CareSentinel

Compiled from official CMS federal data

Mission at Alpine Rehabilitation Center, Pleasant Grove, UT — Violations & Inspection Reports

CCN 465088 · 25 East Alpine Drive, Pleasant Grove, UT, 84062

Record as of Jun 2026 · Updated monthly from CMS

Does Mission at Alpine Rehabilitation Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Mission at Alpine Rehabilitation Center (CCN 465088), in Pleasant Grove, UT, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 30 deficiencies; the most severe is rated K, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $125,737 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Aug 2025.
  • 3 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Aug 2025.
  • 2 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Aug 2025.
  • 12 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$125,737

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-08-20
CURRENT CYCLE
F607S/S K

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2025-08-20
CURRENT CYCLE
F609S/S K

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-08-20
CURRENT CYCLE
F610S/S K

Respond appropriately to all alleged violations.

41 more citations on file — Abuse & neglect 3 · Accidents & supervision 3 · Nutrition & hydration 2 · Medication & pharmacy 3 · Resident rights 2 · Other citations 24 (expand)
2025-08-20
CURRENT CYCLE
F689S/S K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-20
CURRENT CYCLE
F600S/S K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-08-20
CURRENT CYCLE
F867S/S H

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2025-08-20
CURRENT CYCLE
F835S/S H

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-08-20
CURRENT CYCLE
F550S/S F

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-08-20
CURRENT CYCLE
F843S/S F

Have 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.

2025-08-20
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-08-20
CURRENT CYCLE
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-08-20
CURRENT CYCLE
F809S/S E

Ensure 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.

2025-08-20
CURRENT CYCLE
F728S/S E

Ensure 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.

2025-08-20
CURRENT CYCLE
F803S/S E

Ensure 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.

2025-08-20
CURRENT CYCLE
F944S/S E

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2025-08-20
CURRENT CYCLE
F943S/S E

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2025-08-20
CURRENT CYCLE
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-08-20
CURRENT CYCLE
F605S/S E

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2025-08-20
CURRENT CYCLE
F881S/S D

Implement a program that monitors antibiotic use.

2025-08-20
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-08-20
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-08-20
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-08-20
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-08-20
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-08-20
CURRENT CYCLE
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2025-08-20
CURRENT CYCLE
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-08-20
CURRENT CYCLE
F800S/S D

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2025-08-20
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-08-20
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-08-20
CURRENT CYCLE
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-11-30
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-11-30
HISTORICAL
F727S/S F

Have 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.

2023-11-30
HISTORICAL
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-11-30
HISTORICAL
F761S/S E

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.

2023-11-30
HISTORICAL
F883S/S E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-11-30
HISTORICAL
F887S/S D

Educate 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.

2023-11-30
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2022-02-16
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2022-02-16
HISTORICAL
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2022-02-16
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2022-02-16
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2022-02-16
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2022-02-16
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-02-16
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

Overall CMS star rating

This facility: 2  ·  CMS state average: 3.3

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

Mission at Alpine Rehabilitation Center — Federal Record

CMS overall 2/5 · 30 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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