Orem Rehabilitation and Nursing Center

Also known publicly as Orem Rehabilitation & Skilled Nursing

Orem, UT

CMS provider ID 465104CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 120
Ownership descriptor: For profit - Corporation
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 8012254741Verified public information · checked Aug 2026
Also known publicly as: Orem Rehabilitation & Skilled NursingVerified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.88 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on May 1, 2025 cited 9 deficiencies.

View inspection evidence

Ownership

CMS-published records list 17 ownership or control parties.

CMS records show an ownership change effective May 2016.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 347 facilities across 17 states or territories.

View chain evidence

Enforcement record

CMS records show a $38,357 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - CorporationCMS
Chain: THE ENSIGN GROUPCMS identifies this facility as part of the THE ENSIGN GROUP chain.
Related facilities: 41Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

CMS reports 9 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

41 currently connected nursing homes share this CMS organization identity with BEAVER VALLEY HOSPITAL.

Average CMS overall rating: 2.9 stars across 41 reporting facilities
CMS monetary penalties: 26 of 41 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 7 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 6 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 24 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $1,445,953

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 17
Organizations shown: 8
Individuals shown: 9
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

ALBRECHTSEN, JOSHUA
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ANDERSON, AARON
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CARETRUST GP LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CARETRUST REIT INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CTR PARTNERSHIP LP
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ENSIGN SERVICES INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2008
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HUENEME HEALTHCARE, INC.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
OREM HEALTH HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURNAM, SOON
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
KEETCH, CHAD
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MOSS, TYLER
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ALBRECHTSEN, JOSHUA
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ANDERSON, AARON
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Nov 15, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ALBRECHTSEN, JOSHUA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2008
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ANDERSON, AARON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 15, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HUENEME HEALTHCARE, INC.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BEAVER VALLEY HOSPITAL
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 40 across UT.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

Ownership changes reported in CMS enrollment records

May 1, 2016CHANGE OF OWNERSHIPHUENEME HEALTHCARE, INC. to BEAVER VALLEY HOSPITAL
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Change of Ownership
CMS dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective May 1, 2016. What operational or leadership changes followed that event?
CMS records connect BEAVER VALLEY HOSPITAL to 41 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with THE ENSIGN GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 507 is a grouping identifier, not a legal organization.

Facilities: 347
States and territories: 17
Average overall rating: 3.2
Average staffing rating: 2.7
Average total nurse HPRD: 3.7
Total fines: 304

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	347	3.2	2.7
Mon Jun	342	3.2	2.4
Fri May	338	3.2	2.4
Wed Apr	334	3.2	2.4
Sun Mar	329	3.2	2.7
Sun Feb	324	3.2	2.7

Questions to ask

CMS groups facilities in 17 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 304 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: May 1, 2025
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 465104
Source record locator: csv-row:120525:ccn:465104

View official CMS source

May 1, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

May 1, 2025 — Health Complaint — 1 linked finding

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331751:ccn:465104
View official CMS source

May 1, 2025 — Health Standard — 9 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331746:ccn:465104
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331742:ccn:465104
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331747:ccn:465104
View official CMS source
F0728 — Nursing and Physician Services Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331743:ccn:465104
View official CMS source
F0732 — Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331748:ccn:465104
View official CMS source
F0775 — Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331749:ccn:465104
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331744:ccn:465104
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331745:ccn:465104
View official CMS source
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331750:ccn:465104
View official CMS source

May 22, 2024 — Health Complaint — 2 linked findings

F0603 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331766:ccn:465104
View official CMS source
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331767:ccn:465104
View official CMS source

Jul 18, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 18, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 18, 2023 — Health Standard — 9 linked findings

F0561 — Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331756:ccn:465104
View official CMS source
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331759:ccn:465104
View official CMS source
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331760:ccn:465104
View official CMS source
F0694 — Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331761:ccn:465104
View official CMS source
F0740 — Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331762:ccn:465104
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331763:ccn:465104
View official CMS source
F0758 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331764:ccn:465104
View official CMS source
F0835 — Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331754:ccn:465104
View official CMS source
F0867 — Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331755:ccn:465104
View official CMS source

Feb 10, 2022 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 10, 2022 — Health Standard — 3 linked findings

F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331768:ccn:465104
View official CMS source
F0842 — Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331769:ccn:465104
View official CMS source
F0882 — Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:331770:ccn:465104
View official CMS source

Tags appearing across inspections

F0656 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Jul 18, 2023
Published fine amount: $38,357.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
465104
Source record locator
csv-row:12932:ccn:465104
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Jul 18, 2023. What changes were made after that enforcement action?

Facility history

Facility History

9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Total nurse staffing decreasedTotal nurse staffing decreased from 3.77 to 3.51 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
Complaint inspection recorded1 deficiency was recorded.

2025

Sep 2025
Total nurse staffing decreased
Total nurse staffing decreased from 3.77 to 3.51 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.77 → 3.51
CMS · Reported in a source release · View related evidence
May 1
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
May 1
Health inspection completed
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

May 22
Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence

2023

Jul 18
Civil monetary penalty recorded
CMS recorded a $38,357 civil monetary penalty.
CMS · Recorded event date · View related evidence
Jul 18
Health inspection completed
9 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Jul 18
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence

2022

Feb 10
Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2016

May 1
Ownership change recorded
An ownership change was recorded. New organization: BEAVER VALLEY HOSPITAL.
HUENEME HEALTHCARE, INC. → BEAVER VALLEY HOSPITAL
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.447
RN categories: 0.875
LPN/LVN categories: 0.474
CNA: 1.872

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.632	2.988
RN categories	0.983	0.607

Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.035 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.77	0.856	0.686	2.064	0%	91
2025Q3	3.513	0.841	0.503	1.951	0.3%	92
2026Q1	3.447	0.875	0.474	1.872	0.5%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 3-star overall rating.
CMS reports a 2-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 5-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

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How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Change of Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

ALBRECHTSEN, JOSHUA

ANDERSON, AARON

CARETRUST GP LLC

CARETRUST REIT INC

CTR PARTNERSHIP LP

ENSIGN SERVICES INC

HUENEME HEALTHCARE, INC.

OREM HEALTH HOLDINGS LLC

BURNAM, SOON

KEETCH, CHAD

MOSS, TYLER

ALBRECHTSEN, JOSHUA

ANDERSON, AARON

ALBRECHTSEN, JOSHUA

ANDERSON, AARON

HUENEME HEALTHCARE, INC.

BEAVER VALLEY HOSPITAL

Ownership changes reported in CMS enrollment records

What this means

Questions to ask

CMS groups this facility with THE ENSIGN GROUP

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0558 — Resident Rights Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0728 — Nursing and Physician Services Deficiencies

F0732 — Nursing and Physician Services Deficiencies

F0775 — Administration Deficiencies

F0804 — Nutrition and Dietary Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0881 — Infection Control Deficiencies

F0603 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0561 — Resident Rights Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0690 — Quality of Life and Care Deficiencies

F0694 — Quality of Life and Care Deficiencies

F0740 — Quality of Life and Care Deficiencies

F0757 — Pharmacy Service Deficiencies

F0758 — Pharmacy Service Deficiencies

F0835 — Administration Deficiencies

F0867 — Administration Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0842 — Resident Assessment and Care Planning Deficiencies

F0882 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Fine — Jul 18, 2023

Questions generated from the evidence above

Facility History

What changed recently?

2025

2024

2023

2022

2016

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time