Starfile

Starfile / Utah

Mission at Alpine Rehabilitation Center

25 East Alpine Drive, Pleasant Grove, UT 84062 · CCN 465088

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Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
Non profit - Other
Certified beds
52
Avg residents/day
37.2
Phone
8017853568

Inspection history vs Utah & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityUtah avgNational avgvs state
12025-08-20309.19.5+20.9 worse
22023-11-3078.49.8-1.4 better
32022-02-16710.39.3-3.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation6
Quality of life and care4
Resident assessment and care planning4
Nursing and physician services1
Resident rights2
Nutrition and dietary4
Pharmacy service1
Administration5
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.9266.7%
RN staffing (reported)0.7157.1%
Total nurse staffing (adjusted)3.42

Fines & penalties

Total fines
$125,737
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
MISSION HEALTH SERVICES
Facilities in chain
4
Chain avg overall
3.30 / 5

Inspection citations (44)5 immediate jeopardy3 actual harm

  1. FF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  3. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-20 · Health · corrected 2025-10-20

    Immediate jeopardy

  4. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  5. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-20 · Health · corrected 2025-10-20

    Immediate jeopardy

  6. KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-20 · Health · corrected 2025-10-20

    Immediate jeopardy

  7. KF0610Respond appropriately to all alleged violations.2025-08-20 · Health · corrected 2025-10-20

    Immediate jeopardy

  8. DF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  9. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  10. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  12. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-20 · Health · corrected 2025-10-20

    Immediate jeopardy

  13. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  14. EF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  15. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  16. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  17. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  18. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  19. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  21. HF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-20 · Health · corrected 2025-10-20

    Actual harm

  22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  23. FF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  24. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  25. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-08-20 · Health · corrected 2025-10-20

    Actual harm

  26. DF0880Provide and implement an infection prevention and control program.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  27. DF0881Implement a program that monitors antibiotic use.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  28. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  29. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  30. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-08-20 · Health · corrected 2025-10-20

    Potential for more than minimal harm

  31. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  32. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-30 · Health · corrected 2024-01-15

    Actual harm

  33. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  34. DF0760Ensure that residents are free from significant medication errors.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  35. EF0761Ensure 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.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  36. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  37. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-11-30 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  38. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  39. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  40. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  41. DF0679Provide activities to meet all resident's needs.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  42. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  43. DF0692Provide enough food/fluids to maintain a resident's health.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

  44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-16 · Health · corrected 2022-04-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GUNNISON VALLEY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-04-01
MISSION HEALTH SERVICESOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-04-01
ELLIS, ASHLEYIndividualOPERATIONAL/MANAGERIAL CONTROL2021-06-01
KEELE, EDDIEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
TAYLOR, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROL2024-07-16
WOOTTON, ZACHARYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-04-01
WORKMAN, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-01
ZIMBELMAN, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL2017-04-01
BARTHOLOMEW, BRENDAIndividualCORPORATE OFFICER2021-10-01
MURRAY, BRIANIndividualCORPORATE OFFICER2017-04-01

Other facilities in Pleasant Grove

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.