Starfile

Starfile / Utah

Provo Rehabilitation and Nursing

1001 North 500 West, Provo, UT 84604 · CCN 465119

Abuse icon

Ratings

Overall
★★★☆☆ 3
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
220
Avg residents/day
137.4
Phone
8013779661

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
12024-10-2189.19.5-1.1 better
22023-01-30278.49.8+18.6 worse
32021-05-283210.39.3+21.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care3
Nutrition and dietary1
Pharmacy service2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0153.8%
RN staffing (reported)1.0125.0%
Total nurse staffing (adjusted)3.07

Fines & penalties

Total fines
$55,146
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (67)19 actual harm

  1. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-21 · Health · corrected 2024-12-02

    Actual harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  5. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  7. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-21 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  9. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  10. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  11. EF0583Keep residents' personal and medical records private and confidential.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  12. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  13. HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  14. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  16. DF0610Respond appropriately to all alleged violations.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  18. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  19. GF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  20. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  21. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  22. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  24. HF0692Provide enough food/fluids to maintain a resident's health.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  25. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  27. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  28. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  29. DF0759Ensure medication error rates are not 5 percent or greater.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  30. 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.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  31. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  32. HF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  33. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-01-30 · Health · corrected 2023-03-29

    Actual harm

  34. FF0880Provide and implement an infection prevention and control program.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  35. DF0881Implement a program that monitors antibiotic use.2023-01-30 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  36. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  37. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  38. DF0558Reasonably accommodate the needs and preferences of each resident.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  39. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  40. DF0583Keep residents' personal and medical records private and confidential.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  41. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  42. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  43. HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  44. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  45. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  46. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  47. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  48. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  49. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  50. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  51. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  52. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  53. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  54. GF0697Provide safe, appropriate pain management for a resident who requires such services.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  55. HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  56. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  57. GF0742Provide 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.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  58. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  59. EF0760Ensure that residents are free from significant medication errors.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  60. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  61. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  62. HF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  63. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  64. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-05-28 · Health · corrected 2021-08-10

    Actual harm

  65. EF0880Provide and implement an infection prevention and control program.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  66. EF0885Report COVID19 data to residents and families.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

  67. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-05-28 · Health · corrected 2021-08-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BEAVER VALLEY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-05-01
NURSA INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-05-01
RIVERVIEW HEALTHCARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2016-05-01
RUBICON STAFFING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-05-01
HOOPES, TRAVISIndividualOPERATIONAL/MANAGERIAL CONTROL2009-10-01
MARTINEZ, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-30
BURNAM, SOONIndividualCORPORATE OFFICER2009-10-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01
MOSS, TYLERIndividualCORPORATE OFFICER2016-05-01

Other facilities in Provo

NameOverallBeds

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