Heritage Park Healthcare and Rehabilitation
Nursing Home · Roy, UT
CMS certification number465003
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2700 West 5600 SouthRoy, UT 84067
Weber County
- Phone
- (801) 825-9731
- ZIP code
- 84067 – all care providers
Facility details
- Certified beds
- 176
- Residents per day
- 115.2 (65% occupied)
- Ownership
- For profit - Partnership
- Legal name
- Beaver Valley Hospital
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- January 1, 1978
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.84 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 0.90 (state 1.25 · U.S. 0.69)
- Licensed practical nurses
- 0.65 (state 0.48 · U.S. 0.86)
- Nurse aides
- 2.29 (state 2.35 · U.S. 2.32)
- Weekend total
- 3.38 (state 3.56 · U.S. 3.42)
- Nursing staff turnover
- 46.8 (state 50.7 · U.S. 45.8)%
- RN turnover
- 23.1 (state 40.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- July 2, 2024
- Health deficiencies (last cycle)
- 12.0 (state 8.6 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 27 health · 0 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2024-07-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-08-04 |
| 2024-07-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-08-04 |
| 2024-07-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-05 |
| 2024-07-02 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2024-07-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-04 |
| 2023-10-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-10 |
| 2022-11-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-12-02 |
| 2022-11-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2022-11-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-02 |
| 2021-04-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2021-05-15 |
| 2021-04-08 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-06-01 |
| 2021-04-08 | Put firmly secured handrails on each side of hallways. F0924 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-05-15 |
| 2021-04-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-05-15 |
| 2021-04-08 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-05-15 |
| 2021-04-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-05-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $36,645 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-02 | Fine | $36,645 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Fletcher, Jeff (individual) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op, LP (organization) | Administrator · NOT APPLICABLE | |
| Stelter, Casey (individual) | Administrator · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Administrator · NOT APPLICABLE | |
| West 5600 Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| West 5600 Healthcare LLC (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Moss, Tyler (individual) | Corporate Officer · NOT APPLICABLE | |
| Fletcher, Jeff (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Stelter, Casey (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Fletcher, Jeff (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Stelter, Casey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| West 5600 Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Heritage Park Healthcare and Rehabilitation?
Heritage Park Healthcare and Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Utah.
How many beds does Heritage Park Healthcare and Rehabilitation have?
It has 176 certified beds and cares for about 115 residents per day.
Has Heritage Park Healthcare and Rehabilitation been fined?
Yes. CMS lists 1 penalty totaling $36,645 in the last three years.
Who owns Heritage Park Healthcare and Rehabilitation?
It is part of The Ensign Group and is classified as for profit - partnership. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Heritage Park Healthcare and Rehabilitation?
(801) 825-9731. The facility is located at 2700 West 5600 South, Roy, UT 84067.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.