Mission at Alpine Rehabilitation Center
25 East Alpine Drive, Pleasant Grove, UT 84062 · CCN 465088
SFF Candidate Abuse icon
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.
| Cycle | Inspection date | This facility | Utah avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-20 | 30 | 9.1 | 9.5 | +20.9 worse |
| 2 | 2023-11-30 | 7 | 8.4 | 9.8 | -1.4 better |
| 3 | 2022-02-16 | 7 | 10.3 | 9.3 | -3.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 6 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 4 |
| Pharmacy service | 1 |
| Administration | 5 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.92 | 66.7% |
| RN staffing (reported) | 0.71 | 57.1% |
| 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
- 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
- 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
- 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
- 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
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-20 · Health · corrected 2025-10-20
Immediate jeopardy
- 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
- KF0610Respond appropriately to all alleged violations.2025-08-20 · Health · corrected 2025-10-20
Immediate jeopardy
- DF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-10-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-20 · Health · corrected 2025-10-20
Potential for more than minimal harm
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2025-08-20 · Health · corrected 2025-10-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-08-20 · Health · corrected 2025-10-20
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-08-20 · Health · corrected 2025-10-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-11-30 · Health · corrected 2024-01-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2022-02-16 · Health · corrected 2022-04-10
Potential for more than minimal harm
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2022-02-16 · Health · corrected 2022-04-10
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| MISSION HEALTH SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| ELLIS, ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-06-01 |
| KEELE, EDDIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 |
| TAYLOR, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-16 |
| WOOTTON, ZACHARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| WORKMAN, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| ZIMBELMAN, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| BARTHOLOMEW, BRENDA | Individual | CORPORATE OFFICER | — | 2021-10-01 |
| MURRAY, BRIAN | Individual | CORPORATE OFFICER | — | 2017-04-01 |
Other facilities in Pleasant Grove
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.