UtahProvo

Provo Rehabilitation and Nursing

1001 North 500 West, Provo, UT 84604 · Utah County · 220 certified beds · avg 130 residents/day · certified since Nov 7, 1988

Abuse citation flag (CMS)SFF Candidate

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
27
Serious findings on record
$73,003
Fines, last 3 years
3.16
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 · Mar 16, 2026 · F-0695 · triggered by a complaint

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.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0609 · triggered by a complaint

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.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0610 · triggered by a complaint

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.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0658 · triggered by a complaint

The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.

Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0840 · triggered by a complaint

The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff.

Why it matters: Residents can go without required services — like therapy or dietitian care — that no one qualified is providing.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0865 · triggered by a complaint

The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.

Why it matters: Without a real quality improvement process, the same care problems tend to repeat instead of getting fixed.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 16, 2026 · F-0908 · triggered by a complaint

The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.

Why it matters: Broken essential equipment can directly endanger residents' health, comfort, and safety.

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: Apr 3, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Oct 21, 2024 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: Dec 2, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, repeated · Jan 30, 2023 · F-0600

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.

Corrected: Mar 29, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (75)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 16, 2026▲ J · Immediate jeopardy, one-offThe 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. · from a complaint
Mar 16, 2026▲ G · Actual harm, one-offThe 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
Mar 16, 2026▲ G · Actual harm, one-offThe 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
Mar 16, 2026▲ G · Actual harm, one-offThe 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
Mar 16, 2026▲ G · Actual harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Mar 16, 2026▲ G · Actual harm, one-offThe facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · from a complaint
Mar 16, 2026▲ G · Actual harm, one-offThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Mar 16, 2026▲ G · Actual harm, one-offThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Oct 21, 2024▲ G · Actual harm, one-offThe 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 21, 2024E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 21, 2024D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 21, 2024D · Potential for harm, one-offThe 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 21, 2024D · Potential for harm, one-offThe 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.
Oct 21, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 21, 2024D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 21, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 30, 2023▲ H · Actual harm, repeatedThe 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.
Jan 30, 2023▲ H · Actual harm, repeatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 30, 2023▲ H · Actual harm, repeatedThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Jan 30, 2023▲ H · Actual harm, repeatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jan 30, 2023▲ G · Actual harm, one-offThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jan 30, 2023▲ G · Actual harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 30, 2023▲ G · Actual harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 30, 2023▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 30, 2023▲ G · Actual harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Jan 30, 2023F · Potential for harm, facility-wideThe 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.
Jan 30, 2023E · Potential for harm, repeatedThe facility did not keep residents' personal and medical information private and confidential.
Jan 30, 2023E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 30, 2023E · Potential for harm, repeatedThe 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.
Jan 30, 2023D · Potential for harm, one-offThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 30, 2023D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 30, 2023D · Potential for harm, one-offThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 30, 2023D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 30, 2023D · Potential for harm, one-offThe 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.
Jan 30, 2023D · Potential for harm, one-offThe 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 30, 2023D · Potential for harm, one-offWhen a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jan 30, 2023D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 30, 2023D · Potential for harm, one-offThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jan 30, 2023D · Potential for harm, one-offThe 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.
Jan 30, 2023D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 30, 2023D · Potential for harm, one-offThe 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.
Jan 30, 2023D · Potential for harm, one-offThe facility did not provide timely, quality laboratory tests to meet residents' needs.
Jan 30, 2023D · Potential for harm, one-offThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
May 28, 2021▲ H · Actual harm, repeatedThe 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.
May 28, 2021▲ H · Actual harm, repeatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
May 28, 2021▲ H · Actual harm, repeatedThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
May 28, 2021▲ H · Actual harm, repeatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 28, 2021▲ G · Actual harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 28, 2021▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 28, 2021▲ G · Actual harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 28, 2021▲ G · Actual harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
May 28, 2021▲ G · Actual harm, one-offThe facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
May 28, 2021F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 28, 2021E · Potential for harm, repeatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 28, 2021E · Potential for harm, repeatedThe 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.
May 28, 2021E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 28, 2021E · Potential for harm, repeatedThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
May 28, 2021E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 28, 2021E · Potential for harm, repeatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
May 28, 2021E · Potential for harm, repeatedThe 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.
May 28, 2021E · Potential for harm, repeatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 28, 2021E · Potential for harm, repeatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
May 28, 2021E · Potential for harm, repeatedThe 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.
May 28, 2021E · Potential for harm, repeatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 28, 2021E · Potential for harm, repeatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 28, 2021E · Potential for harm, repeatedThe 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.
May 28, 2021E · Potential for harm, repeatedThe facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
May 28, 2021E · Potential for harm, repeatedThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
May 28, 2021D · Potential for harm, one-offThe 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.
May 28, 2021D · Potential for harm, one-offThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
May 28, 2021D · Potential for harm, one-offThe facility did not keep residents' personal and medical information private and confidential.
May 28, 2021D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 28, 2021D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 28, 2021D · Potential for harm, one-offThe 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.
May 28, 2021D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (27 → 8).

