Provo Rehabilitation And Nursing

Name: Provo Rehabilitation And Nursing: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Provo, Utah County, Utah · CCN 465119 · For-profit (Corporation) · part of The Ensign Group (342 facilities, chain average 3.2 stars)

CMS rates Provo Rehabilitation And Nursing 1 of 5 overall as of August 2026. 220 certified beds, 130 residents a day on average. 75 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $73,003.

On record

Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★★★★☆ 4 of 5
Quality: long-stay / short-stay	5 / 4 of 5

Staffing

Total nurse staffing	3.87871 hours per resident per day
Registered nurses	0.86683 hours per resident per day
Weekend total	3.44139 hours per resident per day
Nursing staff turnover	54.5% (registered nurses 45.2%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-03-16 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	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. Administration Deficiencies · tag F0840	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2026-03-16 complaint survey	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-03
2024-10-21 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2024-10-21	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-12-02
2023-01-30	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	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. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	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. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2023-01-30	Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-29
2021-05-28	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867	H Actual harm that is not immediate jeopardy; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	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. Quality of Life and Care Deficiencies · tag F0742	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	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. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	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. Resident Rights Deficiencies · tag F0585	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	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. Nursing and Physician Services Deficiencies · tag F0726	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Report COVID19 data to residents and families. Infection Control Deficiencies · tag F0885	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10
2021-05-28	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-08-10

Fines and payment denials

Date	Penalty	Amount
2026-03-16	Fine	$17,857
2024-10-21	Fine	$55,146

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Caretrust Gp LLC Organization	adp of the snf	—	2016-05-01
Caretrust Reit Inc. Organization	adp of the snf	—	2016-05-01
Ctr Partnership Lp Organization	adp of the snf	—	2016-05-01
Ensign Services Inc. Organization	adp of the snf	—	2009-10-01
Riverview Healthcare, Inc. Organization	adp of the snf	—	2025-09-15
Silver Lake Health Holdings LLC Organization	adp of the snf	—	2016-05-01
Nursa Inc. Organization	operational/managerial control	—	2016-05-01
Riverview Healthcare, Inc. Organization	operational/managerial control	—	2016-05-01
Rubicon Staffing LLC Organization	operational/managerial control	—	2016-05-01
Hoopes, Travis Individual	adp of the snf	—	2009-10-01
Martinez, Mark Individual	adp of the snf	—	2024-05-30
Burnam, Soon Individual	corporate officer	—	2009-10-01
Keetch, Chad Individual	corporate officer	—	2011-03-01
Moss, Tyler Individual	corporate officer	—	2016-05-01
Hoopes, Travis Individual	managing control - governing body	—	2009-10-01
Martinez, Mark Individual	managing control - governing body	—	2024-05-30
Hoopes, Travis Individual	operational/managerial control	—	2009-10-01
Martinez, Mark Individual	operational/managerial control	—	2024-05-30

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Provo Rehabilitation And Nursing.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Utah County.