The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Draper Rehabilitation and Care Center
Draper, UT · Medicare-certified · 93 beds
In good standing
For-profitChain member
4 of 5 overall
Draper Rehabilitation and Care Center in Draper, UT has an overall rating of 4 out of 5 stars, with 4-star marks for health inspections, staffing, and quality measures. It had $0 in fines over the last 24 months, but reported nurse staffing was 3.67 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included pressure ulcer care, food handling, and unnecessary psychotropic medication use.
Facility ratings
Health inspections
Staffing
3.6711 hrs/resident/day
Quality measures
Last inspection: November 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6711.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.46
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 18%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.5%17.9%Worsening
Residents with a fall causing major injury
2%2.1%No change
Residents with pressure ulcers (bedsores)
8.2%1.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.6%4.7%Improving
Residents whose ability to walk got worse
—15.1%—
Long-stay residents on antianxiety or sleep medication
26.5%30.4%Worsening
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
42.3%19.4%Improving
Residents with depressive symptoms
11.6%6.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.2%—
Short-stay residents given the pneumonia vaccine
95.1%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2021 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 64.7 residents on an average day (70% of 93 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.