Washington Terrace, UT

Mt Ogden Health and Rehabilitation Center

4-star overall rating with 4-star inspections with 5 recent health deficiencies

375 East 5350 South, Washington Terrace, UT

(801) 479-5700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

70

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1978-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

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

0.98

Registered nurse staffing · state 1.19 · national 0.68

LPN hours / resident day

0.42

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.30

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 4.06 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.79

Weekend registered nurse coverage · state 0.84 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.12 · national 0.07

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,279

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

Performance score

13.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.65

Baseline 20.70% · Performance 19.28% · Measure score 4.65 · Achievement 4.65 · Improvement 3.37

Healthcare-associated infections

0

Baseline 5.59% · Performance 9.40% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Baseline 55.17% · Performance 64.10% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.57

Baseline 3.08 hours · Performance 3.24 hours · Measure score 0.57 · Achievement 0.57 · Improvement 0.08

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.51%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 101 · Observed rate 9.9% · Lower 95% interval 7.12%
Discharge to community	49.27%	50.57% 1.3 pts worse	No Different than the National Rate · Eligible stays 80 · Observed rate 50% · Lower 95% interval 42.06%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 63 · Denominator 63
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 63
Discharge self-care score	48.98%	53.69% 4.7 pts worse	Numerator 24 · Denominator 49
Discharge mobility score	42.86%	50.94% 8.1 pts worse	Numerator 21 · Denominator 49
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 62 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.4%	7.12% 2.3 pts worse	No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 4.89%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 134
Staff flu vaccination coverage	13.02%	42% 29 pts worse	Numerator 25 · Denominator 192
Discharge function score	46.94%	56.45% 9.5 pts worse	Numerator 23 · Denominator 49
Transfer of health information to provider	96.88%	95.95% 0.9 pts better	Numerator 31 · Denominator 32
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	8.82%	25.2% 16.4 pts worse	Numerator 3 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.8% 3.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	1.7%	2.6% 0.9 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 4.7% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.8%	16.1% 1.7 pts worse	11.4% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 23.7% · Q3 20.5% · Q4 7.0% · 4Q avg 17.8%
Percentage of long-stay residents who lose too much weight	4.2%	3.8% 0.4 pts worse	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 7.1% · Q4 4.7% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.7%	24.1% 10.6 pts worse	19.6% 15.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 35.7% · Q3 35.7% · Q4 48.8% · 4Q avg 34.7%
Percentage of long-stay residents who received an antipsychotic medication	10.0%	15.4% 5.4 pts better	16.7% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 11.8% · Q3 16.7% · Q4 7.9% · 4Q avg 10.0% · 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	31.1%	18.3% 12.8 pts worse	16.3% 14.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 41.4% · 4Q avg 31.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.5%	13.6% 2.9 pts worse	14.9% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 21.4% · Q3 11.9% · Q4 14.6% · 4Q avg 16.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.6%	0.9% 1.7 pts worse	1.0% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.0% · Q3 2.1% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.2%	1.8% 3.4 pts worse	1.7% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 9.3% · Q3 4.7% · Q4 2.2% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.3%	22.4% 6.9 pts worse	19.8% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 21.9% · Q3 31.6% · Q4 31.9% · 4Q avg 29.3%
Percentage of long-stay residents with pressure ulcers	5.8%	4.1% 1.7 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 10.1% · Q4 8.2% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	93.3% 4 pts better	81.7% 15.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 97.2% · Q3 97.4% · Q4 98.9% · 4Q avg 97.3%
Percentage of short-stay residents who had an outpatient emergency department visit	17.0%	11.8% 5.2 pts worse	12.0% 5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 19.2% · Expected 12.6% · Used in QM five-star
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	94.7%	91.0% 3.7 pts better	79.7% 15 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.0%	17.4% 3.4 pts better	23.9% 9.9 pts better	Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 17.3% · Expected 29.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-05-03 · Fire 2023-05-03

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-08-19 · Fire 2021-08-19

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-12-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-12-05

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 2024-11-22

D · Potential for more than minimal harm 2024-12-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-12-05

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 2025-01-28

E · Potential for more than minimal harm 2023-05-03

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 2023-06-17

D · Potential for more than minimal harm 2023-05-03

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-06-17

D · Potential for more than minimal harm 2023-05-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-17

D · Potential for more than minimal harm 2023-05-03

F811 · Nutrition and Dietary Deficiencies

Health

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Corrected 2023-06-17