SNF

Orem Rehabilitation and Nursing Center

CCN: 465104 · Orem, UT 84097 · Utah County

⚠ Abuse citation flag

Overview

Address
575 East 1400 South, Orem, UT 84097
Phone
8012254741
Certified beds
120
Avg daily residents
75 (63% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1986-09-04
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.51 3.81 3.56 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.84 0.67 0.85 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.50 0.85 0.51 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.17 2.30 2.20 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.34 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.10 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.98
hrs / resident / day
RN (weekend)
0.65
hrs / resident / day
Total nurse (adjusted, weekend)
3.02
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.4%
annual
RN turnover
33.3%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-01 10 9 1 56 1 56
Cycle 2/3 (prior) 2023-07-18 16 14 7 354 1 354
Total weighted health score
130.5
lower is better

Deficiencies (29)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

24 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2025-05-01 2025-07-01
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-05-01 2025-07-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-05-01 2025-07-01
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-05-01 2025-07-01
0728 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. E 2025-05-01 2025-07-01
0732 Post nurse staffing information every day. D 2025-05-01 2025-07-01
0775 Keep complete, dated laboratory records in the resident's record. D 2025-05-01 2025-07-01
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-05-01 2025-07-01
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-05-01 2025-07-01
0881 Implement a program that monitors antibiotic use. D 2025-05-01 2025-07-01
0603 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). G 2024-05-22 2024-06-19
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-05-22 2024-06-19
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-07-18 2023-08-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-07-18 2023-08-29
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-07-18 2023-08-29
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2023-07-18 2023-08-29
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2023-07-18 2023-08-29
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-07-18 2023-08-29
0758 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. D 2023-07-18 2023-08-29
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. G 2023-07-18 2023-08-29
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. G 2023-07-18 2023-08-29
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2023-07-18 2023-08-29
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2023-07-18 2023-08-29
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-07-18 2023-08-29
0610 Respond appropriately to all alleged violations. K 2023-07-18 2023-08-29
0760 Ensure that residents are free from significant medication errors. D 2023-07-18 2023-08-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-02-10 2022-04-01
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-02-10 2022-04-01
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. D 2022-02-10 2022-04-01

Penalties (1)

Fines issued
1
last 3 years
Total fines
$38,357
Date Type Fine amount
2023-07-18 Fine $38,357

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 3.6% Medicaid 70.5% Other 25.9%

Operating performance

Operating Margin
9.3%
Total Margin
9.4%
Occupancy Rate
63.8%
Cost per Resident Day
$61

Revenue & costs

Net Patient Revenue
$10.2M
Total Costs
$1.6M
Net Income
$957K

Balance sheet

Total Assets
$13.4M
Total Liabilities
$4.7M
Fund Balance
$8.7M
Current Ratio
11.03

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
BEAVER VALLEY HOSPITAL
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (2)

Organization Role Association
BEAVER VALLEY HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/01/2016
HUENEME HEALTHCARE, INC. OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016

Owner / manager individuals (5)

Name Role Association
ALBRECHTSEN, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
BURNAM, SOON OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
BURNAM, SOON CORPORATE OFFICER since 05/01/2008
DAVIDSON, CRAIG CORPORATE OFFICER since 06/20/1990
MOSS, TYLER CORPORATE OFFICER since 01/01/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $61 metrics.cost_per_resident_day
Cost Report Current Ratio 11.03 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 70.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.6% metrics.medicare_day_share
Cost Report Net Income ($) $956,764 metrics.net_income
Cost Report Net Patient Revenue ($) $10,206,274 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 63.8% metrics.occupancy_rate
Cost Report Operating Margin (%) 9.3% metrics.operating_margin
Cost Report Total Assets ($) $13,421,328 metrics.total_assets
Cost Report Total Costs ($) $1,630,169 metrics.total_costs
Cost Report Total Fund Balances ($) $8,678,835 metrics.fund_balance
Cost Report Total Liabilities ($) $4,742,493 metrics.total_liabilities
Cost Report Total Margin (%) 9.4% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.50922 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.19803 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.85188 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.55912 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.02293 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 75.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.84565 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.29829 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66656 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.81051 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.35856 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town Orem City/Town
Provider Information CMS Certification Number (CCN) 465104 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Utah County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1986-09-04 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.2715 Latitude
Provider Information Legal Business Name BEAVER VALLEY HOSPITAL Legal Business Name
Provider Information Location 575 East 1400 South,Orem,UT,84097 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -111.68 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.34989 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97985 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 575 East 1400 South Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Orem Rehabilitation and Nursing Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 240 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 56 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-01 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 56 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-07-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 354 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 354 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.65308 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 33.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.34332 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.50257 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.16932 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10241 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.84075 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.51264 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State UT State
Provider Information Telephone Number 8012254741 Telephone Number
Provider Information Total Amount of Fines in Dollars 38357.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.98346 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 46.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 130.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 84097 ZIP Code