Stonehenge of Springville

Name: Stonehenge of Springville
Address: 909 West 450 South, Springville, UT, 84663, US
Telephone: 8014891900

909 West 450 South, Springville, UT 84663 · Utah County · 50 certified beds · avg 49 residents/day · certified since Sep 11, 1992

Part of chain: STONEHENGE OF UTAH (5 facilities, chain avg rating 4.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

$4,938

Fines, last 3 years

3.54

Nurse hours/resident/day (adjusted)

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Mar 5, 2025 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 4, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (13)

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, 2025	▲ 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.
Mar 5, 2025	D · Potential for harm, one-off	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
Mar 5, 2025	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.
Mar 5, 2025	D · Potential for harm, one-off	The 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.
Mar 5, 2025	D · Potential for harm, one-off	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.
Mar 5, 2025	D · Potential for harm, one-off	The 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).
Mar 5, 2025	D · Potential for harm, one-off	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.
Aug 5, 2021	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Aug 5, 2021	E · Potential for harm, repeated	The 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.
Aug 5, 2021	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 5, 2021	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.
Aug 5, 2021	D · Potential for harm, one-off	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.
Aug 5, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	F
2025	7	1	G ▲

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 $4,938.

Date	Type	Amount / length
Sep 18, 2023	Fine	$1,764
Aug 28, 2023	Fine	$3,174

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)	3.54	3.87	3.95	bottom 48% in Utah; bottom 39% in the U.S.
Registered Nurse hours	1.26	1.17	0.69	top 29% in Utah; top 8% in the U.S.
Weekend total nurse staffing	3.19	3.39	3.50	top 41% in Utah; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.05	0.88	0.48	top 20% in Utah; top 5% in the U.S.
Total nursing staff turnover (%)	52.7	50.7	45.8	bottom 43% in Utah; bottom 30% in the U.S.
RN turnover (%)	55.0	40.6	42.9	bottom 27% in Utah; bottom 28% 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 3.64, RN 1.29, weekend 3.28. 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: 4/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Carrera, Rory	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/15/2022
Cichos, Tyson	Individual	Direct Ownership Interest	NOT APPLICABLE	12/11/2017
Cloward, Wyatt	Individual	Direct Ownership Interest	NOT APPLICABLE	12/11/2017
Gillespie, Deborah	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/25/2021
Howells, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/25/2021
Kane County Human Resource Special Service District	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/25/2021
Loveless, Kurt	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/25/2021
Pittard, Jeffrey	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/31/2023
Carrera, Rory	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
Carrera, Rory	Individual	ADP of the SNF	NOT APPLICABLE	12/15/2022
Cichos, Tyson	Individual	Operational/Managerial Control	NOT APPLICABLE	12/11/2017
Cichos, Tyson	Individual	ADP of the SNF	NOT APPLICABLE	12/11/2017
Cloward, Wyatt	Individual	Operational/Managerial Control	NOT APPLICABLE	12/11/2017
Cloward, Wyatt	Individual	ADP of the SNF	NOT APPLICABLE	12/11/2017
Gillespie, Deborah	Individual	Operational/Managerial Control	NOT APPLICABLE	10/25/2021
Gillespie, Deborah	Individual	ADP of the SNF	NOT APPLICABLE	10/25/2021
Howells, Stephen	Individual	Corporate Officer	NOT APPLICABLE	12/20/1992
Howells, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	10/25/2021
Howells, Stephen	Individual	ADP of the SNF	NOT APPLICABLE	10/25/2021
Kane County Human Resource Special Service District	Organization	Operational/Managerial Control	NOT APPLICABLE	10/25/2021

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?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"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
Spanish Fork Rehabilitation and Nursing	3.5 mi	Spanish Fork, UT	★★★☆☆	4/5
Provo Rehabilitation and Nursing	6.0 mi	Provo, UT	★☆☆☆☆	1/5	abuseSFF
Aspen Ridge of Utah Valley	7.1 mi	Orem, UT	★★★★★	5/5
Orem Rehabilitation and Nursing Center	7.8 mi	Orem, UT	★★★☆☆	2/5
Mervyn Sharp Bennion Central Utah Veterans Home	8.5 mi	Payson, UT	★★★★★	5/5
Rocky Mountain Care - Maple Dell	8.7 mi	Payson, UT	★★☆☆☆	1/5
Advanced Health Care of Salem	8.9 mi	Salem, UT	★★★★★	5/5
Stonehenge of Orem	9.9 mi	Orem, UT	★★★★★	5/5
Cascades at Orchard Park	10.6 mi	Orem, UT	★★★★☆	4/5
Mission at Alpine Rehabilitation Center	14.4 mi	Pleasant Grove, UT	★★☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in Springville →

Facility data as of CMS processing date 2026-08-01. CCN 465130.

The Care File

Visit checklist — Stonehenge of Springville

909 West 450 South, Springville, UT 84663 · 8014891900

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $4,938

Most serious findings on record:

▲ Mar 5, 2025 (F-0689, 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 465130 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)