Cycle 1
Health 2024-09-26 · Fire 2024-09-26
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Riverton, UT
Rocky Mountain Care - Riverton
4-star overall rating with 3-star inspections with $33,212 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
3419 West 12600 South, Riverton, UT
(801) 693-3900
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
32
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Rocky Mountain Care
Operator or chain grouping
Approved since
2009-02-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 2 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
1.94
Registered nurse staffing · state 1.19 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 4.06 · national 3.89
Licensed hours
2.35
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.84 · national 0.47
Physical therapist
0.40
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.61
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,402
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.74
Baseline 21.11% · Performance 21.09% · Measure score 0.74 · Achievement 0.74 · Improvement 0
Healthcare-associated infections
6.67
Baseline 6.04% · Performance 5.84% · Measure score 6.67 · Achievement 6.67 · Improvement 1.37
Total nurse turnover
0
Baseline 70.91% · Performance 68.97% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.10
Baseline 4.23 hours · Performance 3.67 hours · Measure score 2.10 · Achievement 2.10 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.75% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 184 · Observed rate 7.07% · Lower 95% interval 7.45% |
| Discharge to community | 73.02% |
50.57%
22.4 pts better
|
Better than the National Rate · Eligible stays 165 · Observed rate 75.15% · Lower 95% interval 66.14% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 87 · Denominator 87 |
| Falls with major injury | 2.3% |
0.77%
1.5 pts worse
|
Numerator 2 · Denominator 87 |
| Discharge self-care score | 70% |
53.69%
16.3 pts better
|
Numerator 49 · Denominator 70 |
| Discharge mobility score | 77.14% |
50.94%
26.2 pts better
|
Numerator 54 · Denominator 70 |
| Pressure ulcers or injuries, new or worsened | 1.15% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 87 · Adjusted rate 1.11% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 2.83% · Lower 95% interval 3.28% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 45 |
| Staff flu vaccination coverage | 21.26% |
42%
20.7 pts worse
|
Numerator 27 · Denominator 127 |
| Discharge function score | 81.43% |
56.45%
25 pts better
|
Numerator 57 · Denominator 70 |
| Transfer of health information to provider | 98.28% |
95.95%
2.3 pts better
|
Numerator 57 · Denominator 58 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 48% |
25.2%
22.8 pts better
|
Numerator 12 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
93.3%
5.7 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.5% · Q3 99.7% · Q4 99.7% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
11.8%
4.6 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.8% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
0.9%
0.4 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.0% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
91.0%
5.9 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
17.4%
6.5 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 22.7% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-01 · Fire 2023-03-01
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2021-08-19 · Fire 2021-08-19
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-26
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-09-26
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-31
F · Potential for more than minimal harm
2024-09-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-26
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-15
D · Potential for more than minimal harm
2024-09-26
K906 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas cylinders are properly stored.
Corrected 2024-10-15
D · Potential for more than minimal harm
2023-03-01
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-03-31
D · Potential for more than minimal harm
2023-03-01
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-03-01
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-26
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-10-26
F · Potential for more than minimal harm
2024-09-26
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 2024-10-26
E · Potential for more than minimal harm
2024-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-26
D · Potential for more than minimal harm
2024-09-26
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-26
D · Potential for more than minimal harm
2024-09-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-26
D · Potential for more than minimal harm
2023-03-01
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-03-01
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 2023-03-24
D · Potential for more than minimal harm
2023-03-01
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 2023-03-20
D · Potential for more than minimal harm
2023-03-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-24
G · Actual harm
2021-08-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-10-08
E · Potential for more than minimal harm
2021-08-19
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-10-08
E · Potential for more than minimal harm
2021-08-19
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 2021-10-08
E · Potential for more than minimal harm
2021-08-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-08
D · Potential for more than minimal harm
2021-08-19
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-10-08
D · Potential for more than minimal harm
2021-08-19
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2021-10-08
D · Potential for more than minimal harm
2021-08-19
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 2021-10-08
D · Potential for more than minimal harm
2021-08-19
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 2021-10-08
Penalties and ownership
What sits behind the stars
$4,938
2024-02-20
Fine
Fine · fine $4,938
Fine
$12,534
2024-01-22
Fine
Fine · fine $12,534
Fine
$3,418
2024-01-08
Fine
Fine · fine $3,418
Fine
$2,797
2024-01-02
Fine
Fine · fine $2,797
Fine
$6,351
2023-12-11
Fine
Fine · fine $6,351
Fine
$3,174
2023-07-17
Fine
Fine · fine $3,174
Fine
Ownership
Beaver City Corporation
5% Or Greater Direct Ownership Interest · Organization
Bangerter, Edward
Operational/Managerial Control · Individual
Beeman, Raymond
Operational/Managerial Control · Individual
Boardman, Laura
Operational/Managerial Control · Individual
Hale, Fredrick
Operational/Managerial Control · Individual
Langford, Scott
Corporate Officer · Individual
Langford, Scott
W-2 Managing Employee · Individual
Lucero, Tobi
Operational/Managerial Control · Individual
Mikesell, Bradley
Operational/Managerial Control · Individual
Moss, Tyler
Corporate Officer · Individual
Moss, Tyler
W-2 Managing Employee · Individual
Rocky Mountain Care - Holladay, Inc
Operational/Managerial Control · Organization
Rocky Mountain Care - Riverton
Operational/Managerial Control · Organization
Rocky Mountain Care LLC
Operational/Managerial Control · Organization
Samuelson, Lance
Operational/Managerial Control · Individual
Widdison, Alan
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
NeuroRestorative
Riverton, UT
2-star overall rating with 2-star inspections with $148,417 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Stonehenge of South Jordan
South Jordan, UT
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Copper Ridge Health Care
West Jordan, UT
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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