Pinnacle Nursing and Rehab: Call Light Safety Gap - UT
Her answer to that problem was a backup system. If Activities or Physical Therapy staff brought a resident back to their room, she said, they were expected to push the call light button before leaving, creating what she called a double system. Two layers of notification, in theory, to make sure someone knew a resident needed help.
The inspection report, completed January 29, 2026, does not record that the double system worked reliably. It records that the director of nursing described it as an expectation.
The distinction matters. An expectation is what staff are supposed to do. What inspectors document is what actually happened.
Inspectors classified the harm level as minimal or potential, and noted that few residents were affected. Those characterizations come from a federal scale that runs from no harm to immediate jeopardy. Minimal harm or potential for actual harm sits near the lower end. It does not mean nothing went wrong. It means inspectors could not document that serious harm had already occurred, only that the conditions existed for it.
A resident waiting in a room after being returned by a physical therapist, call light unpushed, earpiece signal lost somewhere between the button and the nurse's station, has no way to reach anyone. The inspection report does not say how long that could last. The director of nursing offered a window of 10 to 15 minutes as a reference point in her statement, though the full context of that figure is cut off in the available record.
Ten to fifteen minutes is not a long time for a person who is mobile and well. For a nursing home resident returned to their room after physical therapy, it can be.
The inspection narrative available for this report is fragmentary. Pages are missing. The deficiency tag identifiers that would specify exactly which federal standards were cited do not appear in the portion of the record reviewed. What remains is the director of nursing's own account, offered to inspectors, of a system with a known flaw and a workaround that depended on staff remembering to take an extra step before leaving a resident's room.
Pinnacle Nursing and Rehabilitation Center operates at 1340 East 300 North in Price, a small city in Carbon County in eastern Utah. The January inspection was a complaint survey, meaning it was triggered by a specific complaint rather than a routine annual review.
The complaint that prompted inspectors to come is not identified in the available record. What the record shows is that once inspectors arrived, they found enough to document a deficiency related to how the facility monitored residents who needed assistance.
The director of nursing's explanation, as inspectors recorded it, rested on two things that required other people to do their jobs correctly at the right moment: Activities or Physical Therapy staff had to remember to push the call light, and the earpiece had to transmit when it did. If either piece failed, the system failed. The director of nursing knew the earpieces sometimes did not transmit. That is in her own statement.
The plan of correction, which nursing homes are required to file in response to cited deficiencies, is not included in the portion of the inspection record available for review.
What the record leaves behind is a resident, returned to their room, and a call light that may or may not have been pushed, and an earpiece that may or may not have been working, and a window of time in which no one would necessarily know to check.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pinnacle Nursing and Rehabilitation Center from 2026-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 17, 2026 · Our methodology
Pinnacle Nursing and Rehabilitation Center in Price, UT was cited for violations during a health inspection on January 29, 2026.
Her answer to that problem was a backup system.
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.