Stonehenge of Orem
435 West Center Street, Orem, UT 84057 · Utah County · 34 certified beds · avg 32 residents/day · certified since Jan 12, 2009
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: ★★★★★5/5 · 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 (2)
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 5, 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. |
| Mar 14, 2024 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2026 | 1 | 0 | D |
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) | 3.42 | 3.87 | 3.95 | bottom 33% in Utah; bottom 33% in the U.S. |
| Registered Nurse hours | 1.12 | 1.17 | 0.69 | top 41% in Utah; top 11% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.39 | 3.50 | bottom 28% in Utah; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.88 | 0.48 | top 40% in Utah; top 9% in the U.S. |
| Total nursing staff turnover (%) | 47.7 | 50.7 | 45.8 | top 44% in Utah; bottom 43% in the U.S. |
| RN turnover (%) | 54.5 | 40.6 | 42.9 | bottom 28% in Utah; bottom 29% 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 3.93, RN 1.29, weekend 3.31. 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 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Milestone Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/03/2025 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/09/2025 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/09/2025 |
| Carrera, Rory | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Carrera, Rory | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Cascade Mountain Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/09/2025 |
| Hoopes, Tyler | Individual | Corporate Director | NOT APPLICABLE | 05/09/2025 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Corporate Director | NOT APPLICABLE | 06/01/2019 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/1999 |
| Stevens, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Stevens, David | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
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?"
- "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 |
|---|---|---|---|---|---|
| Cascades at Orchard Park | 1.4 mi | Orem, UT | ★★★★☆ | 4/5 | |
| Orem Rehabilitation and Nursing Center | 2.4 mi | Orem, UT | ★★★☆☆ | 2/5 | |
| Aspen Ridge of Utah Valley | 3.0 mi | Orem, UT | ★★★★★ | 5/5 | |
| Provo Rehabilitation and Nursing | 4.1 mi | Provo, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Mission at Alpine Rehabilitation Center | 4.4 mi | Pleasant Grove, UT | ★★☆☆☆ | 1/5 | abuseSFF |
| Stonehenge of American Fork | 6.4 mi | American Fork, UT | ★★★★☆ | 4/5 | |
| Monument Healthcare American Fork | 7.3 mi | American Fork, UT | ★★★☆☆ | 2/5 | |
| Stonehenge of Springville | 9.9 mi | Springville, UT | ★★★★★ | 4/5 | |
| Pointe Meadows Health and Rehabilitation | 13.1 mi | Lehi, UT | ★★★★★ | 4/5 | |
| Spanish Fork Rehabilitation and Nursing | 13.3 mi | Spanish Fork, UT | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465167.