YearCitationsSerious (G–L)Worst severity that year
2021329H ▲
2023279H ▲
202481G ▲
202688J ▲

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)

2 fines totaling $73,003.

DateTypeAmount / length
Mar 16, 2026Fine$17,857
Oct 21, 2024Fine$55,146

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityUtah avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.163.873.95bottom 20% in Utah; bottom 20% in the U.S.
Registered Nurse hours0.711.170.69bottom 14% in Utah; top 36% in the U.S.
Weekend total nurse staffing2.803.393.50bottom 22% in Utah; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)0.620.880.48bottom 33% in Utah; top 22% in the U.S.
Total nursing staff turnover (%)54.550.745.8bottom 37% in Utah; bottom 26% in the U.S.
RN turnover (%)45.240.642.9bottom 42% 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 3.88, RN 0.87, weekend 3.44. 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: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE10/01/2009
Caretrust GP LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Caretrust Reit INCOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Ctr Partnership LPOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Ensign Services INCOrganizationADP of the SNFNOT APPLICABLE10/01/2009
Hoopes, TravisIndividualManaging Control - Governing BodyNOT APPLICABLE10/01/2009
Hoopes, TravisIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2009
Hoopes, TravisIndividualADP of the SNFNOT APPLICABLE10/01/2009
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
Martinez, MarkIndividualManaging Control - Governing BodyNOT APPLICABLE05/30/2024
Martinez, MarkIndividualOperational/Managerial ControlNOT APPLICABLE05/30/2024
Martinez, MarkIndividualADP of the SNFNOT APPLICABLE05/30/2024
Moss, TylerIndividualCorporate OfficerNOT APPLICABLE05/01/2016
Nursa INCOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2016
Riverview Healthcare, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2016
Riverview Healthcare, INC.OrganizationADP of the SNFNOT APPLICABLE09/15/2025
Rubicon Staffing LLCOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2016
Silver Lake Health Holdings LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Aspen Ridge of Utah Valley1.1 miOrem, UT★★★★★5/5
Orem Rehabilitation and Nursing Center1.8 miOrem, UT★★★☆☆2/5
Stonehenge of Orem4.1 miOrem, UT★★★★★5/5
Cascades at Orchard Park4.6 miOrem, UT★★★★☆4/5
Stonehenge of Springville6.0 miSpringville, UT★★★★★4/5
Mission at Alpine Rehabilitation Center8.5 miPleasant Grove, UT★★☆☆☆1/5abuseSFF
Spanish Fork Rehabilitation and Nursing9.5 miSpanish Fork, UT★★★☆☆4/5
Stonehenge of American Fork10.4 miAmerican Fork, UT★★★★☆4/5
Monument Healthcare American Fork11.4 miAmerican Fork, UT★★★☆☆2/5
Mervyn Sharp Bennion Central Utah Veterans Home13.6 miPayson, UT★★★★★5/5
Rocky Mountain Care - Maple Dell14.2 miPayson, UT★★☆☆☆1/5
Advanced Health Care of Salem14.8 miSalem, UT★★★★★5/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 465119.