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Lomond Peak: Food Allergy Safety Failures - UT

Healthcare Facility
Lomond Peak Nursing And Rehabilitation, Llc
Ogden, UT  ·  2/5 stars

Inspectors watched it happen. At 12:54 p.m. on October 8, the aide, identified in the report as DA 2, picked up fish with his gloved hands and placed it on a plate. He had already acknowledged, in an interview the following day, that he had cut the fish with the same gloved hands and the same knife he used for other food. Two residents in the facility had fish allergies.

DA 2 said he was aware of those allergies. He said he kept a close eye on foods, changed his gloves, and used different utensils to prevent reactions. The inspection record does not reflect that he did any of those things during the observed meal service.

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The Dietary Manager said staff should change gloves every time they moved stations or touched anything. He said he preferred staff not handle food with gloved hands at all. Then he said there were no cross-contamination concerns because the chicken and fish were cooked.

The Director of Nursing said she was not aware of any residents with fish allergies.

The two people responsible for food safety in the building gave contradictory accounts of who was responsible for the resident refrigerators. The Dietary Manager said kitchen staff were not doing it. The Director of Nursing said night shift nurses were. Inspectors also found unlabeled and undated items stored in those refrigerators, a separate violation of the facility's own outside food policy, which requires all prepared items to be labeled with contents and a date.

The inspection was conducted as a complaint investigation. CMS assigned the violation a level of minimal harm or potential for actual harm.

The two residents with fish allergies ate in a kitchen where the aide serving their meals said he took precautions, and inspectors watched him not take them.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Lomond Peak Nursing and Rehabilitation, LLC from 2025-10-09 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: July 26, 2026  ·  Our methodology

Quick Answer

Lomond Peak Nursing and Rehabilitation, LLC in Ogden, UT was cited for violations during a health inspection on October 9, 2025.

on October 8, the aide, identified in the report as DA 2, picked up fish with his gloved hands and placed it on a plate.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Lomond Peak Nursing and Rehabilitation, LLC?
on October 8, the aide, identified in the report as DA 2, picked up fish with his gloved hands and placed it on a plate.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Ogden, UT, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Lomond Peak Nursing and Rehabilitation, LLC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 46A071.
Has this facility had violations before?
To check Lomond Peak Nursing and Rehabilitation, LLC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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