Pheasant View Assisted Living.
Pheasant View Assisted Living is Ranked in the bottom 18% on repeat-citation rate among Utah peers with 10 DLBC citations on record; last inspected Nov 2025.
A medium home, reviewed on public record.
Compared to 29 Utah facilities with a similar number of beds.
Care · 36-month window. Higher percentile = better performance on inspection record. Source: Utah Dept. of Health & Human Services · Division of Licensing and Background Checks.
Rankings based on 36-month DLBC inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
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Pheasant View Assisted Living has 10 citations on record. Know the moment anything changes.
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Citation history, plotted month by month.
10 deficiencies on record. Each bar is a month with a citation.
Finding distribution
10 total · 36 monthsScope × Severity (CMS A–L)
Every inspection visit, verbatim.
9 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-11-19Annual Compliance VisitNo findings
2025-08-20Annual Compliance VisitStandard · 4 findings
Plain-language summary
During an annual inspection, noncompliance was cited in medication management and infection control practices. The facility failed to notify the licensed health care professional of medication errors, did not administer three residents' medications according to prescribing orders, and did not complete incident reports for documented medication errors—all repeat violations from prior inspections in 2023 and 2025. Additionally, staff did not use hand sanitizer between administering medications to different residents, and infection control policies for medication administration tasks were not implemented.
“The provider was out of compliance with R432-270-18(14) for not ensuring the licensed health care professional was notified when a medication error occurred. During the inspection, the licensor observed that the nurse was not notified when 2 residents had multiple medication errors. This is a repeat noncompliance as noted on the February 25, 2025 and June 12, 2025 inspections”
“The provider was out of compliance with rule R432-270-18(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 3 resident medications were not available and not administered according to the prescribing order. This is a repeat noncompliance as noted on the December 18, 2023, February 25, 2025, and June 12, 2025 inspections.”
“The provider was out of compliance with R432-270-18(15) for not ensuring medication error incident reports were completed when medication errors occurred. During the inspection, the licensor observed that several medication error incident reports were not completed when a documented medication error occurred. This is a repeat noncompliance as noted on the February 25, 2025 and June 12, 2025 inspections”
“The provider was out of compliance with rule R432-270-8(16) by not ensuring policies and procedures for task-related employee infection control were developed and implemented. During the survey, the licensor observed that hand sanitizing did not occur between residents’ medication administration.”
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[R432-270-18(14)] The provider was out of compliance with R432-270-18(14) for not ensuring the licensed health care professional was notified when a medication error occurred. During the inspection, the licensor observed that the nurse was not notified when 2 residents had multiple medication errors. This is a repeat noncompliance as noted on the February 25, 2025 and June 12, 2025 inspections [R432-270-18(7)(a)-(f)] The provider was out of compliance with rule R432-270-18(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 3 resident medications were not available and not administered according to the prescribing order. This is a repeat noncompliance as noted on the December 18, 2023, February 25, 2025, and June 12, 2025 inspections. [R432-270-18(15)] The provider was out of compliance with R432-270-18(15) for not ensuring medication error incident reports were completed when medication errors occurred. During the inspection, the licensor observed that several medication error incident reports were not completed when a documented medication error occurred. This is a repeat noncompliance as noted on the February 25, 2025 and June 12, 2025 inspections [R432-270-8(16)] The provider was out of compliance with rule R432-270-8(16) by not ensuring policies and procedures for task-related employee infection control were developed and implemented. During the survey, the licensor observed that hand sanitizing did not occur between residents’ medication administration.
2025-06-12Annual Compliance VisitStandard · 3 findings
Plain-language summary
During this annual inspection, the facility was found out of compliance with medication management requirements in three areas: medication error incident reports were not completed when errors occurred, the licensed health care professional was not notified of medication errors (affecting at least 5 instances across sampled residents), and medications were not administered according to prescribing orders for 4 residents. All three violations were repeat findings from previous inspections dating back to December 2023. These noncompliances indicate ongoing failures in the facility's medication administration and error-reporting processes.
“The provider was out of compliance with R432-270-19(15) by not ensuring medication error incident reports were completed when medication errors occurred. During the inspection, the licensor observed that a medication error incident report was not completed when an observed medication error occurred. This is a repeat noncompliance as noted on the February 25, 2025 inspection.”
“The provider was out of compliance with R432-270-19(14) by not ensuring the licensed health care professional (HCP) was notified when a medication error occurred. During the inspection, the licensor observed that the HCP was not notified when 1 observed medication error occurred and 4 sampled residents had medication errors that were not reported to the HCP. This is a repeat noncompliance as noted on the February 25, 2025 inspection.”
“The provider was out of compliance with R432-270-19(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 4 resident medications were not administered according to the prescribing order. This is a repeat noncompliance as noted on the February 25, 2025 and December 18, 2023 inspections.”
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[R432-270-19(15)] The provider was out of compliance with R432-270-19(15) by not ensuring medication error incident reports were completed when medication errors occurred. During the inspection, the licensor observed that a medication error incident report was not completed when an observed medication error occurred. This is a repeat noncompliance as noted on the February 25, 2025 inspection. [R432-270-19(14)] The provider was out of compliance with R432-270-19(14) by not ensuring the licensed health care professional (HCP) was notified when a medication error occurred. During the inspection, the licensor observed that the HCP was not notified when 1 observed medication error occurred and 4 sampled residents had medication errors that were not reported to the HCP. This is a repeat noncompliance as noted on the February 25, 2025 inspection. [R432-270-19(7)(a)-(f)] The provider was out of compliance with R432-270-19(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 4 resident medications were not administered according to the prescribing order. This is a repeat noncompliance as noted on the February 25, 2025 and December 18, 2023 inspections.
2025-02-25Annual Compliance VisitModerate · 1 finding
“The provider was out of compliance with R432-270-19(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 1 resident's medications were not administered according to the prescribing order.”
2025-02-25Complaint InvestigationModerate · 1 finding
Plain-language summary
A routine inspection found that the facility did not ensure medications were administered according to prescribing orders, with one resident's medications not given as prescribed. Noncompliance was cited under R432-270-19(7)(d) for medication administration practices.
“The provider was out of compliance with R432-270-19(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 1 resident's medications were not administered according to the prescribing order.”
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[R432-270-19(7)(a)-(f)] The provider was out of compliance with R432-270-19(7)(d) by not ensuring medications were administered according to the prescribing order. During the inspection, the licensor observed that 1 resident's medications were not administered according to the prescribing order.
2024-11-29Annual Compliance VisitNo findings
2024-11-05Annual Compliance VisitNo findings
2024-01-17Annual Compliance VisitNo findings
2023-12-18Annual Compliance VisitSerious · 1 finding
Plain-language summary
During an annual inspection, the facility was found out of compliance with evacuation capability requirements under Utah rule R432-270-11(5). One resident currently living at the facility was not capable of evacuating with the limited assistance of one person, which is a requirement for Type II assisted living facilities. The facility must ensure that residents admitted meet evacuation capability standards or make changes to residents' current placements.
“The provider was out of compliance with this rule by not ensuring the Type II facility accepted and retained residents who were capable of evacuating the facility with the limited assistance of one person. During the inspection, 1 resident was observed to not be capable of evacuating the facility with the limited assistance of one person.”
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[R432-270-11(5)(a-c)] The provider was out of compliance with this rule by not ensuring the Type II facility accepted and retained residents who were capable of evacuating the facility with the limited assistance of one person. During the inspection, 1 resident was observed to not be capable of evacuating the facility with the limited assistance of one person.
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