Provo Rehabilitation and Nursing

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J 1
K
L
Actual harm
G 8
H
I
No harm, potential
D 6
E 1
F
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 16, then 27, then 32 . Latest survey date: 2024-10-21.
Repeat citations
Tag Plain English Previous Latest Sev F0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and resident-care concern by anybody. prior cycle latest cycle G F0609 Timely report suspected resident-safety incidents or theft and report the results of the investigation to proper authorities. prior cycle latest cycle D F0610 Respond appropriately to all alleged violations. prior cycle latest cycle G F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle D F0695 Provide safe and appropriate respiratory care for a resident when needed. prior cycle latest cycle D F0697 Provide safe, appropriate pain management for a resident who requires such services. prior cycle latest cycle D F0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. prior cycle latest cycle D CMS data shows 7 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2024-10-21 F0600 Resident protection deficiencies G complaint 2024-12-02 2024-10-21 F0609 Resident protection deficiencies D standard 2024-12-02 2024-10-21 F0689 Quality of Life and Care Deficiencies D complaint 2024-12-02 2024-10-21 F0695 Quality of Life and Care Deficiencies D standard 2024-12-02 2024-10-21 F0697 Quality of Life and Care Deficiencies D standard 2024-12-02 2024-10-21 F0755 Pharmacy Service Deficiencies D standard 2024-12-02 2024-10-21 F0757 Pharmacy Service Deficiencies D standard 2024-12-02 2024-10-21 F0812 Nutrition and Dietary Deficiencies E standard 2024-12-02
Official CMS inspection narrative
F0600 · 2024-10-21 · severity G
Official inspection narrative not available for this citation.
F0609 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0689 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0695 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0697 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0755 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0757 · 2024-10-21 · severity D
Official inspection narrative not available for this citation.
F0812 · 2024-10-21 · severity E
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2024-10-21
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
8
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2024-10-21 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-10-21 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2024-10-21 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
---
Survey: 2024-10-21 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-10-21 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2024-10-21 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-10-21 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
---
Survey: 2024-10-21 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2023-01-30 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2023-01-30 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2023-01-30 | Tag F0583 | Resident Rights Deficiencies | Severity: E
Keep residents' personal and medical records private and confidential.
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Survey: 2023-01-30 | Tag F0584 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2023-01-30 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: H
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2023-01-30 | Tag F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Survey: 2023-01-30 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
---
Survey: 2023-01-30 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2023-01-30 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2023-01-30 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Survey: 2023-01-30 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: G
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2023-01-30 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: G
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-01-30 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2023-01-30 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2023-01-30 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2023-01-30 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: H
Provide enough food/fluids to maintain a resident's health.
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Survey: 2023-01-30 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2023-01-30 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2023-01-30 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
---
Survey: 2023-01-30 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2023-01-30 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-01-30 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Survey: 2023-01-30 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2023-01-30 | Tag F0835 | Administration Deficiencies | Severity: H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2023-01-30 | Tag F0867 | Administration Deficiencies | Severity: H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2023-01-30 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2023-01-30 | Tag F0881 | Infection Control Deficiencies | Severity: D
Implement a program that monitors antibiotic use.
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Survey: 2021-05-28 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2021-05-28 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2021-05-28 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2021-05-28 | Tag F0561 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Survey: 2021-05-28 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2021-05-28 | Tag F0584 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
---
Survey: 2021-05-28 | Tag F0585 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Survey: 2021-05-28 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: H
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
---
Survey: 2021-05-28 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2021-05-28 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
---
Survey: 2021-05-28 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
---
Survey: 2021-05-28 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2021-05-28 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: E
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2021-05-28 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2021-05-28 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Survey: 2021-05-28 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2021-05-28 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
---
Survey: 2021-05-28 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
---
Survey: 2021-05-28 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
---
Survey: 2021-05-28 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: H
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Survey: 2021-05-28 | Tag F0726 | Nursing and Physician Services Deficiencies | Severity: E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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Survey: 2021-05-28 | Tag F0742 | Quality of Life and Care Deficiencies | Severity: G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Survey: 2021-05-28 | Tag F0756 | Pharmacy Service Deficiencies | Severity: E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2021-05-28 | Tag F0760 | Pharmacy Service Deficiencies | Severity: E
Ensure that residents are free from significant medication errors.
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Survey: 2021-05-28 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2021-05-28 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
---
Survey: 2021-05-28 | Tag F0835 | Administration Deficiencies | Severity: H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
---
Survey: 2021-05-28 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2021-05-28 | Tag F0867 | Administration Deficiencies | Severity: H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2021-05-28 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2021-05-28 | Tag F0885 | Infection Control Deficiencies | Severity: E
Report COVID19 data to residents and families.
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Survey: 2021-05-28 | Tag F0919 | Environmental Deficiencies | Severity: E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.