Pointe Meadows Health and Rehabilitation
2750 North Digital Drive, Lehi, UT 84043 · Utah County · 99 certified beds · avg 85 residents/day · certified since Oct 19, 2017
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
All citations in the current public record (22)
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 |
|---|---|---|
| Aug 7, 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 7, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 16, 2023 | F · Potential for harm, facility-wide | 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | 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. |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 16, 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. |
| Nov 16, 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. |
| Apr 7, 2022 | 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. |
| Apr 7, 2022 | 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. |
| Apr 7, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 7, 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. |
| Apr 7, 2022 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Apr 7, 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. |
| Apr 7, 2022 | D · Potential for 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. |
| Apr 7, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 7, 2022 | 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. |
| Apr 7, 2022 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | E |
| 2023 | 6 | 0 | F |
| 2025 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.64 | 3.87 | 3.95 | top 44% in Utah; bottom 44% in the U.S. |
| Registered Nurse hours | 0.85 | 1.17 | 0.69 | bottom 31% in Utah; top 24% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.39 | 3.50 | bottom 48% in Utah; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.88 | 0.48 | bottom 46% in Utah; top 17% in the U.S. |
| Total nursing staff turnover (%) | 49.6 | 50.7 | 45.8 | top 48% in Utah; bottom 38% in the U.S. |
| RN turnover (%) | 40.0 | 40.6 | 42.9 | top 48% in Utah; top 46% 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 3.68, RN 0.86, weekend 3.15. Staffing rating: 3/5.
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: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brown, Zachary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/02/2019 |
| Brown, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2019 |
| Brown, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2019 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2017 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/26/2015 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Moss, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 01/02/2019 |
| Moss, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2019 |
| Mozart Holdings, LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/02/2019 |
| Pointe Meadow Healthcare INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/02/2019 |
| Pointe Meadow Healthcare INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Smith, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/12/2024 |
| Smith, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2024 |
| Smith, David | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Neurorestorative | 5.7 mi | Riverton, UT | ★★★★☆ | 3/5 | |
| Monument Healthcare American Fork | 6.1 mi | American Fork, UT | ★★★☆☆ | 2/5 | |
| Draper Rehabilitation and Care Center | 6.6 mi | Draper, UT | ★★★★☆ | 4/5 | |
| Stonehenge of American Fork | 6.8 mi | American Fork, UT | ★★★★☆ | 4/5 | |
| Rocky Mountain Care - Riverton | 7.7 mi | Riverton, UT | ★★★★☆ | 3/5 | |
| Mission at Alpine Rehabilitation Center | 9.3 mi | Pleasant Grove, UT | ★★☆☆☆ | 1/5 | abuseSFF |
| Stonehenge of South Jordan | 9.5 mi | South Jordan, UT | ★★★★★ | 5/5 | |
| Sandy Health and Rehab | 11.0 mi | Sandy, UT | ★☆☆☆☆ | 1/5 | |
| Copper Ridge Health Care | 12.0 mi | West Jordan, UT | ★★★☆☆ | 2/5 | |
| Stonehenge of Orem | 13.1 mi | Orem, UT | ★★★★★ | 5/5 | |
| Cascades at Orchard Park | 13.3 mi | Orem, UT | ★★★★☆ | 4/5 | |
| Cascades at Riverwalk | 13.6 mi | Midvale, UT | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465188.