Orem, UT

Cascades at Orchard Park

4-star overall rating with 3-star inspections with $11,992 in total fines with 4 recent health deficiencies

740 North 300 East, Orem, UT

(801) 224-0921

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascades Healthcare

Operator or chain grouping

Approved since

1982-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.19

Registered nurse staffing · state 1.19 · national 0.68

LPN hours / resident day

0.29

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.49

All reported nurse hours · state 4.06 · national 3.89

Licensed hours

1.48

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.82

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.81

Weekend registered nurse coverage · state 0.84 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.12 · national 0.07

Adjusted RN hours

1.11

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Baseline 66.67% · Performance 64.81% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 2.90 hours · Performance 3.02 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.78%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 29 · Observed rate 3.45% · Lower 95% interval 6.63%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	75%	95.27% 20.3 pts worse	Numerator 15 · Denominator 20
Falls with major injury	5%	0.77% 4.2 pts worse	Numerator 1 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	5%	2.29% 2.7 pts worse	Numerator 1 · Denominator 20 · Adjusted rate 4.77%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.28%	8.2% 6.9 pts worse	Numerator 1 · Denominator 78
Staff flu vaccination coverage	22.03%	42% 20 pts worse	Numerator 26 · Denominator 118
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	96.8% 1.6 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.0% 2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	2.6% 1 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	21.6%	16.1% 5.5 pts worse	11.4% 10.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 21.4% · Q3 9.1% · Q4 14.3% · 4Q avg 21.6%
Percentage of long-stay residents who lose too much weight	2.0%	3.8% 1.8 pts better	5.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 4.2% · Q4 0.0% · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.4%	24.1% 12.3 pts worse	19.6% 16.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 32.0% · Q3 37.5% · Q4 42.3% · 4Q avg 36.4%
Percentage of long-stay residents who received an antipsychotic medication	4.3%	15.4% 11.1 pts better	16.7% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.1%	18.3% 11.2 pts better	16.3% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	13.6% 7.7 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 9.5% · Q3 9.5% · Q4 0.0% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.9% About the same	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.8% 1 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.7%	22.4% 5.7 pts better	19.8% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 7.3% · Q3 8.9% · Q4 21.4% · 4Q avg 16.7%
Percentage of long-stay residents with pressure ulcers	3.2%	4.1% 0.9 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 6.1% · Q4 5.6% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.8%	93.3% 3.5 pts worse	81.7% 8.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 95.2% · Q3 89.3% · Q4 85.7% · 4Q avg 89.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	0.9% 0.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.1%	91.0% 3.1 pts better	79.7% 14.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-01-13 · Fire 2022-01-13

13 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-10-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-12-18

D · Potential for more than minimal harm 2022-01-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-03-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-18

G · Actual harm 2023-10-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-19

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 2023-11-16

E · Potential for more than minimal harm 2023-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-16

D · Potential for more than minimal harm 2023-10-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-11-16

D · Potential for more than minimal harm 2023-10-19

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 2023-11-16

D · Potential for more than minimal harm 2023-10-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-16

D · Potential for more than minimal harm 2023-10-19

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-11-16

E · Potential for more than minimal harm 2022-01-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-03-11

E · Potential for more than minimal harm 2022-01-13

F887 · Infection Control Deficiencies

Health

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.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-03-11

D · Potential for more than minimal harm 2022-01-13

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-02-24

Penalties and ownership