All citations for Intermountain Health Holy Rosary Hospital

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Intermountain Health Holy Rosary Hospital

Last standard health inspection on record

April 23, 2026

Showing 1 to 24 of 24 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 27, 2026. Found during a complaint inspection.

    The home has a plan to correct it (September 10, 2026).

  2. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of April 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  3. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of April 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  4. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  5. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of February 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  6. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 23, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  7. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 23, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 23, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 27, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  10. No harm, with potential for more than minimal harm

    Educate 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  11. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 11, 2024).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 27, 2026. Found during a complaint inspection.

    The home has a plan to correct it (September 10, 2026).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of April 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  16. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

  17. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of February 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  18. No harm, with potential for more than minimal harm

    Try 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of February 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  20. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  22. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  23. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of February 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2024).

  24. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.