Utah · Pleasant Grove

Mission at Alpine Rehabilitation Center.

Mission at Alpine Rehabilitation Center is Ranked in the bottom 35% of Utah memory care with 40 DLBC citations on record; last inspected Oct 2025.

Care Facility52 licensed beds · largeDementia-trained staff
25 East Alpine Drive · Pleasant Grove, UT 84062
Facility · Pleasant Grove
A 52-bed Care Facility with 40 citations on file — most recent Aug 2025. Ranks in the 35th percentile among state peers.
Last inspection · Oct 2025 · cleanSource · DLBC
Licensed beds
52
Memory care
✓ Yes
Last inspection
Oct 2025
Last citation
Aug 2025
Operated by
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 29 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
0th
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
4th
Deficiencies per inspection.
peer median
0
100

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

FACILITY WATCH · BETA

Mission at Alpine Rehabilitation Center has 40 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

The Record

Citation history, plotted month by month.

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

228weighted score · 24 mo
0–100 scale · lower = better · peer median 10
Last citation: AUG 2025. Compared against peer median (dashed).
peer median
AUG 2025
Jun 2024as of May 2026

Finding distribution

40 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L5
Sev 3
G1
H
I3
Sev 2
D1
E29
F
Sev 1
A1
B
C
Full Inspection Record

Every DLBC visit, verbatim.

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

6
reports on file
40
total deficiencies
2025-10-27
Annual Compliance Visit
No findings
2025-08-20
Complaint Investigation
Moderate · 30 findings
ModerateF0550
Verbatim citation text · F0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

ModerateF0580
Verbatim citation text · F0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

ModerateF0605
Verbatim citation text · F0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

ModerateF0641
Verbatim citation text · F0641

Ensure each resident receives an accurate assessment.

ModerateF0645
Verbatim citation text · F0645

PASARR screening for Mental disorders or Intellectual Disabilities

ModerateF0728
Verbatim citation text · F0728

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.

ModerateF0757
Verbatim citation text · F0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

ModerateF0800
Verbatim citation text · F0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

ModerateF0803
Verbatim citation text · F0803

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.

ModerateF0809
Verbatim citation text · F0809

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.

ModerateF0812
Verbatim citation text · F0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

SeriousF0835
Verbatim citation text · F0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

ModerateF0842
Verbatim citation text · F0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

ModerateF0843
Verbatim citation text · F0843

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.

ModerateF0865
Verbatim citation text · F0865

Have a plan that describes the process for conducting QAPI and QAA activities.

SeriousF0867
Verbatim citation text · F0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

ModerateF0880
Verbatim citation text · F0880

Provide and implement an infection prevention and control program.

ModerateF0881
Verbatim citation text · F0881

Implement a program that monitors antibiotic use.

ModerateF0883
Verbatim citation text · F0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

ModerateF0944
Verbatim citation text · F0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

IJImmediate jeopardyF0600
Verbatim citation text · F0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

IJImmediate jeopardyF0607
Verbatim citation text · F0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

IJImmediate jeopardyF0609
Verbatim citation text · F0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

IJImmediate jeopardyF0610
Verbatim citation text · F0610

Respond appropriately to all alleged violations.

ModerateF0656
Verbatim citation text · F0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

ModerateF0677
Verbatim citation text · F0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

IJImmediate jeopardyF0689
Verbatim citation text · F0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

ModerateF0692
Verbatim citation text · F0692

Provide enough food/fluids to maintain a resident's health.

ModerateF0740
Verbatim citation text · F0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

ModerateF0943
Verbatim citation text · F0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2025-08-20
Annual Compliance Visit
Serious · 1 finding

Plain-language summary

During an annual inspection, noncompliance was cited for failure to provide adequate supervision and assistive device safety during resident transport and general care. A resident's unsecured wheelchair fell over in a facility van, resulting in a head injury, and another resident was found with injuries of unknown origin. Both incidents involved violations of the rule requiring supervision and accident prevention measures.

SeriousR432-150-14(9)
Verbatim citation text · R432-150-14(9)

The provider was out of compliance with this rule by not providing each resident with supervision and assistive devices to prevent accidents. Specifically, a resident’s wheelchair was not secured in a facility van during transport, the wheelchair fell over, and the resident suffered a head injury.

Read raw inspector notes

[R432-150-14(9)] The provider was out of compliance with this rule by not providing each resident with supervision and assistive devices to prevent accidents. Specifically, a resident’s wheelchair was not secured in a facility van during transport, the wheelchair fell over, and the resident suffered a head injury. [R432-150-14(9)] The provider was out of compliance with this rule by not providing each resident with supervision to prevent accidents. During the inspection, a resident was identified as having injuries of unknown origin.

2025-08-12
Annual Compliance Visit
Standard · 1 finding

Plain-language summary

During an annual inspection, the facility was found noncompliant with supervision requirements after a resident eloped multiple times without staff oversight. The facility failed to provide adequate supervision to prevent accidents as required by regulation. Correction of this noncompliance is required.

StandardR432-150-14(9)
Verbatim citation text · R432-150-14(9)

The provider was out of compliance with this rule by not providing each resident with supervision to prevent accidents. During the inspection, a resident eloped multiple times without supervision from staff.

Read raw inspector notes

[R432-150-14(9)] The provider was out of compliance with this rule by not providing each resident with supervision to prevent accidents. During the inspection, a resident eloped multiple times without supervision from staff. [R432-150-14(9)] The provider was out of compliance with this rule by not providing each resident with supervision to prevent accidents. During the inspection, a resident eloped multiple times without supervision from staff.

2025-03-26
Complaint Investigation
Moderate · 1 finding

Plain-language summary

During an annual inspection, the facility was found to be out of compliance with critical incident reporting requirements. A critical incident that occurred on March 22, 2025 was not reported to the licensing office until March 26, 2025, which exceeded the required one-business-day reporting deadline. The facility failed to meet the regulatory requirement to notify the Office promptly of this incident.

ModerateR380-600-7(16)(a)-(d)
Verbatim citation text · R380-600-7(16)(a)-(d)

The Licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 03/22/2025 and was not reported until 03/26/2025.

Read raw inspector notes

[R380-600-7(16)(a)-(d)] The Licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 03/22/2025 and was not reported until 03/26/2025.

2023-11-30
Complaint Investigation
Moderate · 7 findings
ModerateF0727
Verbatim citation text · F0727

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.

ModerateF0760
Verbatim citation text · F0760

Ensure that residents are free from significant medication errors.

ModerateF0761
Verbatim citation text · F0761

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.

ModerateF0883
Verbatim citation text · F0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

ModerateF0887
Verbatim citation text · F0887

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.

ModerateF0600
Verbatim citation text · F0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

SeriousF0689
Verbatim citation text · F0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

1 older inspection from 2022 are not shown in the free view.

1 older inspection from 2022 are not shown in the free view.

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