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.
| Cycle | Inspection date | This facility | Utah avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-21 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2023-01-30 | 27 | 8.4 | 9.8 | +18.6 worse |
| 3 | 2021-05-28 | 32 | 10.3 | 9.3 | +21.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.01 | 53.8% |
| RN staffing (reported) | 1.01 | 25.0% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0583Keep residents' personal and medical records private and confidential.2023-01-30 · Health · corrected 2023-03-29
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-01-30 · Health · corrected 2023-03-29
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.2023-01-30 · Health · corrected 2023-03-29
Potential for more than minimal harm
- 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
- 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
- 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
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-30 · Health · corrected 2023-03-29
Actual harm
- 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
- 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
- HF0692Provide enough food/fluids to maintain a resident's health.2023-01-30 · Health · corrected 2023-03-29
Actual harm
- 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
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-01-30 · Health · corrected 2023-03-29
Actual harm
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2023-01-30 · Health · corrected 2023-03-29
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.2023-01-30 · Health · corrected 2023-03-29
Potential for more than minimal harm
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2023-01-30 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2023-01-30 · Health · corrected 2023-03-29
Potential for more than minimal harm
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- 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
- DF0583Keep residents' personal and medical records private and confidential.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-05-28 · Health · corrected 2021-08-10
Actual harm
- 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
- 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
- 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
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2021-05-28 · Health · corrected 2021-08-10
Actual harm
- 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
- 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
- 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
- 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
- EF0760Ensure that residents are free from significant medication errors.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- EF0885Report COVID19 data to residents and families.2021-05-28 · Health · corrected 2021-08-10
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BEAVER VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-05-01 |
| NURSA INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| RIVERVIEW HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| RUBICON STAFFING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| HOOPES, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-10-01 |
| MARTINEZ, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-30 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2009-10-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| MOSS, TYLER | Individual | CORPORATE OFFICER | — | 2016-05-01 |
Other facilities in Provo
| 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.