MISSION AT MAPLE SPRINGS

πŸ“ 1010 SOUTH MEDICAL DRIVE, brigham, UT 84302 πŸ“ž 4353105800 πŸ›οΈ 38 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

64
Total Violations
6 years of data
$82,137
Total Fines
4 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 13 violations

Tag 0554 D Dec 18, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jan 18, 2024
Tag 0600 G Dec 18, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 18, 2024
Tag 0609 E Dec 18, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 18, 2024
Tag 0610 D Dec 18, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Jan 18, 2024
Tag 0689 D Dec 18, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 18, 2024
Tag 0755 D Dec 18, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 18, 2024
Tag 0756 D Dec 18, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jan 18, 2024
Tag 0757 D Dec 18, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jan 18, 2024
Tag 0761 E Dec 18, 2023

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.

βœ“ Corrected: Jan 18, 2024
Tag 0770 D Dec 18, 2023

Provide timely, quality laboratory services/tests to meet the needs of residents.

βœ“ Corrected: Jan 18, 2024
Tag 0812 E Dec 18, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jan 18, 2024
Tag 0880 E Dec 18, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 18, 2024
Tag 0881 D Dec 18, 2023

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jan 18, 2024

2022 21 violations

Tag 0554 D Mar 2, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Apr 15, 2022
Tag 0561 D Mar 2, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Apr 15, 2022
Tag 0580 D Mar 2, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 15, 2022
Tag 0583 D Mar 2, 2022

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Apr 15, 2022
Tag 0585 E Mar 2, 2022

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.

βœ“ Corrected: Apr 15, 2022
Tag 0600 J Mar 2, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 15, 2022
Tag 0603 G Mar 2, 2022

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

βœ“ Corrected: Apr 15, 2022
Tag 0607 E Mar 2, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Apr 15, 2022
Tag 0609 D Mar 2, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 15, 2022
Tag 0610 D Mar 2, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 15, 2022
Tag 0622 D Mar 2, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Apr 15, 2022
Tag 0656 D Mar 2, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 15, 2022
Tag 0729 D Mar 2, 2022

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

βœ“ Corrected: Apr 15, 2022
Tag 0745 D Mar 2, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Apr 15, 2022
Tag 0759 E Mar 2, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Apr 15, 2022
Tag 0812 F Mar 2, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 15, 2022
Tag 0825 D Mar 2, 2022

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Apr 15, 2022
Tag 0835 E Mar 2, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Apr 15, 2022
Tag 0867 E Mar 2, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Apr 15, 2022
Tag 0880 L Mar 2, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 15, 2022

2021 1 violations

Tag 0880 E Nov 8, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 24, 2021

2020 7 violations

Tag 0760 J Nov 25, 2020

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 25, 2020
Tag 0641 E Jan 27, 2020

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 26, 2020
Tag 0712 D Jan 27, 2020

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

βœ“ Corrected: Feb 26, 2020
Tag 0758 D Jan 27, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Feb 26, 2020
Tag 0801 E Jan 27, 2020

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Feb 26, 2020
Tag 0812 E Jan 27, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Feb 26, 2020
Tag 0838 E Jan 27, 2020

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Feb 26, 2020

2019 5 violations

Tag 0842 D Oct 1, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Oct 25, 2019
Tag 0580 D Jan 9, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 28, 2019
Tag 0712 D Jan 9, 2019

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

βœ“ Corrected: Feb 28, 2019
Tag 0812 E Jan 9, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Feb 28, 2019
Tag 0849 D Jan 9, 2019

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Feb 28, 2019

2017 17 violations

Tag 0157 D Oct 26, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Dec 8, 2017
Tag 0280 D Oct 26, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Dec 8, 2017
Tag 0282 D Oct 26, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Dec 8, 2017
Tag 0309 E Oct 26, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Dec 8, 2017
Tag 0314 D Oct 26, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Dec 8, 2017
Tag 0323 D Oct 26, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Dec 8, 2017
Tag 0329 D Oct 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Dec 8, 2017
Tag 0354 E Oct 26, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

βœ“ Corrected: Dec 8, 2017
Tag 0371 E Oct 26, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Dec 8, 2017
Tag 0387 D Oct 26, 2017

Make sure that doctors visit residents regularly, as required.

βœ“ Corrected: Dec 8, 2017
Tag 0428 D Oct 26, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Dec 8, 2017
Tag 0465 E Oct 26, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Dec 8, 2017
Tag 0501 E Oct 26, 2017

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.

βœ“ Corrected: Dec 8, 2017
Tag 0502 D Oct 26, 2017

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.

βœ“ Corrected: Dec 8, 2017
Tag 0505 E Oct 26, 2017

Quickly tell the resident's doctor the results of laboratory tests.

βœ“ Corrected: Dec 8, 2017
Tag 0514 E Oct 26, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Dec 8, 2017
Tag 0520 E Oct 26, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Dec 8, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $60,707

$60,707
Fine
March 2, 2022
$0
Payment Denial
March 2, 2022
Average: $30,354 | Range: $0 - $60,707

2021 1 penalties totaling $650

$650
Fine
November 22, 2021
Average: $650 | Range: $650 - $650

2020 1 penalties totaling $20,780

$20,780
Fine
November 25, 2020
Average: $20,780 | Range: $20,780 - $20,780

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

December 18, 2023
0.00

Health

March 2, 2022
0.00

Health

November 8, 2021
0.00

Health

January 27, 2020
0.00

Health

January 9, 2019
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
465165
465165
4353105800
Box Elder

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual