Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D31 | E5 | 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 | |
|---|---|---|---|---|---|---|
| May 11, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 11, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Jul 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 23, 2024 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Oct 27, 2022 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 27, 2022 | Health | Health Standard | 8 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D31 | E5 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 11, 2026 | 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 May 20, 2026 | |
| May 11, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 20, 2026 | |
| May 11, 2026 | K-0923 |
“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 15 facilities.
7 facilities in 2 states. CMS chain ID 355.
Chain average overall rating (CMS): 3.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Eddie Keele | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 6, 2025 |
| Mission Health Services | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2024 |
| Michelle Hardman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Zachary Wootton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Michelle Zimbelman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Brenda Bartholomew | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Monument Healthcare Pioneer Trail 815 South 200 West, Brigham City, UT 84302 CCN 465020 | 72 | Apr 3, 2025 | 111 harm | $7,579 | |
| Mission at Richfield Nursing and Rehabilitation 163 East 1000 North, Richfield, UT 84701 CCN 465059 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mission at Richfield Nursing and Rehabilitation 163 East 1000 North, Richfield, UT 84701 CCN 465059 | 98 | Jun 11, 2026 | 161 harm | $8,148 | |
| Mission at Alpine Rehabilitation Center 25 East Alpine Drive, Pleasant Grove, UT 84062 CCN 465088SFF Candidate |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rocky Mountain Care - Hunter Hollow 4090 West Pioneer Parkway, West Valley City, UT 84120 CCN 465075 | 2.5 km | 124 | Jul 21, 2026 | 563 IJ3 harm | $20k | |
| Legacy Village Rehabilitation 3251 West 5400 South, Taylorsville, UT 84129 CCN 465171 | 6.4 km | 40 | May 27, 2026 | 312 harm | — | |
| Alpine Meadow Rehabilitation and Nursing 2520 South Redwood Road, West Valley City, UT 84119 CCN 465191 | 7.1 km | 42 | Apr 22, 2026 | 33 | — | |
| Monument Healthcare Taylorsville 6246 South Redwood Road, Salt Lake City, UT 84123 CCN 465066 | 9.4 km | 120 | Feb 3, 2026 | 272 harm | $42k | |
| West Jordan Care Center 3350 West 7800 South, West Jordan, UT 84084 CCN 46G011State license only | 10.3 km | 82 lic. | Not CMS rated | — | No inspections in window | — |
| Aspen Ridge West Transitional Rehab 5323 South Murray Boulevard, Murray, UT 84123 CCN 465166 | 10.9 km | 38 | Jan 14, 2026 | 15 | — | |
| Little Cottonwood Rehabilitation and Nursing 3094 South State Street, South Salt Lake, UT 84115 CCN 46A066 | 11 km | 37 | Oct 9, 2025 | 8 | — | |
| Pine Creek Rehabilitation and Nursing 876 West 700 South, Salt Lake City, UT 84104 CCN 46A064Abuse icon | 11.3 km | 34 | Aug 27, 2026 | 462 IJ2 harm1 open | $56k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465192 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465192 | 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 | F23-106556 | 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
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 20, 2026 |
| May 11, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | 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 Jul 6, 2026 |
| May 11, 2026 | 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 Jul 6, 2026 |
| May 11, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 6, 2026 |
| May 11, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | 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 Jul 6, 2026 |
| May 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| May 11, 2026 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 6, 2026 |
| Jul 15, 2025 | 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 | D · Potential harm Isolated | Corrected Aug 31, 2025 | Complaint |
| May 23, 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 | G · Actual harm Isolated | Corrected Jun 10, 2024 |
| May 23, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 22, 2024 |
| May 23, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 19, 2024 |
| May 23, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 19, 2024 |
| May 23, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 23, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 24, 2024 |
| May 23, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| May 23, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| May 23, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| May 23, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 23, 2024 |
| May 23, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 22, 2024 |
| May 23, 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 Jun 10, 2024 |
| May 23, 2024 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| Oct 27, 2022 | 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 Dec 12, 2022 |
| Oct 27, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Dec 16, 2022 |
| Oct 27, 2022 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 16, 2022 |
| Oct 27, 2022 | 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 | D · Potential harm Isolated | Corrected Dec 16, 2022 |
| Oct 27, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 16, 2022 |
| Oct 27, 2022 | 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 Dec 16, 2022 |
| Oct 27, 2022 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Oct 27, 2022 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Oct 27, 2022 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Oct 27, 2022 | 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 | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Oct 27, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Oct 27, 2022 | 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 12, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.74 (case-mix index 1.49).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Mar 1, 2025 |
| Brian Murray | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2025 |
| Meadow Peak Sv LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Mission Health Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 14, 2025 |
| Fatima Gangotena-Bernard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Michelle Hardman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2020 |
| Shaeleen Piquet | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Zachary Wootton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Michelle Zimbelman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| 98 |
| Jun 11, 2026 |
161 harm |
| $8,148 |
| Monument Healthcare Taylorsville 6246 South Redwood Road, Salt Lake City, UT 84123 CCN 465066 | 120 | Feb 3, 2026 | 272 harm | $42k |
| Monument Healthcare Cottonwood Creek 1205 East Bonner Way, Salt Lake City, UT 84117 CCN 465074 | 77 | Jul 15, 2026 | 213 harm | $18k |
| Mission at Alpine Rehabilitation Center 25 East Alpine Drive, Pleasant Grove, UT 84062 CCN 465088SFF CandidateAbuse icon | 52 | Aug 20, 2025 | 475 IJ3 harm | $126k |
| Monument Healthcare Brigham City 775 North 200 East, Brigham City, UT 84302 CCN 465093Abuse icon | 84 | Jul 1, 2026 | 211 IJ1 harm | $47k |
| Monument Healthcare Murray Creek 3855 South 700 East, Millcreek, UT 84106 CCN 465094Abuse icon | 184 | Mar 31, 2026 | 503 harm | $59k |
| Monument Healthcare Canyon Rim 2730 East 3300 South, Millcreek, UT 84109 CCN 465096 | 90 | Aug 6, 2026 | 282 IJ4 harm | $6,676 |
| 52 |
| Aug 20, 2025 |
475 IJ3 harm |
| $126k |
| Mission at Nephi Nursing and Rehabilitation 1100 North 400 East, Nephi, UT 84648 CCN 465107 | 80 | May 29, 2025 | 9 | — |
| Msm Brigham City LLC 1010 South Medical Drive, Brigham City, UT 84302 CCN 465165 | 41 | Dec 15, 2025 | 612 IJ3 harm | $67k |
| Mission at Community Living Rehabilitation Center 10 West 400 South, Centerfield, UT 84622 CCN 465175 | 46 | Jun 25, 2025 | 29 | — |