Orem, UT

Stonehenge of Orem

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

435 West Center Street, Orem, UT

(801) 850-5454

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

34

Certified beds

Average residents

27

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stonehenge Of Utah

Operator or chain grouping

Approved since

2009-01-12

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.25

Registered nurse staffing

LPN hours / resident day

0.85

Licensed practical nurse staffing

Aide hours / resident day

2.42

Nurse aide staffing

Weekend hours

3.89

Weekend nurse staffing

RN turnover

38%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.3%
6.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
0.9%
0.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.9%
91.0%
7.9 pts better
79.7%
19.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.0%
17.4%
6.4 pts better
23.9%
12.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-14 · Fire 2024-03-14

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-07-06 · Fire 2022-07-06

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2020-01-22 · Fire 2020-01-22

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-03-14

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 2024-03-25

D · Potential for more than minimal harm 2024-03-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-03-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-25

D · Potential for more than minimal harm 2022-07-06

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 2022-08-20

D · Potential for more than minimal harm 2020-01-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-03-27

D · Potential for more than minimal harm 2020-01-22

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2020-02-03

D · Potential for more than minimal harm 2020-01-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-02-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-03-14

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 2024-03-25

Penalties and ownership

What sits behind the stars

Ownership

Stonehenge Of Orem, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2013-11-01
Campbell, Ben

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2009-01-01
Carrera, Rory

5% Or Greater Indirect Ownership Interest · Individual

0% 4 facilities 2022-12-15
Carrera, Rory

Operational/Managerial Control · Individual

0% 4 facilities 2022-12-15
Cichos, Tyson

5% Or Greater Direct Ownership Interest · Individual

0% 5 facilities 2013-11-01
Cichos, Tyson

Limited Partnership Interest · Individual

0% 5 facilities 2013-11-01
Cloward, Wyatt

5% Or Greater Direct Ownership Interest · Individual

0% 5 facilities 2013-11-01
Robison, Cory

5% Or Greater Direct Ownership Interest · Individual

0% 6 facilities 2013-11-01
Robison, Cory

Operational/Managerial Control · Individual

0% 6 facilities 2013-11-01
Robison, Cory

Corporate Officer · Individual

0% 6 facilities 2013-11-01
Stevens, David

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2023-11-13
Stevens, David

Operational/Managerial Control · Individual

0% 2 facilities 2023-11-13
Stonehenge Care LLC

Operational/Managerial Control · Organization

0% 2 facilities 2013-11-01
Stonehenge Of Orem, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2025-01-22

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Staffing
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Health
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Staffing
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Fines
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5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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