,"correctionAction":"On 6/6/2024, the licensor observed a medication administration and verified that medications were administered as prescribed, as stated by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring medications were administered according to the prescribed order. During the inspection, a medication administration and review of medication administration records revealed that residents were not receiving their medications as ordered.\n\nThis noncompliance was previously cited during a re-licensure inspection dated 4/13/2022, was re-cited on a follow- up inspection dated 6/29/2022, re-cited on the complaint inspection dated 2/28/2024, and re-cited again on a follow-up complaint inspection dated 4/29/2024.","underAppeal":false},{"ruleId":24792,"ruleNumber":"R432-270-15(3)(a)-(c)","ruleDescription":"Type II RN Nursing Services","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":600.0,"warnCmpAmount":200.0,"correctionAction":"On 6/6/2024, the licensor verified that the Nurse reviewed all resident assessments and a UA was collected for 1 resident and sent to the lab.  Additionally, the licensor verified that 1 residents active medication list included all medications that were prescribed by the physician, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the facility’s registered nurse reviewed nursing assessments for all residents and did not provide or supervise nursing services. During the inspection, resident assessments were reviewed and it was observed that the registered nurse did not review all resident assessments as outlined in the conditional licensing letter and did not provide and supervise routine nursing tasks.\n\nThis noncompliance was previously cited during the complaint inspection dated 2/28/2024 and re-cited again on a follow-up inspection dated 4/29/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-04-29","inspectionTypes":"Complaint, Follow-Up Inspection, Focus 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":"Extreme","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":500.0,"warnCmpAmount":500.0,"correctionAction":"On 6/6/2024, the licensor observed a medication administration and verified that medications were administered as prescribed, as stated by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring medications were administered according to the prescribed order. During the inspection, a medication administration and review of medication administration records revealed that residents were not receiving their medications as ordered.<br/><br/>This noncompliance was previously cited during a re-licensure inspection dated 4/13/2022, was re-cited on a follow- up inspection dated 6/29/2022 and re-cited on the complaint inspection dated 2/28/2024.","underAppeal":false},{"ruleId":24792,"ruleNumber":"R432-270-15(3)(a)-(c)","ruleDescription":"Type II RN Nursing Services","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 6/6/2024, the licensor verified that the Nurse reviewed all resident assessments and a UA was collected for 1 resident and sent to the lab.  Additionally, the licensor verified that 1 residents active medication list included all medications that were prescribed by the physician, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the facility’s registered nurse supervised nursing services. During the inspection, an unlicensed employee was observed administering medications to residents who were unable to do so. The unlicensed employee did not administer medications correctly and sanitarily.<br/><br/>This non-compliance was previously cited during the complaint inspection, dated 2/28/2024.","underAppeal":false},{"ruleId":24729,"ruleNumber":"R432-270-8(1)(a)-(p)","ruleDescription":"Administrator Duties","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-05-21","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On  5/21/2024, the licensor verified that the Administrator reported to Adult Protective Services  when there was reason to believe a resident was subjected to abuse, neglect, or exploitation.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the Administrator reported to  APS (Adult Protective Services) when there was reason to believe a resident was subjected to abuse, neglect, or exploitation. During the inspection, incident reports from 3/13/2024 through 4/28/2024 were reviewed. The Administrator did not report to APS when a resident had been suspected to have been subjected to abuse or neglect.<br/><br/>This non-compliance was previously cited during the complaint inspection, dated 2/28/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-28","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":24839,"ruleNumber":"R432-270-19(7)(a)-(f)","ruleDescription":"Resident unable to self administer medications","complaintDates":"02/26/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Extreme","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":5000.0,"warnCmpAmount":500.0,"correctionAction":"On 6/6/2024, the licensor observed a medication administration and verified that medications were administered as prescribed, as stated by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the facility staff administered medications only after delegation by a licensed health care professional and the licensee did not ensure medications were administered according to the prescribed order. During the inspection, 3 employees were observed to have medication delegations from the resident care coordinator, who was not a registered nurse.  One (1) resident was identified to have not received their medications according to the prescribed order.<br/><br/>This noncompliance was previously cited during a re-licensure inspection dated 4/13/2022 and was re-cited on a follow-up inspection dated 6/29/2022.","underAppeal":false},{"ruleId":25076,"ruleNumber":"R432-270-16(4)","ruleDescription":"One direct care staff in secure unit","complaintDates":"02/26/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-04-29","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 4/29/2024,  the licensor verified that there was at least one direct care staff in the secured unit continuously, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring that there was at least one direct care staff in the secured unit continuously.  During the inspection, the licensee did not ensure that the secure unit had at least 1 direct care staff continuously.","underAppeal":false},{"ruleId":24792,"ruleNumber":"R432-270-15(3)(a)-(c)","ruleDescription":"Type II RN Nursing Services","complaintDates":"02/26/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-06-06","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 6/6/2024, the licensor verified that the Nurse reviewed all resident assessments and a UA was collected for 1 resident and sent to the lab.  Additionally, the licensor verified that 1 residents active medication list included all medications that were prescribed by the physician, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not employing or contracting with a registered nurse to provide or supervise nursing services to include: general health monitoring on each resident and routine nursing tasks, including those that might be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701.  During the inspection, the licensee did not ensure that the contracted nurse provided nursing services.","underAppeal":false},{"ruleId":24788,"ruleNumber":"R432-270-13(5)","ruleDescription":"Significant change","complaintDates":"02/26/2024","findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-04-29","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 4/29/2024, the licensor verified that each residents assessment was revised and updated when there was a significant change in the resident's cognitive, medical, physical, or social condition, as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring each residents assessment was revised and updated when there was a significant change in the resident's cognitive, medical, physical, or social condition.  During the inspection, the licensor observed 1 resident had a significant change that did not have a significant change assessment completed.","underAppeal":false},{"ruleId":24729,"ruleNumber":"R432-270-8(1)(a)-(p)","ruleDescription":"Administrator Duties","complaintDates":"02/26/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-05-21","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not ensuring the administrator maintained a log indicating any significant change in resident's condition and the facility's action or response and did not complete an investigation or report to APS (Adult Protective Services) when there was reason to believe a resident was subjected to abuse, neglect, or exploitation. During the inspection, the licensor observed 1 resident had a significant change that was not documented on the significant change log with changes in resident's condition and facility's action or response.  Additionally, the administrator did not complete and investigation or report to APS when a resident had been suspected to have been subjected to abuse or neglect.","underAppeal":false}],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":null,"cmsCertNumber":null}