The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Rocky Mountain Care - Willow Springs
Tooele, UT · Medicare-certified · 112 beds
Needs attention
Non-profitChain member
4 of 5 overall
Rocky Mountain Care - Willow Springs has a 4 out of 5 overall rating, with strong quality measures (5 out of 5) and middling health inspection and staffing ratings (3 out of 5 each). It reports nurse staffing below the federal benchmark (3.66 vs 4.1 hours per resident per day) and has had $40,892 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6577 hrs/resident/day
Quality measures
Last inspection: March 31, 2026Penalties, last 24 months: $40,892recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6577.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.29
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 48%
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
6.5%5.4%Improving
Residents with a fall causing major injury
4.3%5.6%Worsening
Residents with pressure ulcers (bedsores)
3.7%6.5%Worsening
Residents with a urinary tract infection
4.4%0%Improving
Residents who lost too much weight
0%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.1%11.3%Improving
Residents whose ability to walk got worse
17.6%13%Improving
Long-stay residents on antianxiety or sleep medication
20.3%15.9%Improving
Short-stay residents newly given an antipsychotic
2.1%0%Improving
Residents with a long-term catheter
3.4%0%Improving
Residents with new or worsening incontinence
17.6%15.4%Improving
Residents with depressive symptoms
7.5%6.2%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
—99.1%—
Short-stay residents given the pneumonia vaccine
99.5%100%No change
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: G
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,269 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $31,623 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $40,892 in total fines.
- $9,269
Federal fine
Jun 17, 2025
- $31,623
Federal fine
Aug 1, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of ROCKY MOUNTAIN CARE · 10 homes · 2.8 stars avg
- Occupancy
- 103.8 residents on an average day (93% of 112 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.