Murray, UT

Aspen Ridge Transitional Rehab

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

963 East 6600 South, Murray, UT

(801) 713-3100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

38

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Advanced Health Care

Operator or chain grouping

Approved since

2004-10-27

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

2.07

Registered nurse staffing · state 1.19 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

3.55

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

5.63

All reported nurse hours · state 4.06 · national 3.89

Licensed hours

2.07

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

5.10

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

1.52

Weekend registered nurse coverage · state 0.84 · national 0.47

Physical therapist

0.23

Reported PT staffing · state 0.12 · national 0.07

Adjusted RN hours

1.55

CMS adjusted RN staffing hours

Adjusted total hours

4.20

CMS adjusted total nurse staffing hours

Case-mix index

1.83

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

416

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

70.36

Composite VBP score used to determine payment impact.

Payment multiplier

1.0226

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.92

Baseline 17.73% · Performance 17.76% · Measure score 7.92 · Achievement 7.92 · Improvement 0

Healthcare-associated infections

7.84

Baseline 4.92% · Performance 5.49% · Measure score 7.84 · Achievement 7.84 · Improvement 0

Total nurse turnover

8.41

Baseline 34.62% · Performance 29.31% · Measure score 8.41 · Achievement 8.41 · Improvement 4.93

Adjusted total nurse staffing

3.97

Baseline 4.06 hours · Performance 4.21 hours · Measure score 3.97 · Achievement 3.97 · Improvement 0.37

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.99%	10.72% 1.7 pts better	No Different than the National Rate · Eligible stays 524 · Observed rate 6.68% · Lower 95% interval 7.08%
Discharge to community	73.89%	50.57% 23.3 pts better	Better than the National Rate · Eligible stays 477 · Observed rate 76.94% · Lower 95% interval 70.44%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	99.74%	95.27% 4.5 pts better	Numerator 377 · Denominator 378
Falls with major injury	1.32%	0.77% 0.6 pts worse	Numerator 5 · Denominator 378
Discharge self-care score	59.57%	53.69% 5.9 pts better	Numerator 168 · Denominator 282
Discharge mobility score	39.36%	50.94% 11.6 pts worse	Numerator 111 · Denominator 282
Pressure ulcers or injuries, new or worsened	0.26%	2.29% 2 pts better	Numerator 1 · Denominator 378 · Adjusted rate 0.33%
Healthcare-associated infections requiring hospitalization	5.49%	7.12% 1.6 pts better	No Different than the National Rate · Eligible stays 362 · Observed rate 3.59% · Lower 95% interval 3.71%
Staff COVID-19 vaccination coverage	56.1%	8.2% 47.9 pts better	Numerator 46 · Denominator 82
Staff flu vaccination coverage	73.17%	42% 31.2 pts better	Numerator 60 · Denominator 82
Discharge function score	29.43%	56.45% 27 pts worse	Numerator 83 · Denominator 282
Transfer of health information to provider	98.02%	95.95% 2.1 pts better	Numerator 347 · Denominator 354
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date	66.34%	25.2% 41.1 pts better	Numerator 134 · Denominator 202

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.1%	93.3% 2.8 pts better	81.7% 14.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 93.5% · Q3 98.5% · Q4 99.6% · 4Q avg 96.1%
Percentage of short-stay residents who had an outpatient emergency department visit	11.0%	11.8% 0.8 pts better	12.0% 1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 10.8% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	0.9% 0.5 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	91.0% 4 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.2%	17.4% 1.8 pts worse	23.9% 4.7 pts better	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 19.2% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-06-01 · Fire 2023-06-01

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-11-09 · Fire 2021-11-09

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-31

D · Potential for more than minimal harm 2025-01-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-31

F · Potential for more than minimal harm 2023-06-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-06-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-30

D · Potential for more than minimal harm 2023-06-01

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 2023-05-30

D · Potential for more than minimal harm 2023-06-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-05

D · Potential for more than minimal harm 2025-01-16

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 2025-02-05

D · Potential for more than minimal harm 2025-01-16

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-05

E · Potential for more than minimal harm 2021-11-09

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 2021-12-08

E · Potential for more than minimal harm 2021-11-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-08

D · Potential for more than minimal harm 2021-11-09

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2021-12-08

Penalties and ownership

What sits behind the stars

Ownership

New Ahc Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 26 facilities 2021-01-01

Advanced Health Care - Larry H Miller Corporation