Health Inspection

Rocky Mountain Care - Cottage On Vine

March 6, 2025 · Murray, UT · 835 East Vine Street

Citations 2

CMS Rating 3/5

Beds 61

Provider ID 465125

Healthcare Facility

Rocky Mountain Care - Cottage On Vine

Murray, UT · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 33 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Rocky Mountain Care - Cottage on Vine in Murray, UT — inspection on March 6, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF690

Minimal harm or 2/25/25 at 11:43 PM. It should be noted that no documentation could be found to indicate that the physician Few On 3/4/25 at 9:08 AM, an interview was conducted with RN 3. RN 3 stated that resident 41's Daptomycin affected

F-F690]

2. Resident 41 was admitted to the facility on [DATE] with diagnoses which included polyneuropathy, type 2 diabetes mellitus, osteomyelitis, non-pressure chronic ulcer, gas gangrene, cutaneous abscess of left foot, and cellulitis.

On 3/3/25 at 10:22 AM, an interview was conducted with resident 41. Resident 41 stated that the facility did not have enough staff and that he did not receive his intravenous (IV) antibiotics on time.

Resident 41's medical record was reviewed.

Resident 41's physician orders revealed the following:

Daptomycin-Sodium Chloride Intravenous Solution 500-0.9 milligram (mg)/50ML, give 750 mg intravenously every 24 hours for Infection.

The medication order documented an administration time of 1:00 PM daily.

Micafungin Sodium Chloride Intravenous Solution 100-0.9 MG/100ML, give 100 mg intravenously every 24 hours for infection.

The medication order documented an administration time of 10:00 PM.

The Medication Treatment Record documented that the Daptomycin was administered late on the following days: on 2/13/25 at 3:29 PM, on 2/18/25 at 4:01 PM, on 2/22/25 at 2:52 PM, and on 2/25/25 at 2:55 PM. It should be noted that no documentation could be found to indicate that the physician was notified of the late administrations of the antibiotic.

465125

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 465125 B.

Wing 03/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rocky Mountain Care - Cottage on Vine 835 East Vine Street Murray, UT 84107

FF760

TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 43212 Few resident's stay, of services available in the facility and of charges for those services, including any charges affected

Findings included:

Resident 100 was admitted to the facility on [DATE] with diagnoses that included pneumonia, septicemia, renal insufficiency, and diabetes mellitus. Resident 100 was discharged to home on 10/3/24.

Resident 100's medical record was reviewed on 3/6/25.

A NOMNC was not found in resident 100's medical record.

On 3/6/25, a request was made with the Administrator (ADM) to provide a copy of resident 100's signed NOMNC form.

On 3/6/25 at 11:12 AM, an interview was conducted with the ADM who stated he was unable to find a NOMNC for resident 100.

465125

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 465125 B.

Wing 03/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rocky Mountain Care - Cottage on Vine 835 East Vine Street Murray, UT 84107

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Murray, UT, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Rocky Mountain Care - Cottage on Vine or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.