Cycle 1
Health 2024-02-08 · Fire 2024-02-08
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Orem, UT
Aspen Ridge of Utah Valley
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1992 South Columbia Lane, Orem, UT
(801) 724-6500
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
22
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2009-10-07
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.18
Registered nurse staffing · state 1.19 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
3.01
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
5.65
All reported nurse hours · state 4.06 · national 3.89
Licensed hours
2.64
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
5.05
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
1.85
Weekend registered nurse coverage · state 0.84 · national 0.47
Physical therapist
0.54
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.79
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,287
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.97
Composite VBP score used to determine payment impact.
Payment multiplier
1.0132
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.57
Baseline 17.34% · Performance 18.85% · Measure score 5.57 · Achievement 5.57 · Improvement 0
Healthcare-associated infections
7.46
Baseline 4.11% · Performance 5.61% · Measure score 7.46 · Achievement 7.46 · Improvement 0
Total nurse turnover
4.37
Baseline 56.36% · Performance 45.83% · Measure score 4.37 · Achievement 4.37 · Improvement 2.84
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.39% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 388 · Observed rate 5.93% · Lower 95% interval 7.04% |
| Discharge to community | 74.33% |
50.57%
23.8 pts better
|
Better than the National Rate · Eligible stays 349 · Observed rate 83.38% · Lower 95% interval 71.08% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 219 · Denominator 219 |
| Falls with major injury | 1.83% |
0.77%
1.1 pts worse
|
Numerator 4 · Denominator 219 |
| Discharge self-care score | 75.9% |
53.69%
22.2 pts better
|
Numerator 126 · Denominator 166 |
| Discharge mobility score | 71.08% |
50.94%
20.1 pts better
|
Numerator 118 · Denominator 166 |
| Pressure ulcers or injuries, new or worsened | 2.28% |
2.29%
About the same
|
Numerator 5 · Denominator 219 · Adjusted rate 2.96% |
| Healthcare-associated infections requiring hospitalization | 5.61% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 240 · Observed rate 2.92% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 77 |
| Staff flu vaccination coverage | 34.67% |
42%
7.3 pts worse
|
Numerator 26 · Denominator 75 |
| Discharge function score | 64.46% |
56.45%
8 pts better
|
Numerator 107 · Denominator 166 |
| Transfer of health information to provider | 97.57% |
95.95%
1.6 pts better
|
Numerator 201 · Denominator 206 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.7% |
25.2%
7.5 pts worse
|
Numerator 20 · Denominator 113 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
93.3%
4.7 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 97.8% · Q3 98.9% · Q4 97.6% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
11.8%
1.6 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 11.7% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
0.9%
0.7 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
91.0%
8.5 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% |
17.4%
0.9 pts better
|
23.9%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 13.4% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-07 · Fire 2022-07-07
7 health deficiencies
Top issue: Infection Control (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-03-16 · Fire 2019-04-25
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-02-08
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-23
D · Potential for more than minimal harm
2024-02-08
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 2024-02-23
D · Potential for more than minimal harm
2019-04-25
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-06-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-02-08
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-02-23
E · Potential for more than minimal harm
2024-02-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-21
D · Potential for more than minimal harm
2024-02-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-21
D · Potential for more than minimal harm
2024-02-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-03-21
E · Potential for more than minimal harm
2022-07-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-01
D · Potential for more than minimal harm
2022-07-07
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-26
D · Potential for more than minimal harm
2022-07-07
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-08-25
D · Potential for more than minimal harm
2022-07-07
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-08-25
D · Potential for more than minimal harm
2022-07-07
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-09-26
D · Potential for more than minimal harm
2022-07-07
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-18
D · Potential for more than minimal harm
2022-07-07
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-09-18
Penalties and ownership
What sits behind the stars
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Nattress, Kevin
Operational/Managerial Control · Individual
Oxnam, Nathan
Corporate Officer · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Orem Rehabilitation and Nursing Center
Orem, UT
3-star overall rating with 2-star inspections with abuse icon flag with $38,357 in total fines with 10 recent health deficiencies
#2
Provo Rehabilitation and Nursing
Provo, UT
3-star overall rating with 2-star inspections with abuse icon flag with $55,146 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Stonehenge of Orem
Orem, UT
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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