Alpine Meadow Rehabilitation and Nursing
2520 South Redwood Road, West Valley City, UT 84119 · Salt Lake County · 42 certified beds · avg 40 residents/day · certified since Dec 13, 2019
Part of chain: BEAVER VALLEY HOSPITAL (5 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 24, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 20, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 24, 2023 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 22, 2026 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Oct 29, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 29, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 29, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 21, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 24, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 24, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Aug 24, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 2 | J ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 2 | 0 | E |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,025.
| Date | Type | Amount / length |
|---|---|---|
| Aug 24, 2023 | Fine | $15,025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Utah avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.40 | 3.87 | 3.95 | bottom 4% in Utah; bottom 3% in the U.S. |
| Registered Nurse hours | 0.80 | 1.17 | 0.69 | bottom 20% in Utah; top 28% in the U.S. |
| Weekend total nurse staffing | 2.11 | 3.39 | 3.50 | bottom 4% in Utah; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.88 | 0.48 | bottom 13% in Utah; top 32% in the U.S. |
| Total nursing staff turnover (%) | 66.7 | 50.7 | 45.8 | bottom 16% in Utah; bottom 8% in the U.S. |
| RN turnover (%) | 44.4 | 40.6 | 42.9 | bottom 45% in Utah; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.54, RN 0.84, weekend 2.23. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Government - City/county
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alpine Meadow Rehabilitation and Nursing | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/07/2016 |
| Alpine Meadow Rehabilitation and Nursing | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Barker, Bradley | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Barker, Sheri | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Beaver Valley Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2016 |
| Cottonwood Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/07/2016 |
| Cottonwood Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/16/2025 |
| Fey, Daniel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Fey, Ethan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Langford, Scott | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2020 |
| Marchant, Bryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/03/2025 |
| Marchant, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Myers, Katie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Myers, Walter | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2016 |
| Stubbs, Rachael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/03/2025 |
| Stubbs, Rachael | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Swain, Holly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/01/2026 |
| Swain, Jared | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/01/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Little Cottonwood Rehabilitation and Nursing | 2.8 mi | South Salt Lake, UT | ★★★★★ | 5/5 | |
| Rocky Mountain Care - Hunter Hollow | 2.9 mi | West Valley City, UT | ★★☆☆☆ | 1/5 | |
| Pine Creek Rehabilitation and Nursing | 3.0 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | abuse |
| Monument Healthcare South Salt Lake | 3.1 mi | Salt Lake City, UT | ★☆☆☆☆ | 1/5 | SFF |
| Meadow Brook Rehabilitation and Nursing | 3.1 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
| St Joseph Villa | 3.3 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Midtown Manor | 3.7 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | |
| Paramount Health and Rehabilitation | 3.8 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | |
| Monument Healthcare Murray Creek | 4.2 mi | Millcreek, UT | ★★☆☆☆ | 1/5 | abuse |
| Aspen Ridge West Transitional Rehab | 4.4 mi | Murray, UT | ★★★★★ | 4/5 | |
| Meadow Peak Rehabilitation | 4.4 mi | Taylorsville, UT | ★★★☆☆ | 3/5 | |
| Legacy Village Rehabilitation | 4.6 mi | Taylorsville, UT | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 465191.