Utah · Heber City

Spring Gardens Heber.

Care Facility100 bedsDementia-trained staff(435) 657-8888
Peer rank
Top 38% of Utah memory care
See full peer rank →
Facility · Heber City
A 100-bed Care Facility with 4 citations on file.
Licensed beds
100
Last inspection
May 2026
Last citation
Apr 2026
Operated by
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 35 Utah facilities with a similar number of beds.

Care · 36-month window. Higher percentile = better performance on inspection record. Source: Utah Dept. of Health & Human Services · Division of Licensing and Background Checks.

Severity rank
29th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
56th%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DLBC inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Spring Gardens Heber has 4 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

4 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: APR 2026. Compared against peer median (dashed).
peer median
APR 2026
Aug 2024as of Jul 2026

Finding distribution

4 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G3
H
I
Sev 2
D
E
F
Sev 1
A1
B
C
Full Inspection Record

Every inspection visit, verbatim.

10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

10
reports on file
4
total deficiencies
2026-05-06
Annual Compliance Visit
No findings
2026-04-06
Annual Compliance Visit
No findings

Plain-language summary

During a monitoring visit, inspectors found that the facility allowed a staff member who had been determined ineligible for employment to work in a position with direct access to residents. This violated state rules requiring background check clearance before allowing anyone with direct resident contact to be employed at the facility. The noncompliance was cited during the inspection.

Read raw inspector notes

[R432-35-3(6)] The provider was out of compliance with R32-35-6 by allowing a covered individual, who had been determined “Not Eligible for Employment,” to engage in a position with direct patient access. During the inspection, the licensor determined one covered individual, who had been determined “Not Eligible for Employment,” was allowed to engage in a position with direct patient access.

2026-04-06
Complaint Investigation
Serious · 1 finding
SeriousR432-35-3(6)
Verbatim citation text · R432-35-3(6)

Not Eligible may not work

2026-03-16
Annual Compliance Visit
No findings
2026-02-23
Annual Compliance Visit
No findings
2026-01-20
Complaint Investigation
Serious · 2 findings

Plain-language summary

During a routine inspection, the facility was found to have failed to provide adequate nursing oversight and health monitoring for a resident, including failure to implement medical orders from an outside provider and failure to communicate the resident's needs to staff. The same resident developed a severe pressure injury that worsened to expose bone because the facility did not follow repositioning orders or implement care recommendations from hospice and the dietitian, causing the resident preventable pain and suffering. The facility was cited for noncompliance with nursing supervision requirements and resident protection from neglect.

SeriousR432-270-14(3)(a)-(c)
Verbatim citation text · R432-270-14(3)(a)-(c)

The provider was out of compliance with R432-270-14(3)(b) not by ensuring the Type II assisted living licensee’s registered nurse provided or supervised nursing services, including the general health monitoring on each resident. During the inspection, it was determined the licensee’s registered nurse failed to ensure general health monitoring of one resident, which included the lack of implementation of medical orders from an outside agency provider, the lack of incorporation of recommendations from an outside consultant, and the lack of assurance the facility staff were informed of the resident’s needs. The provider failed to provide and document all appropriate and required healthcare services.

SeriousR380-80-5(4)
Verbatim citation text · R380-80-5(4)

The provider was out of compliance with R380-80-5(4) by not ensuring a resident was protected from neglect and acts of omission that compromised their health. During the inspection, it was determined that one resident, who had orders for repositioning assistance that were not implemented by the facility staff, developed a pressure injury that progressed to a wound which eventually tunneled and exposed the resident’s sacral bone. The licensee failed to provide the services recommended by hospice and the facility dietitian which were intended to prevent the decline of the wound and the resident’s health. The patient suffered preventable pain and suffering.

Read raw inspector notes

[R432-270-14(3)(a)-(c)] The provider was out of compliance with R432-270-14(3)(b) not by ensuring the Type II assisted living licensee’s registered nurse provided or supervised nursing services, including the general health monitoring on each resident. During the inspection, it was determined the licensee’s registered nurse failed to ensure general health monitoring of one resident, which included the lack of implementation of medical orders from an outside agency provider, the lack of incorporation of recommendations from an outside consultant, and the lack of assurance the facility staff were informed of the resident’s needs. The provider failed to provide and document all appropriate and required healthcare services. [R380-80-5(4)] The provider was out of compliance with R380-80-5(4) by not ensuring a resident was protected from neglect and acts of omission that compromised their health. During the inspection, it was determined that one resident, who had orders for repositioning assistance that were not implemented by the facility staff, developed a pressure injury that progressed to a wound which eventually tunneled and exposed the resident’s sacral bone. The licensee failed to provide the services recommended by hospice and the facility dietitian which were intended to prevent the decline of the wound and the resident’s health. The patient suffered preventable pain and suffering.

2025-10-20
Annual Compliance Visit
No findings
2025-01-31
Annual Compliance Visit
No findings
2024-09-10
Annual Compliance Visit
No findings
2024-07-29
Annual Compliance Visit
Standard · 1 finding

Plain-language summary

During an annual inspection, the facility was found out of compliance with resident rights protections, specifically the requirement to ensure residents are free from abuse. Two discharged residents were identified as potential victims of abuse by a former employee. The facility failed to meet Utah licensing standards in this area.

StandardR432-270-10(5)(a)-(x)
Verbatim citation text · R432-270-10(5)(a)-(x)

The provider was out of compliance with this rule by not ensuring residents' rights, including the right to be free from abuse. During the inspection, 2 discharged residents were identified as potential victims of abuse by a former employee.

Read raw inspector notes

[R432-270-10(5)(a)-(x)] The provider was out of compliance with this rule by not ensuring residents' rights, including the right to be free from abuse. During the inspection, 2 discharged residents were identified as potential victims of abuse by a former employee.

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