Elder Care Record

Utah › Utah County › Pleasant Grove

Mission At Alpine Rehabilitation Center

25 East Alpine Drive, Pleasant Grove, UT 84062

CCN 465088 · Non-profit, other · 52 certified beds · chain Mission Health Services

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Mission At Alpine Rehabilitation Center, in Pleasant Grove, Utah, is certified for 52 beds under non-profit, other ownership and belongs to the Mission Health Services chain.

CMS gives it 2 of 5 stars overall, below the Utah median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (30, 7, 7 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 84.6 per 100 beds, more than the state median of 26.0.

CMS lists 2 penalties in the period covered: fines totalling $126K.

Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Utah median of 3.7; nursing staff turnover is 65.1%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

44health deficiencies, 3 survey cycles8 at actual harm or worse
$126Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.7
72%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityUtah Co. medianUtah medianUS average
Overall star rating2433.0
Health citations, 3 cycles44222228.7
Citations per 100 beds84.626.026.026.8
Total nurse hours per resident day3.13.73.73.9
RN hours per resident day0.61.21.00.7
Nursing staff turnover65.1%54.5%50.9%45.8%
Fines listed$125,737$4,938$6,351—

County and state figures are medians across facilities (13 in the county, 97 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)30
Cycle 27
Cycle 37

Dark bar: this facility. Grey bar: Utah average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Aug 2025, 30 Nov 2023.

Severity mix: K ×5 G ×1 H ×2 D ×20 E ×11 F ×5

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation20 Oct 2025
20 Aug 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint investigation20 Oct 2025
20 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KComplaint investigation20 Oct 2025
20 Aug 2025F0610Respond appropriately to all alleged violations.KComplaint investigation20 Oct 2025
20 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation20 Oct 2025
20 Aug 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.HStandard survey20 Oct 2025
20 Aug 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.HStandard survey20 Oct 2025
20 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.FStandard survey20 Oct 2025
20 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Oct 2025
20 Aug 2025F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FStandard survey20 Oct 2025
20 Aug 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey20 Oct 2025
20 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey20 Oct 2025
20 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation20 Oct 2025
20 Aug 2025F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard survey20 Oct 2025
20 Aug 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey20 Oct 2025
20 Aug 2025F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey20 Oct 2025
20 Aug 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint investigation20 Oct 2025
20 Aug 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard survey20 Oct 2025
20 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey20 Oct 2025
20 Aug 2025F0641Ensure each resident receives an accurate assessment.DStandard survey20 Oct 2025
20 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey20 Oct 2025
20 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Oct 2025
20 Aug 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation20 Oct 2025
20 Aug 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation20 Oct 2025
20 Aug 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey20 Oct 2025
20 Aug 2025F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard survey20 Oct 2025
20 Aug 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey20 Oct 2025
20 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey20 Oct 2025
20 Aug 2025F0881Implement a program that monitors antibiotic use.DStandard survey20 Oct 2025
20 Aug 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey20 Oct 2025
30 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation15 Jan 2024
30 Nov 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey15 Jan 2024
30 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation15 Jan 2024
30 Nov 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey15 Jan 2024
30 Nov 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey15 Jan 2024
30 Nov 2023F0760Ensure that residents are free from significant medication errors.DStandard survey15 Jan 2024
30 Nov 2023F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey15 Jan 2024
16 Feb 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Apr 2022
16 Feb 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Apr 2022
16 Feb 2022F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey10 Apr 2022
16 Feb 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Apr 2022
16 Feb 2022F0679Provide activities to meet all resident's needs.DStandard survey10 Apr 2022
16 Feb 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Apr 2022
16 Feb 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Apr 2022

Penalties

DateTypeAmountDetail
20 Aug 2025Fine$118,294
30 Nov 2023Fine$7,443

Staffing

Total nursing3.13 h
Nurse aides1.93 h
LPN0.63 h
RN0.57 h
Weekend total2.77 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Utah average. Turnover: nursing staff 65.1%, RNs 62.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityUtah medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay1.8%10.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.9%2.1%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.5%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.9%3.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay59.1%10.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, other. Legal business name: Gunnison Valley Hospital. Chain: Mission Health Services (7 facilities).

OrganisationRole in the CMS recordInterestSince
Mission Health ServicesOperational/managerial controlNOT APPLICABLE04/01/2017
Mission Health ServicesAdp of the snfNOT APPLICABLE06/04/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Utah County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Advanced Health Care of SalemSalem16554743.8—20 Jan 2026
Mervyn Sharp Bennion Central Utah Veterans HomePayson1085551312.0—13 Apr 2026
Pointe Meadows Health and RehabilitationLehi995432222.2—7 Aug 2025
Stonehenge of OremOrem3455325.9—5 Mar 2026
Stonehenge of SpringvilleSpringville505431326.0$5K5 Mar 2025
Cascades At Orchard ParkOrem524422548.1$12K6 Mar 2025
Stonehenge of American ForkAmerican Fork1194431613.4$22K23 Jul 2025
Monument Healthcare American ForkAmerican Fork1063245955.7$35K4 Sep 2025

All 13 facilities in Utah County

Questions and answers

How many deficiencies has Mission At Alpine Rehabilitation Center been cited for?

44 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Utah median is 22 per facility.

Has Mission At Alpine Rehabilitation Center been fined?

Yes. CMS lists fines totalling $126K in the period covered.

How does staffing at Mission At Alpine Rehabilitation Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Utah median of 3.7 and a national average of 3.9.

Who operates Mission At Alpine Rehabilitation Center?

It is part of the Mission Health Services chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include Mission Health Services. Individual owners and managers are not listed on this site.

When was Mission At Alpine Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 20 Aug 2025; the most recent standard health survey was 20 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.