Federal inspection record · CMS data as of October 1, 2026
Stonehenge of American Fork
538 South 500 East, American Fork, UT · (801) 642-2000
- Certified beds
- 119
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Stonehenge Of Utah
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 21, 2012
1
How this home got 4 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
★★★★★no change
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Stonehenge of American Fork carries 28 inspection points. That is fewer than 77% 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
16 health citations on record since 2021. 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2D
- 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.
Quality of Life and Care1D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspection history
2025-07-23
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-10-10
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2021-11-18
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 56 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
3 h 56 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 65% 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 days0.1 pts worse | 1.3 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 1.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts worse | 97.0% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.9 pts worse | 92.3% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 0.4% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 15.9% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 2.0% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.3 pts worse | 26.1% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts better | 11.2% | 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 worsened13.9 pts worse | 26.6% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 12.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 1.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6 pts worse | 7.9% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 28.1% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 2.8% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 96.6% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts worse | 17.4% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.7 pts worse | 89.5% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse | 20.1% | 17.0% | 23.4% |
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Who owns and runs it
15 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 |
|---|---|---|---|
| Carrera, Rory | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Carrera, Rory | Adp Of The SNF · Individual | 0% | 4 facilities |
| Cursus Healthcare LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Cursus Healthcare LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Gillespie, Deborah | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Gillespie, Deborah | Adp Of The SNF · Individual | 0% | 5 facilities |
| Howells, Stephen | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Howells, Stephen | Adp Of The SNF · Individual | 0% | 5 facilities |
| Kane County Human Resource Special Service District | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Kane County Human Resource Special Service District | Adp Of The SNF · Organization | 0% | 5 facilities |
| Loveless, Kurt | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Loveless, Kurt | Adp Of The SNF · Individual | 0% | 5 facilities |
| Wood, Zachary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wood, Zachary | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
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.
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Other homes nearby
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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
-
Mission at Alpine Rehabilitation Center
Pleasant Grove, UT · Mission Health Services · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 18 min
- Fines
- $125,737
-
Stonehenge of Orem
Orem, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 46 min
- Fines
- $0