Utah County

Provo Rehabilitation and Nursing

Special Focus Facility candidateCarries Medicare’s abuse warning icon
Medicare rating
1 out of 5
1
finding of immediate jeopardy, the most serious kind
29%
less nursing care than its residents are expected to need, against a research benchmark
$73,003
in federal fines recorded since 2024

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.

1001 North 500 West, Provo, UT 84604 · (801) 377-9661
220 beds · about 130 residents on a typical day · for-profit corporation

Staffing

All nursing staff, per resident, per day
3 hours 53 minutes

Residents here are expected to need about 5 hours 28 minutes, given how sick they are. This home reports 29% less. The average Utah home reports 4 hours 4 minutes.

Registered nurses only
52 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 25 minutes of their time. This home reports 39% less.

Nursing staff who left in the past year
54%

About half 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 75 findings on record going back to 2021, 10 of them after someone filed a complaint. Of the 75, 16 are from the last three years.

The 27 serious findings here

Actual harm March 16, 2026 From a complaint

Failure to investigate

The home did not properly look into a reported incident.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F610Respond appropriately to all alleged violations.

Actual harm March 16, 2026 From a complaint

Care below professional standards

The care the home gave did not meet the standards that trained health workers are expected to follow.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F658Ensure services provided by the nursing facility meet professional standards of quality.

Actual harm March 16, 2026 From a complaint

No quality improvement plan

The home did not have a written plan showing how it checks and improves the care it gives.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F865Have a plan that describes the process for conducting QAPI and QAA activities.

Actual harm March 16, 2026 From a complaint

Outside services not arranged

The home did not hire a qualified person for a service residents needed, or arrange it from outside.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F840Employ 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.

Actual harm March 16, 2026 From a complaint

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 April 3, 2026.

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.

Actual harm March 16, 2026 From a complaint

Unsafe equipment

The home did not keep equipment used for care or for running the building in safe working order.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F908Keep all essential equipment working safely.

Immediate jeopardy March 16, 2026 From a complaint

Breathing care missed

The home did not give a resident safe and proper care for their breathing when they needed it.

The home fixed this on April 3, 2026.

Medicare’s wording

Federal tag F695Provide safe and appropriate respiratory care for a resident when needed.

Actual harm March 16, 2026 From a complaint

Late reporting

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

The home fixed this on April 3, 2026.

Medicare’s wording

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

Actual harm October 21, 2024 From a complaint

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 December 2, 2024.

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.

Actual harm January 30, 2023

Pain

A resident’s pain was not properly treated.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm January 30, 2023

Daily skills not kept up

The home did not give a resident the care needed to keep the abilities they still had, where the loss was not for a medical reason.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Actual harm January 30, 2023

Poorly run

The home was not managed in a way that let it provide proper care.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Actual harm January 30, 2023

No help eating or washing

The home did not give a resident who could not manage alone the help they needed with everyday care such as eating, washing, grooming and mouth care.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F677Provide care and assistance to perform activities of daily living for any resident who is unable.

Actual harm January 30, 2023

No quality checks

The home did not run the required program for finding and fixing its own problems.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Actual harm January 30, 2023

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm January 30, 2023

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 March 29, 2023.

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.

Actual harm January 30, 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 March 29, 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 January 30, 2023

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on March 29, 2023.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm May 28, 2021

Bladder and bowel care

A resident did not get proper help with continence care.

The home fixed this on August 10, 2021.

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 May 28, 2021

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on August 10, 2021.

Medicare’s wording

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

Actual harm May 28, 2021

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 August 10, 2021.

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 May 28, 2021

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 August 10, 2021.

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.

Actual harm May 28, 2021

Pain

A resident’s pain was not properly treated.

The home fixed this on August 10, 2021.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm May 28, 2021

Not enough staff

The home did not have enough nursing staff to care for its residents.

The home fixed this on August 10, 2021.

Medicare’s wording

Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Actual harm May 28, 2021

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on August 10, 2021.

Medicare’s wording

Federal tag F742Provide 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.

Actual harm May 28, 2021

Poorly run

The home was not managed in a way that let it provide proper care.

The home fixed this on August 10, 2021.

Medicare’s wording

Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Actual harm May 28, 2021

No quality checks

The home did not run the required program for finding and fixing its own problems.

The home fixed this on August 10, 2021.

Medicare’s wording

Federal tag F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Everything on record

Immediate jeopardy 1 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 26 A resident was hurt
Potential for harm 48 Could have caused harm. No one was hurt. The most common kind.

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

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 4 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 also carries 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 465119.

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.