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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G18 | H8 | I· |
| Potential harm | D32 | E21 | F5 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 16, 2026 | Health | Health Complaint | 8 | Immediate jeopardy | — | Open → |
| Oct 21, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 21, 2024 | Health | Health Complaint, Health Standard | 8 | Actual harm | — | Open → |
| Jan 30, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jan 30, 2023 | Health | Health Standard | 27 | Actual harm | — | Open → |
| May 28, 2021 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 28, 2021 | Health | Health Standard | 32 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 16, 2026 | Civil money penalty (fine) | $17,857 | — | 465119|Fine|138262 |
| Oct 21, 2024 | Civil money penalty (fine) | $55,146 | — | 465119|Fine|117239 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G18 | H8 | I· |
| Potential harm | D32 | E21 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 16, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 40 facilities.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Travis Hoopes | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2009 |
| Mark Martinez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 30, 2024 |
| Nursa Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Riverview Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Rubicon Staffing LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2016 |
| Travis Hoopes |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Heritage Park Healthcare and Rehabilitation 2700 West 5600 South, Roy, UT 84067 CCN 465003Abuse icon | 176 | Jul 2, 2024 | 273 harm | $37k | |
| Mt. Olympus Rehabilitation Center 2200 East 3300 South, Salt Lake City, UT 84109 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Heritage Park Healthcare and Rehabilitation 2700 West 5600 South, Roy, UT 84067 CCN 465003Abuse icon | 176 | Jul 2, 2024 | 273 harm | $37k | |
| Harrison Pointe Healthcare and Rehabilitation 3430 Harrison Boulevard, Ogden, UT 84403 CCN 465009 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Aspen Ridge of Utah Valley 1992 South Columbia Lane, Orem, UT 84097 CCN 465170 | 1.8 km | 24 | Mar 19, 2026 | 17 | — | |
| Medallion Manor 1701 West 600 South, Provo, UT 84601 CCN 46G014State license only | 2.8 km | 41 lic. | Not CMS rated | — | No inspections in window | — |
| Orem Rehabilitation and Nursing Center 575 East 1400 South, Orem, UT 84097 CCN 465104 | 2.9 km | 120 | May 1, 2025 | 292 IJ3 harm | — | |
| Stonehenge of Orem 435 West Center Street, Orem, UT 84057 CCN 465167 | 6.6 km | 34 | Mar 5, 2026 | 7 | — | |
| Cascades at Orchard Park 740 North 300 East, Orem, UT 84057 CCN 465090 | 7.4 km | 52 | Mar 6, 2025 | 271 harm | $12k | |
| Stonehenge of Springville 909 West 450 South, Springville, UT 84663 CCN 465130 | 9.7 km | 50 | Mar 5, 2025 | 201 harm | — | |
| Mission at Alpine Rehabilitation Center 25 East Alpine Drive, Pleasant Grove, UT 84062 CCN 465088SFF CandidateAbuse icon | 13.6 km | 52 | Aug 20, 2025 | 475 IJ3 harm | $126k | |
| Spanish Fork Rehabilitation and Nursing 151 East Center Street, Spanish Fork, UT 84660 CCN 465183 | 15.3 km | 45 | Nov 24, 2025 | 282 harm | $40k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465119 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465119 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Utah DLBC Licensed Facilities UT | F23-106735 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Mar 7, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Mar 16, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0840 | Employ 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. Administration Deficiencies · Administration & records | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | G · Actual harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Oct 21, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 2, 2024 | Complaint |
| Oct 21, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 21, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 21, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Oct 21, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Oct 21, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Oct 21, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Oct 21, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2024 | Complaint |
| Oct 21, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Oct 21, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Oct 21, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Oct 21, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Oct 21, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 2, 2024 |
| Jan 30, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 17, 2023 |
| Jan 30, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 17, 2023 |
| Jan 30, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 17, 2023 |
| Jan 30, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 17, 2023 |
| Jan 30, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0693 | Ensure 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 29, 2023 |
| Jan 30, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 29, 2023 |
| May 28, 2021 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | H · Actual harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2021 |
| May 28, 2021 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0688 | Provide 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0885 | Report COVID19 data to residents and families. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 10, 2021 |
| May 28, 2021 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 10, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.20 (case-mix index 1.70).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Oct 1, 2009 |
| Mark Martinez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 30, 2024 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2009 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Tyler Moss | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2016 |
| Caretrust Gp LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2009 |
| Riverview Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 15, 2025 |
| Silver Lake Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2016 |
| Travis Hoopes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2009 |
| Mark Martinez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 30, 2024 |
| 100 |
| Jun 29, 2026 |
643 IJ2 harm |
| $144k |
| Harrison Pointe Healthcare and Rehabilitation 3430 Harrison Boulevard, Ogden, UT 84403 CCN 465009 | 63 | Mar 4, 2026 | 16 | — |
| Spring Creek Healthcare Center 4600 South Highland Drive, Salt Lake City, UT 84117 CCN 465049 | 92 | Jul 30, 2026 | 1097 IJ19 harm | $53k |
| Four Corners Regional Care Center 818 North 400 West, Blanding, UT 84511 CCN 465057 | 104 | Jan 9, 2025 | 292 harm | $68k |
| St. George Rehabilitation 1032 East 100 South, St. George, UT 84770 CCN 465064 | 99 | Aug 6, 2026 | 17 | — |
| Rocky Mountain Care- Clearfield 1481 East 1450 South, Clearfield, UT 84015 CCN 465067 | 168 | May 14, 2026 | 806 harm | $59k |
| Mt Ogden Health and Rehabilitation Center 375 East 5350 South, Washington Terrace, UT 84405 CCN 465069 | 108 | Dec 5, 2024 | 14 | — |
| 63 |
| Mar 4, 2026 |
16 |
| — |
| St. George Rehabilitation 1032 East 100 South, St. George, UT 84770 CCN 465064 | 99 | Aug 6, 2026 | 17 | — |
| Mt Ogden Health and Rehabilitation Center 375 East 5350 South, Washington Terrace, UT 84405 CCN 465069 | 108 | Dec 5, 2024 | 14 | — |
| City Creek Post Acute 165 South 1000 East, Salt Lake City, UT 84102 CCN 465072 | 108 | Mar 30, 2026 | 213 harm | — |
| Draper Rehabilitation and Care Center 12702 South Fort Street, Draper, UT 84020 CCN 465091 | 93 | Aug 25, 2026 | 82 harm1 open | — |
| St Joseph Villa 451 East Bishop Federal Lane, Salt Lake City, UT 84115 CCN 465095 | 221 | Jul 16, 2024 | 153 harm | — |
| Pinnacle Nursing and Rehabilitation Center 1340 East 300 North, Price, UT 84501 CCN 465098 | 100 | Jan 29, 2026 | 15 | — |