Nursing homes › Utah › Mission at Alpine Rehabilitation Center
25 East Alpine Drive, Pleasant Grove, UT 84062 · 8017853568 · 52 certified beds
Per CMS filings, this facility is affiliated with Mission Health Services, a group operating 7 facilities in 2 states. Group record: average rating 3.4/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $222,141 in federal fines. This facility rates below its group average (3.4/5).
Total nurse staffing: 3.13 (Utah median: 3.71). RN hours: 0.57. Weekend total: 2.77. Nursing staff turnover: 65%.
All-time on record: 44 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-10-20 |
| 2025-08-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2025-10-20 |
| 2025-08-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | complaint | corrected 2025-10-20 |
| 2025-08-20 | Respond appropriately to all alleged violations. | K | complaint | corrected 2025-10-20 |
| 2025-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-10-20 |
| 2025-08-20 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Health | corrected 2025-10-20 |
| 2025-08-20 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Health | corrected 2025-10-20 |
| 2025-08-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | Health | corrected 2025-10-20 |
| 2025-08-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-10-20 |
| 2025-08-20 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Health | corrected 2025-10-20 |
| 2025-08-20 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-10-20 |
| 2025-08-20 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2025-10-20 |
| 2025-08-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-10-20 |
| 2025-08-20 | 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 | Health | corrected 2025-10-20 |
| 2025-08-20 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2025-10-20 |
| 2025-08-20 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Health | corrected 2025-10-20 |
| 2025-08-20 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | complaint | corrected 2025-10-20 |
| 2025-08-20 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2025-10-20 |
| 2025-08-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-10-20 |
| 2025-08-20 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-10-20 |
| 2025-08-20 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-10-20 |
| 2025-08-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-10-20 |
| 2025-08-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-10-20 |
| 2023-11-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-01-15 |
| 2023-11-30 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Health | corrected 2024-01-15 |
| 2023-11-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2024-01-15 |
| 2023-11-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Health | corrected 2024-01-15 |
| 2023-11-30 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-01-15 |
| 2023-11-30 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-01-15 |
| 2023-11-30 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2024-01-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-20 | Fine | $118,294 |
| 2023-11-30 | Fine | $7,443 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BARTHOLOMEW, BRENDA | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2021 |
| MURRAY, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| MISSION HEALTH SERVICES | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| ELLIS, ASHLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2021 |
| KEELE, EDDIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2023 |
| TAYLOR, JACOB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/16/2024 |
| WOOTTON, ZACHARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2024 |
| WORKMAN, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
| ZIMBELMAN, MICHELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 465088. Corrections: data@carerecords.org.