Heber City, UT
3-star overall rating with 3-star inspections with $32,029 in total fines with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
544 East 1200 South, Heber City, UT
(435) 654-5500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
92
Certified beds
Average residents
75
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Rocky Mountain Care
Operator or chain grouping
Approved since
1998-01-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.38
Registered nurse staffing
LPN hours / resident day
0.24
Licensed practical nurse staffing
Aide hours / resident day
2.39
Nurse aide staffing
Weekend hours
3.56
Weekend nurse staffing
RN turnover
64%
Annual RN turnover
Total nurse turnover
63%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
96.8%
2 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
98.0%
0.6 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
2.6%
2 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 16.7% |
16.1%
0.6 pts worse
|
11.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.1% |
3.8%
2.7 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
24.1%
7.5 pts better
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.6% |
15.4%
8.8 pts better
|
16.7%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.3% |
18.3%
3 pts better
|
16.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.7% |
13.6%
6.9 pts better
|
14.9%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.8%
0.5 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.9% |
22.4%
8.5 pts better
|
19.8%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
4.1%
3.1 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
93.3%
4.1 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
11.8%
0.5 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
0.9%
0.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.5% |
91.0%
2.5 pts better
|
79.7%
13.8 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.2% |
17.4%
1.8 pts worse
|
23.9%
4.7 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-30
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-04-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-31
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-15
Fire Safety
Meet other general requirements.
Corrected 2024-05-15
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 2024-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-28
Fire Safety
Meet other general requirements.
Corrected 2022-01-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-28
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-01-28
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2019-12-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-12-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-12-08
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-08
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-05-08
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-08
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-05-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-08
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-03-04
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-03-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-04
Health
Provide or obtain dental services for each resident.
Corrected 2022-03-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-11-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-08
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-11-08
Health
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.
Corrected 2019-11-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-04
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2019-11-04
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2019-11-15
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 2019-11-09
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-11-22
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2019-11-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-11-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-22
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-11-15
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2019-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-15
Penalties and ownership
Fine · fine $32,029
Fine
Payment Denial · denial start 2024-05-09 · 22 days
22 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $125,737 in total fines with 30 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Orem, UT
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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