Mission at Nephi Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 1100 North 400 East, Nephi, UT 84648
- CCN
- 465107
- Ownership type
- For-profit, limited liability company
- Certified beds
- 80
- Residents per day
- 37
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Mission at Nephi Nursing and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 29 May 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Utah is 7. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Utah median | US average (CMS) |
|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 97 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Utah median |
|---|---|---|---|
| Cycle 1 (latest) | 29 May 2025 | 2 | 7 |
| Cycle 2 | 5 Jun 2023 | 3 | 6 |
| Cycle 3 | No date | 3 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Jun 2025 |
| 29 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Jun 2025 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Jun 2023 |
| 5 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jun 2023 |
| 5 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jun 2023 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Sep 2021 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 17 Oct 2021 |
| 2 Sep 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Oct 2021 |
| 2 Sep 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Oct 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Utah median | Utah average (CMS) |
|---|---|---|---|
| All nurse staff | 3.27 | 3.70 | 4.07 |
| Registered nurses (RN) | 0.88 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.59 | 0.48 | |
| Nurse aides | 1.80 | 2.35 | |
| All nurse staff, weekends | 2.92 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- No data
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Utah median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.4% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.5% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 10.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Gunnison Valley Hospital
- Chain
- Mission Health Services (7 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gunnison Valley Hospital | Direct ownership interest | 1 Jul 2018 | |
| Gunnison Valley Hospital | Operational/managerial control | 1 Jul 2018 | |
| Mission Health Services | Operational/managerial control | 11 Jun 2025 | |
| Gunnison Valley Hospital | Adp of the snf | 8 Sep 2025 | |
| Mission Health Services | Adp of the snf | 3 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Mission at Nephi Nursing and Rehabilitation (CCN 465107). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/mission-at-nephi-nursing-and-rehabilitation-nephi-ut-465107/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Mission at Nephi Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 29 May 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 5 Jun 2023.
- Who operates Mission at Nephi Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Mission Health Services. The CMS ownership file names Gunnison Valley Hospital and Mission Health Services for operational or managerial control. This site does not show the names of persons.
- Is Mission at Nephi Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Utah as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.