Utah › Utah County › Provo
Provo Rehabilitation and Nursing
1001 North 500 West, Provo, UT 84604
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.
Provo Rehabilitation and Nursing, in Provo, Utah, is certified for 220 beds under for-profit, corporation ownership and belongs to the The Ensign Group chain.
CMS gives it 1 of 5 stars overall, below the Utah median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 75 health deficiencies across the three most recent survey cycles (16, 27, 32 by cycle, most recent first), 27 of them at the actual-harm or immediate-jeopardy level. That is 34.1 per 100 beds, more than the state median of 26.0.
CMS lists 2 penalties in the period covered: fines totalling $73K.
Reported nurse staffing is 3.9 hours per resident per day (0.9 RN), close to the Utah median of 3.7; nursing staff turnover is 54.5%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
75health deficiencies, 3 survey cycles27 at actual harm or worse
$73Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 3.7
59%occupancy (residents ÷ beds)130 residents a day
Compared with county, state and nation
| Measure | This facility | Utah Co. median | Utah median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 75 | 22 | 22 | 28.7 |
| Citations per 100 beds | 34.1 | 26.0 | 26.0 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 1.2 | 1.0 | 0.7 |
| Nursing staff turnover | 54.5% | 54.5% | 50.9% | 45.8% |
| Fines listed | $73,003 | $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
Dark bar: this facility. Grey bar: Utah average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Oct 2024, 30 Jan 2023.
Severity mix: J ×1 G ×18 H ×8 D ×27 E ×19 F ×2
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 date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | G | Complaint investigation | 3 Apr 2026 |
| 16 Mar 2026 | F0908 | Keep all essential equipment working safely. | G | Complaint investigation | 3 Apr 2026 |
| 21 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 2 Dec 2024 |
| 21 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Dec 2024 |
| 21 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Dec 2024 |
| 21 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Dec 2024 |
| 21 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Dec 2024 |
| 21 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 2 Dec 2024 |
| 21 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Dec 2024 |
| 21 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 2 Dec 2024 |
| 30 Jan 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | G | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0761 | Ensure 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. | E | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 29 Mar 2023 |
| 30 Jan 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Mar 2023 |
| 28 May 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0885 | Report COVID19 data to residents and families. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 10 Aug 2021 |
| 28 May 2021 | 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 | 10 Aug 2021 |
| 28 May 2021 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Aug 2021 |
| 28 May 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Mar 2026 | Fine | $17,857 | |
| 21 Oct 2024 | Fine | $55,146 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Utah average. Turnover: nursing staff 54.5%, RNs 45.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Utah median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.9% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 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: for-profit, corporation. Legal business name: Beaver Valley Hospital. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nursa Inc | Operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| Riverview Healthcare, Inc. | Operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| Rubicon Staffing LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| Caretrust Gp LLC | Adp of the snf | NOT APPLICABLE | 05/01/2016 |
| Caretrust Reit Inc | Adp of the snf | NOT APPLICABLE | 05/01/2016 |
| Ctr Partnership LP | Adp of the snf | NOT APPLICABLE | 05/01/2016 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 10/01/2009 |
| Riverview Healthcare, Inc. | Adp of the snf | NOT APPLICABLE | 09/15/2025 |
| Silver Lake Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/01/2016 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Advanced Health Care of Salem | Salem | 16 | 5 | 5 | 4 | 7 | 43.8 | — | 20 Jan 2026 |
| Mervyn Sharp Bennion Central Utah Veterans Home | Payson | 108 | 5 | 5 | 5 | 13 | 12.0 | — | 13 Apr 2026 |
| Pointe Meadows Health and Rehabilitation | Lehi | 99 | 5 | 4 | 3 | 22 | 22.2 | — | 7 Aug 2025 |
| Stonehenge of Orem | Orem | 34 | 5 | 5 | 3 | 2 | 5.9 | — | 5 Mar 2026 |
| Stonehenge of Springville | Springville | 50 | 5 | 4 | 3 | 13 | 26.0 | $5K | 5 Mar 2025 |
| Cascades At Orchard Park | Orem | 52 | 4 | 4 | 2 | 25 | 48.1 | $12K | 6 Mar 2025 |
| Stonehenge of American Fork | American Fork | 119 | 4 | 4 | 3 | 16 | 13.4 | $22K | 23 Jul 2025 |
| Monument Healthcare American Fork | American Fork | 106 | 3 | 2 | 4 | 59 | 55.7 | $35K | 4 Sep 2025 |
All 13 facilities in Utah County
Questions and answers
How many deficiencies has Provo Rehabilitation and Nursing been cited for?
75 health deficiencies across the three most recent survey cycles, 27 at the actual-harm or immediate-jeopardy level. The Utah median is 22 per facility.
Has Provo Rehabilitation and Nursing been fined?
Yes. CMS lists fines totalling $73K in the period covered.
How does staffing at Provo Rehabilitation and Nursing compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Utah median of 3.7 and a national average of 3.9.
Who operates Provo Rehabilitation and Nursing?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nursa Inc, Riverview Healthcare, Inc. and Rubicon Staffing LLC. Individual owners and managers are not listed on this site.
When was Provo Rehabilitation and Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 16 Mar 2026; the most recent standard health survey was 21 Oct 2024.
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.