Federal inspection record · CMS data as of October 1, 2026
Orem Rehabilitation and Nursing Center
575 East 1400 South, Orem, UT · (801) 225-4741
- Certified beds
- 120
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 1986
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Orem Rehabilitation and Nursing Center carries 128.5 inspection points. That is fewer than 18% 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
29 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 (5)
-
G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Respond appropriately to all alleged violations.
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G
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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G
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Everything else, by area of care
Quality of Life and Care5E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure that residents are free from significant medication errors.
Nursing and Physician Services2E
- 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.
- D
Post nurse staffing information every day.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Infection Control2D
- D
Implement a program that monitors antibiotic use.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Administration1D
- D
Keep complete, dated laboratory records in the resident's record.
Inspection history
2025-05-01
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2023-07-18
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2022-02-10
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
3 h 34 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts worse | 97.1% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18.8 pts worse | 79.4% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 0.8% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 12.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 4.7% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 25.3% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.1 pts better | 3.7% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.5 pts worse | 21.2% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts worse | 16.2% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.1% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts worse | 21.8% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 1.7% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 94.1% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.6 pts better | 3.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts worse | 77.6% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts worse | 20.2% | 17.0% | 23.4% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Albrechtsen, Joshua | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Albrechtsen, Joshua | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Albrechtsen, Joshua | Adp Of The SNF · Individual | 0% | 2 facilities |
| Anderson, Aaron | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Anderson, Aaron | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Anderson, Aaron | Adp Of The SNF · Individual | 0% | 2 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Hueneme Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Hueneme Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Moss, Tyler | Corporate Officer · Individual | 0% | 27 facilities |
| Orem Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
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Provo Rehabilitation and Nursing
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Stonehenge of Orem
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