Cycle 1
Health 2025-01-08 · Fire 2025-01-08
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Layton, UT
Fairfield Village Rehabilitation
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1203 North Fairfield Road, Layton, UT
(801) 807-0113
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-12-02
CMS approved date
Coverage
Medicare
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.46
Registered nurse staffing
LPN hours / resident day
0.40
Licensed practical nurse staffing
Aide hours / resident day
2.53
Nurse aide staffing
Weekend hours
3.13
Weekend nurse staffing
RN turnover
94%
Annual RN turnover
Total nurse turnover
63%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
93.3%
4.3 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
11.8%
4.4 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
0.9%
0.3 pts worse
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
91.0%
2.8 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
17.4%
2.7 pts worse
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-31 · Fire 2023-05-31
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-10-06 · Fire 2021-10-06
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-08
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-19
E · Potential for more than minimal harm
2023-05-31
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-15
D · Potential for more than minimal harm
2023-05-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-15
E · Potential for more than minimal harm
2021-10-06
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2021-10-25
D · Potential for more than minimal harm
2021-10-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-10-26
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-08
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-08
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-08
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-08
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-01-31
E · Potential for more than minimal harm
2021-10-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-26
D · Potential for more than minimal harm
2021-10-06
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2021-10-21
Penalties and ownership
What sits behind the stars
Ownership
Chp Trs Holding Inc
5% Or Greater Direct Ownership Interest · Organization
Cnl Healthcare Properties Inc
5% Or Greater Indirect Ownership Interest · Organization
Beus, Michael
Operational/Managerial Control · Individual
Bracco, Tracey
Operational/Managerial Control · Individual
Bracco, Tracey
Corporate Director · Individual
Bracco, Tracey
Corporate Officer · Individual
Duarte, Ixchell
Corporate Officer · Individual
Herrick, Chad
Operational/Managerial Control · Individual
Langhorst, Jodi
Operational/Managerial Control · Individual
Levee, Kathleen
Operational/Managerial Control · Individual
Mauldin, Stephen
Corporate Director · Individual
Mauldin, Stephen
Corporate Officer · Individual
Mcrae, John
Corporate Officer · Individual
Porm, Kristin
Operational/Managerial Control · Individual
Rawls, Anna Catherine
Corporate Officer · Individual
Seneff, James
Corporate Director · Individual
Walker, Kristin
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Rocky Mountain Care- Clearfield
Clearfield, UT
2-star overall rating with 1-star inspections with $58,637 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Thatcher Brook Rehabilitation & Care Center
Clearfield, UT
5-star overall rating with 3-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Pine View Transitional Rehab
Ogden, UT
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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