Federal inspection record · CMS data as of October 1, 2026
Mission at Alpine Rehabilitation Center
25 East Alpine Drive, Pleasant Grove, UT · (801) 785-3568
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 52
- Residents per day
- 39
- Ownership
- Non-Profit
- Chain
- Mission Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 15, 1981
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Utah homes
Mission at Alpine Rehabilitation Center carries 667.25 inspection points. That is fewer than 0% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
44 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (8)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
K
Respond appropriately to all alleged violations.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Administration3F
- F
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service3E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- D
Ensure that residents are free from significant medication errors.
Resident Rights2F
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services2F
- E
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2025-08-20
30 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2023-11-30
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2022-02-16
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 18 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$125,737 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-20 | Fine | $118,294 |
| 2023-11-30 | Fine | $7,443 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 97.8% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 100.0% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 4.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.9 pts better | 0.0% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 2.5% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication30 pts worse | 55.8% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication44.8 pts worse | 58.6% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.5 pts better | 7.2% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8 pts better | 2.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.5% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse | 24.7% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.4% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts worse | 91.6% | 94.1% | 82.3% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.9 pts worse | 83.3% | 92.2% | 80.1% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bartholomew, Brenda | Corporate Officer · Individual | 0% | 4 facilities |
| Ellis, Ashley | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ellis, Ashley | Adp Of The SNF · Individual | 0% | 2 facilities |
| Keele, Eddie | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Mission Health Services | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Mission Health Services | Adp Of The SNF · Organization | 0% | 6 facilities |
| Murray, Brian | Corporate Officer · Individual | 0% | 15 facilities |
| Taylor, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Taylor, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wootton, Zachary | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Wootton, Zachary | Adp Of The SNF · Individual | 0% | 4 facilities |
| Workman, David | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Workman, David | Adp Of The SNF · Individual | 0% | 9 facilities |
| Zimbelman, Michelle | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Zimbelman, Michelle | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3E
- E
Conduct testing and exercise requirements.
- E
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct testing and exercise requirements.
·
Other homes nearby
-
Stonehenge of American Fork
American Fork, UT · Stonehenge Of Utah
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0
-
Monument Healthcare American Fork
American Fork, UT · Monument Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 52 min
- Fines
- $35,437
-
Cascades at Orchard Park
Orem, UT · Cascades Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 25 min
- Fines
- $11,992