Utah ›Tooele

Rocky Mountain Care - Willow Springs

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85 East 2000 North, Tooele, UT 84074 (opens Google Maps) · Tooele County · (435) 843-2000· 112 certified beds · avg 108 residents/day · certified since Jan 1, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: ROCKY MOUNTAIN CARE (10 facilities, chain avg rating 3.0★)

3/5
Health inspection rating (on-site)
inspected Jun 17, 2025
5
Serious findings on record
most recent Jun 17, 2025
$40,892
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 17, 2025 · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 17, 2025 (Past Non-Compliance)

▲ Actual harm, isolated · Aug 1, 2024 · F-0760 · triggered by a complaint

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.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 30, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 18, 2021 · F-0689

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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 1, 2021 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 18, 2021 · F-0697

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 1, 2021 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 18, 2021 · F-0757

The 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.

Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 1, 2021 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0609

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

  3. D · Potential for more than minimal harm, isolated

    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 F-0689

View all 32 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 31, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Mar 31, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Mar 31, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 17, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep complete, dated laboratory records in residents' files. · F-0775
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Aug 1, 2024▲ G · Actual harm, isolatedThe 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 · F-0760
Aug 1, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Aug 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 21, 2023F · Potential for more than minimal harm, widespreadThe facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · F-0809
Aug 21, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 21, 2023E · Potential for more than minimal harm, patternThe 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. · F-0880
Aug 21, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0655
Aug 21, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Aug 21, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 18, 2021▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 18, 2021▲ G · Actual harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Oct 18, 2021▲ G · Actual harm, isolatedThe 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. · F-0757
Oct 18, 2021F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Oct 18, 2021E · Potential for more than minimal harm, patternThe 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. · F-0725
Oct 18, 2021E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 18, 2021E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Oct 18, 2021E · Potential for more than minimal harm, patternThe 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. · F-0880
Oct 18, 2021E · Potential for more than minimal harm, patternThe 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. · F-0885
Oct 18, 2021D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Oct 18, 2021D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Oct 18, 2021D · Potential for more than minimal harm, isolatedThe 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. · F-0638
Oct 18, 2021D · Potential for more than minimal harm, isolatedThe 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. · F-0676
Oct 18, 2021D · Potential for more than minimal harm, isolatedThe 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. · F-0690

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 14
Serious citations (G–L): 3
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 1
2025
All citations: 6
Serious citations (G–L): 1
2026
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2021143G ▲
202360F
202431G ▲
202561G ▲
202630D

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)

How to file a complaint about care →

2 fines totaling $40,892.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jun 17, 2025Fine$9,269
Aug 1, 2024Fine$31,623

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityUtah averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.63
Utah average: 3.87
U.S. average: 3.95
Registered Nurse hours
This facility: 0.65
Utah average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.20
Utah average: 3.39
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityUtah avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.633.873.95top 47% in Utah; bottom 43% in the U.S.
Registered Nurse hours0.651.170.69bottom 10% in Utah; top 41% in the U.S.
Weekend total nurse staffing3.203.393.50top 40% in Utah; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)0.380.880.48bottom 4% in Utah; bottom 48% in the U.S.
Total nursing staff turnover (%)54.350.745.8bottom 38% in Utah; bottom 26% in the U.S.
RN turnover (%)52.440.642.9bottom 33% in Utah; bottom 32% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.63, RN 0.65, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.63 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rocky Mountain Care - Willow Springs. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Beaver City CorporationOrganization5% or Greater Direct Ownership Interest100%08/01/2015
Bangerte, NathanIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Bangerter, EdwardIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Bangerter, JohnathanIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Barney, JanettIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2012
Beeman, RaymondIndividualManaging Control - Governing BodyNOT APPLICABLE09/22/2022
Biddulph, GlenIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2025
Biddulph, GlenIndividualADP of the SNFNOT APPLICABLE03/01/2025
Boardman, LauraIndividualManaging Control - Governing BodyNOT APPLICABLE09/22/2022
Brown, GaryIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2011
Darby, MeganIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Gatherum, JasonIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Hale, FredrickIndividualManaging Control - Governing BodyNOT APPLICABLE09/22/2022
Hansen, KentIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Langford, ScottIndividualCorporate OfficerNOT APPLICABLE03/01/2018
Mikesell, BradleyIndividualManaging Control - Governing BodyNOT APPLICABLE09/22/2022
Moss, TylerIndividualCorporate OfficerNOT APPLICABLE03/01/2018
Neves, CourtneyIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2025
Oakden, RichardIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2010
Ottley, BrettIndividualOperational/Managerial ControlNOT APPLICABLE10/13/2025

Showing 20 of 32 parties CMS has on file for this facility; 12 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Rocky Mountain Care — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
  • "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 32 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Copper Ridge Health Care16.9 miWest Jordan, UT★★★☆☆2/5
Meadow Peak Rehabilitation17.2 miTaylorsville, UT★★★☆☆3/5
Rocky Mountain Care - Riverton17.6 miRiverton, UT★★★★☆3/5
Legacy Village Rehabilitation18.3 miTaylorsville, UT★★☆☆☆3/5
Rocky Mountain Care - Hunter Hollow18.7 miWest Valley City, UT★★☆☆☆1/5
Stonehenge of South Jordan19.4 miSouth Jordan, UT★★★★★5/5
Neurorestorative19.4 miRiverton, UT★★★★☆3/5
Monument Healthcare Taylorsville19.5 miSalt Lake City, UT★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Tooele →

Facility data as of CMS processing date 2026-08-01. CCN 465089.

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