Stonehenge of Springville ratings, inspections, staffing, and fines

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
Staffing

Not rated

not rated

CMS did not rate staffing here, so it does not move the star.
Quality measures

+1 star

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Utah homes

Stonehenge of Springville carries 33 inspection points. That is fewer than 73% 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

13 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts

E 2 8 pts

F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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 (1)

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

March 5, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected April 4, 2025

Everything else, by area of care

Quality of Life and Care4D

D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 5, 2025 · Standard · F690 · Corrected April 4, 2025
D
Provide safe and appropriate respiratory care for a resident when needed.
March 5, 2025 · Standard · F695 · Corrected April 4, 2025
D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
March 5, 2025 · Standard · F742 · Corrected April 4, 2025
D
Provide safe and appropriate respiratory care for a resident when needed.
August 5, 2021 · Standard · F695 · Corrected September 30, 2021

Pharmacy Service3E

D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
March 5, 2025 · Standard · F757 · Corrected April 4, 2025
E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
August 5, 2021 · Standard · F756 · Corrected September 30, 2021
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
August 5, 2021 · Standard · F757 · Corrected September 30, 2021

Resident Assessment and Care Planning2D

D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
March 5, 2025 · Standard · F656 · Corrected April 4, 2025
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 5, 2021 · Standard · F656 · Corrected September 30, 2021

Freedom from Abuse, Neglect, and Exploitation1D

D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 5, 2025 · Complaint · F609 · Corrected April 4, 2025

Nutrition and Dietary1F

F
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.
August 5, 2021 · Standard · F801 · Corrected September 30, 2021

Infection Control1E

E
Provide and implement an infection prevention and control program.
August 5, 2021 · Standard · F880 · Corrected September 30, 2021

Inspection history

2025-03-05
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-05-17
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2021-08-05
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)

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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better	100.0%	97.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better	100.0%	98.2%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse	3.4%	2.5%	3.2%
Percentage of long-stay residents who have depressive symptoms10.7 pts better	6.2%	16.9%	13.5%
Percentage of long-stay residents who lose too much weight1.3 pts worse	4.6%	3.3%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better	19.1%	25.8%	19.5%
Percentage of long-stay residents who received an antipsychotic medication11.2 pts better	2.6%	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 worsenedAbout the same	12.7%	12.7%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse	15.0%	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 infection1.9 pts better	0.0%	1.9%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts better	12.4%	20.3%	18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts worse	5.4%	3.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better	97.4%	94.1%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.2 pts worse	16.7%	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 vaccine7.1 pts better	99.3%	92.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse	18.2%	17.0%	23.4%

·

Who owns and runs it

28 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	Indirect Ownership Interest · Individual	0%	4 facilities
Carrera, Rory	Operational/Managerial Control · Individual	0%	4 facilities
Carrera, Rory	Adp Of The SNF · Individual	0%	4 facilities
Cichos, Tyson	Direct Ownership Interest · Individual	0%	2 facilities
Cichos, Tyson	Operational/Managerial Control · Individual	0%	2 facilities
Cichos, Tyson	Adp Of The SNF · Individual	0%	2 facilities
Cloward, Wyatt	Direct Ownership Interest · Individual	0%	2 facilities
Cloward, Wyatt	Operational/Managerial Control · Individual	0%	2 facilities
Cloward, Wyatt	Adp Of The SNF · Individual	0%	2 facilities
Gillespie, Deborah	Indirect Ownership Interest · Individual	0%	5 facilities
Gillespie, Deborah	Operational/Managerial Control · Individual	0%	5 facilities
Gillespie, Deborah	Adp Of The SNF · Individual	0%	5 facilities
Howells, Stephen	Indirect Ownership Interest · Individual	0%	5 facilities
Howells, Stephen	Corporate Officer · 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	Indirect Ownership Interest · Organization	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	Indirect Ownership Interest · Individual	0%	5 facilities
Loveless, Kurt	Corporate Officer · Individual	0%	5 facilities
Loveless, Kurt	Operational/Managerial Control · Individual	0%	5 facilities
Loveless, Kurt	Adp Of The SNF · Individual	0%	5 facilities
Pittard, Jeffrey	Indirect Ownership Interest · Individual	0%	2 facilities
Pittard, Jeffrey	Operational/Managerial Control · Individual	0%	2 facilities
Pittard, Jeffrey	Adp Of The SNF · Individual	0%	2 facilities
Salisbury Plain Healthcare LLC	Operational/Managerial Control · Organization	0%	1 facilities
Salisbury Plain Healthcare LLC	Adp Of The SNF · Organization	0%	1 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress4F

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.
March 5, 2025 · K222 · Corrected March 12, 2025
D
Install emergency lighting that can last at least 1 1/2 hours.
March 5, 2025 · K291 · Corrected March 5, 2025
D
Meet other general requirements.
May 17, 2023 · K200 · Corrected July 1, 2023
D
Install emergency lighting that can last at least 1 1/2 hours.
May 17, 2023 · K291 · Corrected July 1, 2023

Miscellaneous1D

D
Have simulated fire drills held at unexpected times.
May 17, 2023 · K712 · Corrected July 1, 2023

Gas, Vacuum, and Electrical Systems1D

D
Have generator or other power source capable of supplying service within 10 seconds.
May 17, 2023 · K918 · Corrected July 1, 2023

Smoke1E

E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
August 5, 2021 · K374 · Corrected September 30, 2021

·

Other homes nearby

Spanish Fork Rehabilitation and Nursing
Spanish Fork, UT · Beaver Valley Hospital

Worst citation, 3 yrs
G

Nursing / resident / day
2 h 45 min

Fines
$40,066
Provo Rehabilitation and Nursing
Provo, UT · The Ensign Group · Special Focus · Abuse icon

Worst citation, 3 yrs
J

Nursing / resident / day
3 h 53 min

Fines
$73,003
Aspen Ridge of Utah Valley
Orem, UT · Advanced Health Care

Worst citation, 3 yrs
E

Nursing / resident / day
6 h 8 min

Fines
$0

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