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Inspection visit

Follow-up on corrections

CITY CREEK ASSISTED LIVINGLicense 3427008351 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 05/05/25 Licensing Program Analysts (LPAs) Pang Lee and Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPAs met with Administrator Caleb Summerhays and Health Service Director Katelyn Flores and explained the purpose of the visit. The purpose of the visit is to follow up on deficiency learned during complaint investigation control number # 27-AS-20241118154836. The current census is110. Through the complaint investigation, it was learned that Resident 1 (R1) was undergoing dialysis treatment at Davita Dialysis Center. R1 had scheduled dialysis appointments on the following dates: 12/07/23; 12/09/23; and 12/12/23. All three appointments were missed. According to facility protocol, if a resident refuses to attend their third dialysis appointment, the Medication Technician (Med Tech) is required to call 911 to have the resident transported to the hospital. Facility staff did not follow this protocol when R1 missed more than two dialysis sessions. Resident Care Coordinator Leslie Padilla and Nurse Melina Dearing both confirmed that Med Tech (PD) was instructed to send R1 to the hospital on December 12, 2023. However, Med-tech did not do so; therefore, the facility did not seek timely medical attention to R1. The following deficiency were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. The deficiency can be found on the 809-D page. An exit interview was conducted, and a copy of the 809 report, 809-D page, and appeal rights were given to the facility.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87464(d)Type A

    Amend Report to Type A and change the reaseon for the citation.87464 (d) Basic ServicesA facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources.This requirement was not met as evidenced by: Based on interview and record reviews when R1 missed 3 dialysis treatment the facility did not seek medical treatment in a timely manner for R1, which posed an immedicate risk to R1 in care.

  • 87466Type B

    The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs…This requirement was not met as evidenced by Based on interviews and records review, facility staff admitted that R1’s change in condition was not communicated to R1’s responsible party and documented, this poses a potential risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2025 inspection of CITY CREEK ASSISTED LIVING?

This was a other inspection of CITY CREEK ASSISTED LIVING on May 6, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CITY CREEK ASSISTED LIVING on May 6, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Amend Report to Type A and change the reaseon for the citation.87464 (d) Basic ServicesA facility need not accept a part..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.