CareSentinel

Compiled from official CMS federal data

Rocky Mountain Care - Cottage on Vine, Murray, UT — Violations & Inspection Reports

CCN 465125 · 835 East Vine Street, Murray, UT, 84107

Record as of Jun 2026 · Updated monthly from CMS

Does Rocky Mountain Care - Cottage on Vine have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Rocky Mountain Care - Cottage on Vine (CCN 465125), in Murray, UT, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 17 deficiencies; the most severe is rated F — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-03-06. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $78,946 in civil money penalties on file against the facility. The record also includes 9 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Mar 2025). This page restates the federal record and draws no conclusion of its own.

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

  • 9 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Mar 2025.
  • 5 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Nov 2025.
  • 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent Jun 2023.
  • 19 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

Federal abuse- or neglect-related citations on record (F600-series).

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

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

$78,946

CMS also records 4 days of payment denial.

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.

2022-06-13
HISTORICAL
F610S/S K

Respond appropriately to all alleged violations.

2022-06-13
HISTORICAL
F609S/S K

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

2022-06-13
HISTORICAL
F600S/S K

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

2025-03-06
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.

53 more citations on file — Abuse & neglect 6 · Accidents & supervision 5 · Pressure ulcers 1 · Medication & pharmacy 5 · Resident rights 7 · Other citations 22 (expand)
2025-11-05
CURRENT CYCLE
F689S/S D

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

2025-03-06
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.

2025-03-06
CURRENT CYCLE
F760S/S E

Ensure that residents are free from significant medication errors.

2025-03-06
CURRENT CYCLE
F775S/S E

Keep complete, dated laboratory records in the resident's record.

2025-03-06
CURRENT CYCLE
F883S/S D

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

2025-03-06
CURRENT CYCLE
F609S/S D

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

2025-03-06
CURRENT CYCLE
F881S/S D

Implement a program that monitors antibiotic use.

2025-03-06
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-03-06
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-03-06
CURRENT CYCLE
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2025-03-06
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.

2025-03-06
CURRENT CYCLE
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2025-03-06
CURRENT CYCLE
F584S/S D

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.

2025-03-06
CURRENT CYCLE
F622S/S D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

2025-03-06
CURRENT CYCLE
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2025-03-06
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-05-15
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.

2024-05-15
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-05-15
HISTORICAL
F842S/S D

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

2024-05-15
HISTORICAL
F689S/S D

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

2024-05-15
HISTORICAL
F740S/S D

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

2023-11-08
HISTORICAL
F880S/S H

Provide and implement an infection prevention and control program.

2023-11-08
HISTORICAL
F609S/S E

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

2023-11-08
HISTORICAL
F677S/S E

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

2023-11-08
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.

2023-11-08
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2023-11-08
HISTORICAL
F602S/S D

Protect each resident from the wrongful use of the resident's belongings or money.

2023-11-08
HISTORICAL
F600S/S D

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

2023-11-08
HISTORICAL
F883S/S D

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

2023-11-08
HISTORICAL
F584S/S D

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.

2023-11-08
HISTORICAL
F550S/S D

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

2023-09-21
HISTORICAL
F690S/S G

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-09-21
HISTORICAL
F770S/S G

Provide timely, quality laboratory services/tests to meet the needs of residents.

2023-09-21
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-09-21
HISTORICAL
F689S/S D

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

2023-06-15
HISTORICAL
F689S/S G

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

2023-06-15
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-06-15
HISTORICAL
F883S/S D

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

2023-06-15
HISTORICAL
F700S/S D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2023-06-15
HISTORICAL
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2022-06-13
HISTORICAL
F689S/S J

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

2022-06-13
HISTORICAL
F744S/S G

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2022-06-13
HISTORICAL
F584S/S E

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.

2022-06-13
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2022-06-13
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-06-13
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.

2022-06-13
HISTORICAL
F773S/S D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

2022-06-13
HISTORICAL
F779S/S D

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

2022-06-13
HISTORICAL
F677S/S D

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

2022-06-13
HISTORICAL
F676S/S D

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

2022-06-13
HISTORICAL
F883S/S D

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

2022-06-13
HISTORICAL
F886S/S D

Perform COVID19 testing on residents and staff.

2022-06-13
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

Rocky Mountain Care - Cottage on Vine — Federal Record

CMS overall 2/5 · 17 current-cycle deficiencies


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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