Provo Rehabilitation and Nursing
Provo Rehabilitation and Nursing is a 220-bed nursing home in Provo, Utah. CMS has certified it for Medicare and Medicaid since 1988-11-07. It averages 129.5 residents a day.
What harm was found in the violations cited at Provo Rehabilitation and Nursing?
CMS lists 75 health-inspection deficiencies for Provo Rehabilitation and Nursing since 2021-05-28, 16 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-16 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J |
| 2026-03-16 | F0600, F0609, F0610, F0658, F0840, F0865, F0908 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Keep all essential equipment working safely. | G |
| 2024-10-21 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-10-21 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-10-21 | F0609, F0689, F0695, F0697, F0755, F0757 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2023-01-30 | F0600, F0692, F0835, F0867 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide enough food/fluids to maintain a resident's health. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H |
| 2023-01-30 | F0676, F0677, F0684, F0689, F0697 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2023-01-30 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2023-01-30 | F0583, F0584, F0761 | Keep residents' personal and medical records private and confidential. / 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. / 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 |
| 2023-01-30 | F0550, F0578, F0604, F0609, F0610, F0656, F0661, F0690, F0693, F0695, F0757, F0759, F0770, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Implement a program that monitors antibiotic use. | D |
| 2021-05-28 | F0600, F0725, F0835, F0867 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H |
| 2021-05-28 | F0686, F0689, F0690, F0697, F0742 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / 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 |
| 2021-05-28 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2021-05-28 | F0550, F0561, F0584, F0585, F0607, F0609, F0656, F0677, F0726, F0756, F0760, F0804, F0880, F0885, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. / Report COVID19 data to residents and families. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2021-05-28 | F0554, F0558, F0583, F0657, F0688, F0695, F0842 | Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was Provo Rehabilitation and Nursing fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-03-16 | Fine | $17,857 |
| 2024-10-21 | Fine | $55,146 |
How is Provo Rehabilitation and Nursing staffed relative to the UT average?
| Measure | This facility | UT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.87871 | 4.07030 |
| Total nursing staff turnover (%) | 54.5 | 50.7 |
| Average number of residents per day | 129.5 | 60.9 |
Who owns Provo Rehabilitation and Nursing, and what chain is it in?
Provo Rehabilitation and Nursing is registered with CMS as For profit - Corporation, operates under the legal business name BEAVER VALLEY HOSPITAL and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | HOOPES, TRAVIS, MARTINEZ, MARK | since 05/30/2024 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD, MOSS, TYLER | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | NURSA INC, RIVERVIEW HEALTHCARE, INC., RUBICON STAFFING LLC, HOOPES, TRAVIS, MARTINEZ, MARK | since 05/01/2016 |
| ADP OF THE SNF | CARETRUST GP LLC, CARETRUST REIT INC, CTR PARTNERSHIP LP, ENSIGN SERVICES INC, RIVERVIEW HEALTHCARE, INC., SILVER LAKE HEALTH HOLDINGS LLC, HOOPES, TRAVIS, MARTINEZ, MARK | since 05/01/2016 |
Were you or a family member harmed at Provo Rehabilitation and Nursing?