Deficiency Index

Aspen Ridge of Utah Valley

Orem, Utah · CCN 465170

9 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
33
Surveys
9
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
24
Ownership
For profit - Limited Liability company
Chain
ADVANCED HEALTH CARE
County
Salt Lake
Medicare-certified since
2009

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

Feb 8, 2024

1,005 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.534.20
Registered-nurse hours per resident day2.69—
Annual nurse turnover45.5%57.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD872.7%E327.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 33 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6901×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7551×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Aspen Ridge of Utah Valley, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF583Feb 8, 2024

    Based on observation and interview it was determined that the facility did not ensure that the residents' medical records were secure and confidential. Specifically, observations were made of a computer screen and paperwork left unattended and displaying residents' personal information. Findings included: On 2/6/24 at 7:50 AM, paperwork with resident information which included, resident names, medical diagnoses, and code status was left face up on top of the medication cart in the 500 hallway. Registered Nurse (RN) 1 was observed to leave the resident information on top of the cart unattended. Other residents were observed near the medication cart. On 2/6/24 at 8:10 AM, a computer on the medication cart in the 500 hallway was observed. […]

  • No harm, potential for more than minimal, patternF880Feb 8, 2024

    Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection. Specifically, a staff member was observed to not perform hand hygiene in between residents during meal service, unwrapped and touched the ends of the straws with ungloved hands then placed them in resident's beverages, and picked up a syrup container from the floor and placed it on a resident's table. Findings included: On 2/6/24, the following observations were made during lunch service in the resident dining room: a. At 12:05 PM, CNA 1 was observed to unwrap Resident 171's straw with ungloved hands. […]

  • No harm, potential for more than minimal, patternF880Jul 7, 2022

    Based on observation, interview and record review it was determined, for 7 out of 16 sampled residents, that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including COVID-19. Specifically, staff entered rooms on Transmission Based Precautions without the required Personal Protective Equipment (PPE) donned, staff wore PPE incorrectly, staff did not donn the required PPE during transport of a resident on contact precautions, staff did not inform outside providers of an infectious resident prior to their scheduled appointment, staff did not disinfect eye protection upon exit of droplet precaution rooms, and… […]

  • No harm, potential for more than minimal, isolatedF686Feb 8, 2024

    Based on observation, interview and record review it was determined, for 1 of 18 sampled residents, that the facility did not ensure that a resident with pressure ulcers (PU) received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, treatments were not put in place to prevent new pressure ulcers from developing. Resident identifier: 122. Findings include: Resident 122 was admitted to the facility on [DATE] with diagnoses which included displaced fracture of third cervical vertebra, central cord syndrome at C3 level of cervical spinal cord, traumatic subarachnoid hemorrhage without loss of consciousness, and pressure ulcer of sacral region, unspecified stage. […]

  • No harm, potential for more than minimal, isolatedF761Feb 8, 2024

    Based on observation and interview it was determined that the facility did not label all drugs and biological's used in the facility in accordance with currently accepted professional principles, and include appropriate accessory instructions and the expiration date when applicable. Specifically, insulin pens were open and available for use past the expiration date. Resident Identifiers: 122 and 171. Findings included: 1. On [DATE] at 8:18 AM, an observation was made of the 500 hallway medication cart with Registered Nurse (RN) 1, the following medications were located inside: a. A pre-filled pen of Lispro Injection Kwikpen 100 unit/ml (milliliters). Medication was opened and available for use and labeled with an open date of [DATE] and resident 122's name. b. […]

Read 20 findings in full →The most serious and the most recent: 20 of 33 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 8, 2024Standard4 findings
  • Jul 7, 2022Standard7 findings
  • Apr 25, 2019Standard1 finding
  • Jan 17, 2018Standard3 findings
  • Nov 2, 2016Standard2 findings
  • Oct 22, 2015Standard2 findings
  • Nov 19, 2014Standard3 findings
  • Aug 30, 2012—7 findings
Show the 1 earlier survey
  • Sep 14, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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