Federal inspection record · CMS data as of October 1, 2026
Pointe Meadows Health and Rehabilitation
2750 North Digital Drive, Lehi, UT · (385) 374-5600
- CMS high-performer trophy
- Certified beds
- 99
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 19, 2017
1
How this home got 5 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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Pointe Meadows Health and Rehabilitation carries 35 inspection points. That is fewer than 70% 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
22 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
Pharmacy Service5E
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care4E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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 Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights2E
- E
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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Administration1D
- D
Keep complete, dated laboratory records in the resident's record.
Inspection history
2025-08-07
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-11-16
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2022-04-07
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 40 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 46% of registered nurses left in the past year, along with 1 administrator.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.8 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 98.5% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.5 pts worse | 92.7% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 3.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.2 pts better | 8.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 3.4% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts better | 14.8% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.6 pts better | 1.2% | 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 worsened8.7 pts worse | 21.4% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts worse | 16.8% | 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 infection5.4 pts worse | 7.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts worse | 28.4% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 3.1% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1 pts better | 95.1% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts better | 10.0% | 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 vaccine0.3 pts worse | 91.9% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 14.1% | 17.0% | 23.4% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| Brown, Zachary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brown, Zachary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brown, Zachary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Moss, Tyler | Corporate Officer · Individual | 0% | 27 facilities |
| Moss, Tyler | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Mozart Holdings, LP | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Pointe Meadow Healthcare Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pointe Meadow Healthcare Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Smith, David | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Smith, David | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Smith, David | Adp Of The SNF · Individual | 0% | 11 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems2E
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Egress1F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1D
- D
Install corridor and hallway doors that block smoke.
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Other homes nearby
-
NeuroRestorative
Riverton, UT · Neurorestorative
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 7 h 25 min
- Fines
- $97,796
-
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
-
Draper Rehabilitation and Care Center
Draper, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0