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Mission at Community Living Rehabilitation Center Inspection Report, Violations & Safety Grade (Centerfield, Utah)

10 West 400 South, Centerfield, Utah 84622

Phone: 4355282800

CMS Overall:4/5

Overview & Bed Count

Certified Beds
46
Avg Residents/Day
41.3
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Sanpete
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityUtah AvgDifference
RN Hours per Resident per Day0.731.24-0.51
Total Nurse Hours per Resident per Day3.074.08-1.01
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover36.8%50%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2025-06-25Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-06-25Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-06-25Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-06-25Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-06-25Administration DeficienciesKeep complete, dated laboratory records in the resident's record.D – Moderate Harm Potential
2025-06-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-06-25Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D – Moderate Harm Potential
2023-09-12Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-09-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2023-09-12Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E – Moderate Harm Potential
2023-09-12Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2023-09-12Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2023-09-12Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-09-12Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2023-09-12Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D – Moderate Harm Potential
2023-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2022-02-24Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2022-02-24Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-02-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-02-24Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-06-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-06-25Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2023-09-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-09-12Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-09-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2022-02-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2022-02-24Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2022-02-24Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2022-02-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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