Cascades at Orchard Park
740 North 300 East, Orem, UT 84057 · Utah County · 52 certified beds · avg 40 residents/day · certified since Feb 1, 1982
Part of chain: CASCADES HEALTHCARE (19 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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)
▲ Actual harm, one-off · Oct 19, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 16, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| Mar 6, 2025 | 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. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | 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. |
| Mar 6, 2025 | 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 |
| Oct 19, 2023 | ▲ G · Actual harm, 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 |
| Oct 19, 2023 | E · Potential for harm, repeated | 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 19, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 19, 2023 | 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. |
| Oct 19, 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. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | 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. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not perform required COVID-19 testing on residents and staff. |
| Jan 13, 2022 | E · Potential for harm, repeated | 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. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 13, 2022 | D · Potential for harm, one-off | 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. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 13 | 0 | E |
| 2023 | 8 | 1 | G ▲ |
| 2025 | 4 | 0 | F |
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 $11,992.
| Date | Type | Amount / length |
|---|---|---|
| Oct 19, 2023 | Fine | $11,992 |
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) | 3.28 | 3.87 | 3.95 | bottom 27% in Utah; bottom 25% in the U.S. |
| Registered Nurse hours | 1.17 | 1.17 | 0.69 | top 39% in Utah; top 10% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.39 | 3.50 | bottom 38% in Utah; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.88 | 0.48 | top 41% in Utah; top 9% in the U.S. |
| Total nursing staff turnover (%) | 73.8 | 50.7 | 45.8 | bottom 7% in Utah; bottom 4% in the U.S. |
| RN turnover (%) | 45.5 | 40.6 | 42.9 | bottom 40% in Utah; bottom 43% 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 3.30, RN 1.18, weekend 3.01. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baird, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Baird, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Barney, Janett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Beaver Valley Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 09/18/1999 |
| Brown, Gary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Cascades Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Cascades Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Langford, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Langford, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Langford, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2016 |
| Martin, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Martin, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| McSpadden, Darin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| McSpadden, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| McSpadden, Darin | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2016 |
| Oakden, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Robinson, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Smith, Val | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| White, Craig | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Stonehenge of Orem | 1.4 mi | Orem, UT | ★★★★★ | 5/5 | |
| Orem Rehabilitation and Nursing Center | 2.8 mi | Orem, UT | ★★★☆☆ | 2/5 | |
| Aspen Ridge of Utah Valley | 3.5 mi | Orem, UT | ★★★★★ | 5/5 | |
| Mission at Alpine Rehabilitation Center | 4.1 mi | Pleasant Grove, UT | ★★☆☆☆ | 1/5 | abuseSFF |
| Provo Rehabilitation and Nursing | 4.6 mi | Provo, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Stonehenge of American Fork | 6.5 mi | American Fork, UT | ★★★★☆ | 4/5 | |
| Monument Healthcare American Fork | 7.3 mi | American Fork, UT | ★★★☆☆ | 2/5 | |
| Stonehenge of Springville | 10.6 mi | Springville, UT | ★★★★★ | 4/5 | |
| Pointe Meadows Health and Rehabilitation | 13.3 mi | Lehi, UT | ★★★★★ | 4/5 | |
| Spanish Fork Rehabilitation and Nursing | 14.1 mi | Spanish Fork, UT | ★★★☆☆ | 4/5 | |
| Draper Rehabilitation and Care Center | 17.1 mi | Draper, UT | ★★★★☆ | 4/5 | |
| Mervyn Sharp Bennion Central Utah Veterans Home | 17.8 mi | Payson, UT | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465090.