The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Mission at Alpine Rehabilitation Center
Pleasant Grove, UT · Medicare-certified · 52 beds
Needs attention
Special Focus candidateAbuse citationNon-profitChain member
Data as of July 1, 2026
2 of 5 overall
Mission at Alpine Rehabilitation Center in Pleasant Grove, UT has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating despite 5-star quality measures. It is flagged as a Special Focus Candidate/Special Focus facility, had $118,294 in fines in the last 24 months, and reported nurse staffing of 3.13 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1302 hrs/resident/day
Quality measures
Last inspection: August 20, 2025Penalties, last 24 months: $118,294special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1302.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.63
- Nurse aides
- 1.93
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 63%
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
54.2%57.1%Worsening
Residents with a fall causing major injury
11.1%0%Improving
Residents with pressure ulcers (bedsores)
1.9%3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%3.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%3.6%Worsening
Residents whose ability to walk got worse
3.9%10.4%Worsening
Long-stay residents on antianxiety or sleep medication
50%53.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25%27%Worsening
Residents with depressive symptoms
0%0%No change
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
—95.3%—
Long-stay residents given the pneumonia vaccine
91.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—65.7%—
Short-stay residents given the pneumonia vaccine
72%91.4%Improving
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: K
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $118,294 was recorded.
- INSPECTION
Health inspection found 30 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $125,737 in total fines.
- $118,294
Federal fine
Aug 20, 2025
- $7,443
Federal fine
Nov 30, 2023
Operator & ownership
Recent ownership change · Apr 1, 2017
Now operated by Mission at Alpine Rehabilitation Center, previously Alpine Valley Care Center.
- Ownership
- Non profit - Other
- Chain
- Part of MISSION HEALTH SERVICES · 7 homes · 3.4 stars avg
- Occupancy
- 37.2 residents on an average day (72% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.