State surveyors inspected 64 of Utah's 97 nursing homes in the 12 months from August 2025 through July 2026 and cited 427 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F689, which CMS words as “ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents”, at 31 of those buildings (48%). 13 of the citations were immediate jeopardy, the most serious level CMS has.
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Utah, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 37 | 31 (48%) |
| 2 | F880Provide and implement an infection prevention and control program | 27 | 27 (42%) |
| 3 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 23 | 23 (36%) |
| 4 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 18 | 18 (28%) |
| 5 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 16 | 16 (25%) |
| 6 | F775Keep complete, dated laboratory records in the resident's record | 13 | 13 (20%) |
| 7 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 13 | 13 (20%) |
| 8 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 12 | 12 (19%) |
| 9 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 12 | 12 (19%) |
| 10 | F757Ensure each resident’s drug regimen must be free from unnecessary drugs | 12 | 12 (19%) |
| 11 | F761Ensure 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 | 12 | 12 (19%) |
| 12 | F610Respond appropriately to all alleged violations | 9 | 9 (14%) |
| 13 | F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason | 8 | 8 (12%) |
| 14 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 8 | 8 (12%) |
| 15 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 8 | 8 (12%) |
| 16 | F760Ensure that residents are free from significant medication errors | 8 | 7 (11%) |
| 17 | F770Provide timely, quality laboratory services/tests to meet the needs of residents | 7 | 7 (11%) |
| 18 | F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature | 7 | 6 (9%) |
| 19 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 6 | 6 (9%) |
| 20 | F658Ensure services provided by the nursing facility meet professional standards of quality | 6 | 6 (9%) |
| 21 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 6 | 6 (9%) |
| 22 | F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results | 6 | 6 (9%) |
| 23 | F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service | 6 | 6 (9%) |
| 24 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 6 | 6 (9%) |
| 25 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 5 | 5 (8%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 5 | 5 (8%) |
| 27 | F697Provide safe, appropriate pain management for a resident who requires such services | 5 | 5 (8%) |
| 28 | F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training | 5 | 5 (8%) |
| 29 | F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status | 5 | 5 (8%) |
| 30 | F554Allow residents to self-administer drugs if determined clinically appropriate | 4 | 4 (6%) |
| 31 | F585Honor 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 | 4 | 4 (6%) |
| 32 | F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge | 4 | 4 (6%) |
| 33 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 4 | 4 (6%) |
| 34 | F692Provide enough food/fluids to maintain a resident's health | 4 | 4 (6%) |
| 35 | F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services | 4 | 4 (6%) |
| 36 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 4 | 4 (6%) |
| 37 | F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record | 4 | 4 (6%) |
| 38 | F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs | 4 | 4 (6%) |
| 39 | F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action | 4 | 4 (6%) |
| 40 | F677Provide care and assistance to perform activities of daily living for any resident who is unable | 4 | 3 (5%) |
| 41 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 3 | 3 (5%) |
| 42 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 3 | 3 (5%) |
| 43 | F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube | 3 | 3 (5%) |
| 44 | F695Provide safe and appropriate respiratory care for a resident when needed | 3 | 3 (5%) |
| 45 | F881Implement a program that monitors antibiotic use | 3 | 3 (5%) |
| 46 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 3 | 3 (5%) |
| 47 | F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered | 2 | 2 (3%) |
| 48 | F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely | 2 | 2 (3%) |
| 49 | F602Protect each resident from the wrongful use of the resident's belongings or money | 2 | 2 (3%) |
| 50 | F607Develop and implement policies and procedures to prevent abuse, neglect, and theft | 2 | 2 (3%) |
| 51 | F641Ensure each resident receives an accurate assessment | 2 | 2 (3%) |
| 52 | F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift | 2 | 2 (3%) |
| 53 | F732Post nurse staffing information every day | 2 | 2 (3%) |
| 54 | F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them | 2 | 2 (3%) |
| 55 | F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs | 2 | 2 (3%) |
| 56 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 2 | 2 (3%) |
| 57 | F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident | 2 | 2 (3%) |
| 58 | F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options | 2 | 2 (3%) |
| 59 | F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times | 2 | 2 (3%) |
| 60 | F865Have a plan that describes the process for conducting QAPI and QAA activities | 2 | 2 (3%) |
| 61 | F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason | 2 | 1 (2%) |
| 62 | F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made | 1 | 1 (2%) |
| 63 | F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice | 1 | 1 (2%) |
| 64 | F567Honor the resident's right to manage his or her financial affairs | 1 | 1 (2%) |
| 65 | F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home | 1 | 1 (2%) |
| 66 | F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid | 1 | 1 (2%) |
| 67 | F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive | 1 | 1 (2%) |
| 68 | F645PASARR screening for Mental disorders or Intellectual Disabilities | 1 | 1 (2%) |
| 69 | F694Provide for the safe, appropriate administration of IV fluids for a resident when needed | 1 | 1 (2%) |
| 70 | F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail | 1 | 1 (2%) |
| 71 | F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit | 1 | 1 (2%) |
| 72 | F712Ensure that the resident and his/her doctor meet face-to-face at all required visits | 1 | 1 (2%) |
| 73 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 1 | 1 (2%) |
| 74 | F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis | 1 | 1 (2%) |
| 75 | F790Provide routine and 24-hour emergency dental care for each resident | 1 | 1 (2%) |
| 76 | F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration | 1 | 1 (2%) |
| 77 | F825Provide or get specialized rehabilitative services as required for a resident | 1 | 1 (2%) |
| 78 | F835Administer the facility in a manner that enables it to use its resources effectively and efficiently | 1 | 1 (2%) |
| 79 | F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care | 1 | 1 (2%) |
| 80 | F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services | 1 | 1 (2%) |
| 81 | F908Keep all essential equipment working safely | 1 | 1 (2%) |
| 82 | F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public | 1 | 1 (2%) |
| 83 | F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation | 1 | 1 (2%) |
| 84 | F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program | 1 | 1 (2%) |
| 85 | F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention | 1 | 1 (2%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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