Salt Lake County

Rocky Mountain Care - Cottage on Vine

Medicare rating
3 out of 5
4
findings of immediate jeopardy, the most serious kind
33%
less nursing care than its residents are expected to need, against a research benchmark
$78,946
in federal fines recorded since 2023

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Utah homes, so a star here does not mean what it means in another state.

835 East Vine Street, Murray, UT 84107 · (801) 693-3800
61 beds · about 44 residents on a typical day · for-profit, individually owned

Staffing

All nursing staff, per resident, per day
3 hours 26 minutes

Residents here are expected to need about 5 hours 7 minutes, given how sick they are. This home reports 33% less. The average Utah home reports 4 hours 4 minutes.

Registered nurses only
1 hour

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 16 minutes of their time. This home reports 21% less.

Nursing staff who left in the past year
70%

70% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Utah home reports 51%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 57 findings on record going back to 2022, 18 of them after someone filed a complaint. Of the 57, 36 are from the last three years.

The 10 serious findings here

Actual harm November 8, 2023

Infection control

The home did not follow proper practices to stop infections from spreading.

The home fixed this on December 21, 2023.

Medicare’s wording

Federal tag F880Provide and implement an infection prevention and control program.

Actual harm September 21, 2023 From a complaint

Bladder and bowel care

A resident did not get proper help with continence care.

The home fixed this on November 1, 2023.

Medicare’s wording

Federal tag F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Actual harm September 21, 2023 From a complaint

Lab service not provided

The home did not make sure residents got the lab tests they needed, done properly and on time.

The home fixed this on November 1, 2023.

Medicare’s wording

Federal tag F770Provide timely, quality laboratory services/tests to meet the needs of residents.

Actual harm June 15, 2023

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on July 14, 2023.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm June 15, 2023

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on July 14, 2023.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy June 13, 2022

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on July 15, 2022.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy June 13, 2022

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on July 15, 2022.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm June 13, 2022

Dementia care not given

The home did not give proper care and treatment to a resident with dementia.

The home fixed this on July 15, 2022.

Medicare’s wording

Federal tag F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Immediate jeopardy June 13, 2022

Failure to investigate

The home did not properly look into a reported incident.

The home fixed this on July 15, 2022.

Medicare’s wording

Federal tag F610Respond appropriately to all alleged violations.

Immediate jeopardy June 13, 2022

Late reporting

The home did not report a suspected incident within the time the law requires.

The home fixed this on July 15, 2022.

Medicare’s wording

Federal tag F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Everything on record

Immediate jeopardy 4 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 6 A resident was hurt
Potential for harm 47 Could have caused harm. No one was hurt. The most common kind.

90 of the 97 nursing homes in Utah have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 4 days, starting October 28, 2023.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 465125.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.