| Heritage Park Healthcare and Rehabilitation | |
| 2700 West 5600 South, Roy, Utah 84067 | |
| (801) 825-9731 | |
| Name | Heritage Park Healthcare and Rehabilitation |
|---|---|
| Location | 2700 West 5600 South, Roy, Utah |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 176 |
| Occupancy Rate | 65.45% |
| Medicare ID (CCN) | 465003 |
| Legal Business Name | Beaver Valley Hospital |
| Ownership Type | For Profit - Partnership |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1194257584 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Beaver Valley Hospital |
| Doing Business As | Heritage Park Healthcare and Rehabilitation |
| Address | 2700 W 5600 S, Roy, UT 84067 |
| Phone Number | 801-825-9731 |
| NPI Number | 1356391056 |
| Match | Possible same name, address or phone number |
| Organization Name | Trinity Mission Health & Rehab of Roy, LP |
| Doing Business As | Heritage Park |
| Address | 2700 W 5600 S, Roy, UT 84067 |
| Phone Number | 801-825-9731 |
| NPI Number | 1629210083 |
| Match | Possible same name, address or phone number |
| Organization Name | Heritage Park Rehabilitation and Healthcare Center, LLC |
| Address | 2700 W 5600 S, Roy, UT 84067 |
| Phone Number | 801-825-9731 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.84 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.9 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.65 | 0.86 |
| Nurse aide hours per resident per day | 2.29 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.38 | 3.42 |
| RN hours per resident per day on the weekend | 0.53 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 46.8% | 45.8% |
| Registered nurse turnover | 23.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $36,645 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 2, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 5, 2024 |
| Jul 2, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Jul 2, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Oct 24, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Nov 10, 2023 |
| Nov 15, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Nov 15, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2022 |
| Apr 8, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2021 |
| Apr 8, 2021 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 1, 2021 |
| Apr 8, 2021 | Put firmly secured handrails on each side of hallways. F0924, Environmental, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2021 |
| Apr 8, 2021 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2021 |
| Apr 8, 2021 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2021 |
| Apr 8, 2021 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.61 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.55 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.29 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.49 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.25 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.82 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.49 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.02 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.02 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 52.14 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.15 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.74 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.4 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.74 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.17 | 15.38 |