Stonehenge of Orem – Nursing Home, Orem, Utah
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 5 March 2026 · 4 health and 21 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
435 West Center Street
Orem, UT 84057
Phone: (801) 850-5454
Compare to UT average
See how this facility compares to the UT state average among rated nursing homes (98 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | UT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 5 | 3.38 | 5 |
| Health inspection | 5 | 2.81 | 4 |
| Staffing | 4 | 3.04 | 5 |
| Quality measures | 5 | 4.51 | 5 |
| Certified beds | 34 | 85.2 | — |
| Citations on file (health + fire) | 25 | ~9.6 health* | — |
- Aspen Ridge of Utah Valley — 5★ overall
- Cascades at Orchard Park — 5★ overall
- Orem Rehabilitation and Nursing Center — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| PORT, BARRY | CORPORATE DIRECTOR | Individual | 0.00 | 06/01/2019 |
| CASCADE MOUNTAIN HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | - | 11/01/2025 |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/09/2025 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | - | 11/01/2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | - | 05/09/2025 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | 0.00 | 03/01/2011 |
| MILESTONE HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 09/03/2025 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | - | 12/31/2099 |
| CARRERA, RORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/01/2025 |
| CARRERA, RORY | ADP OF THE SNF | Individual | - | 11/01/2025 |
| HOOPES, TYLER | CORPORATE DIRECTOR | Individual | 0.00 | 05/09/2025 |
| STEVENS, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/01/2025 |
| STEVENS, DAVID | ADP OF THE SNF | Individual | - | 11/01/2025 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | - | 05/09/2025 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | - | 05/09/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
25 citations on file · Latest survey: 5 March 2026 · 4 health · 21 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-05 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-03-14 | F755 | D — Minimal harm, isolated | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2024-03-14 | F755 | D — Minimal harm, isolated | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2024-03-14 | F755 | D — Minimal harm, isolated | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-03-14 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-03-14 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-03-14 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-03-14 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-03-14 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-03-14 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-03-14 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-03-14 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-03-14 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-03-14 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-03-14 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-03-14 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2022-07-06 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2022-07-06 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2022-07-06 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2020-01-22 | K374 | D — Minimal harm, isolated | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2020-01-22 | K918 | D — Minimal harm, isolated | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2020-01-22 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2020-01-22 | K374 | D — Minimal harm, isolated | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2020-01-22 | K918 | D — Minimal harm, isolated | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) (Footnote) | 2 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 4 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.89476 |
| Reported LPN Staffing Hours per Resident per Day | 0.80016 |
| Reported RN Staffing Hours per Resident per Day | 1.11961 |
| Reported Licensed Staffing Hours per Resident per Day | 1.91977 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.15182 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.1708 |
| Casemix CNA Staffing Hours per Resident per Day | 2.28792 |
| Casemix LPN Staffing Hours per Resident per Day | 1.03984 |
| Casemix RN Staffing Hours per Resident per Day | 0.5003 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.82806 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.61199 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.76551 |
| Adjusted RN Staffing Hours per Resident per Day | 1.07114 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.97206 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2020-01-22 |
Date of Standard Health Survey (Cycle 2) | 2018-12-19 |
Health Deficiency Score (Cycle 1) | 0 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 0 |
Total Number of Health Deficiencies (Cycle 2) | 6 |
Number of Standard Health Deficiencies (Cycle 2) | 6 |
Health Deficiency Score (Cycle 2) | 56 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 56 |
Date of Standard Health Survey (Cycle 3) | 2017-10-12 |
Total Number of Health Deficiencies (Cycle 3) | 3 |
Number of Standard Health Deficiencies (Cycle 3) | 3 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 12 |
Total Health Score (Cycle 3) | 12 |
Total Weighted Health Survey Score | 4 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | None |
Automatic Sprinkler Systems in All Required Areas | Yes |
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