Provo Rehabilitation and Nursing

Nursing Home · Provo, UT

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Corporation

CMS certification number465119

CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1001 North 500 West
Provo, UT 84604
Utah County

Phone: (801) 377-9661
ZIP code: 84604 – all care providers

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Facility details

Certified beds: 220
Residents per day: 129.5 (59% occupied)
Ownership: For profit - Corporation
Legal name: Beaver Valley Hospital
Chain: The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since: November 7, 1988
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 1/5

State avg 3.3

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.0

Quality measures★★★★★ 4/5

State avg 4.6

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.88 (state 4.07 · U.S. 3.86)
Registered nurses (RN): 0.87 (state 1.25 · U.S. 0.69)
Licensed practical nurses: 0.86 (state 0.48 · U.S. 0.86)
Nurse aides: 2.15 (state 2.35 · U.S. 2.32)
Weekend total: 3.44 (state 3.56 · U.S. 3.42)
Nursing staff turnover: 54.5 (state 50.7 · U.S. 45.8)%
RN turnover: 45.2 (state 40.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: October 21, 2024
Health deficiencies (last cycle): 16.0 (state 8.6 · U.S. 9.3)
From complaints: 10
Citations on record (3 years): 71 health · 9 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-03-16	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2026-04-03
2026-03-16	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 2026-04-03
2026-03-16	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 · complaint inspection	G Actual harm	Corrected 2026-04-03
2026-03-16	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	G Actual harm	Corrected 2026-04-03
2026-03-16	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	G Actual harm	Corrected 2026-04-03
2026-03-16	Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. F0840 · Administration Deficiencies · complaint inspection	G Actual harm	Corrected 2026-04-03
2026-03-16	Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection	G Actual harm	Corrected 2026-04-03
2026-03-16	Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection	G Actual harm	Corrected 2026-04-03
2024-10-21	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 2024-12-02
2024-10-21	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 2024-12-02
2024-10-21	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	D No actual harm, potential for more than minimal harm	Corrected 2024-12-02
2024-10-21	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-02
2024-10-21	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 2024-12-02
2024-10-21	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 2024-12-02
2024-10-21	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 2024-12-02
2024-10-21	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 2024-12-02
2023-01-30	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	H Actual harm	Corrected 2023-03-29
2023-01-30	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	H Actual harm	Corrected 2023-03-29
2023-01-30	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	H Actual harm	Corrected 2023-03-29
2023-01-30	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	H Actual harm	Corrected 2023-03-29
2023-01-30	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-03-29
2023-01-30	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-03-29
2023-01-30	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-03-29
2023-01-30	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	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	E No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	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	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2023-01-30	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 2023-03-29
2023-01-30	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-29
2021-05-28	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	H Actual harm	Corrected 2021-08-10
2021-05-28	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	H Actual harm	Corrected 2021-08-10
2021-05-28	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	H Actual harm	Corrected 2021-08-10
2021-05-28	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	H Actual harm	Corrected 2021-08-10
2021-05-28	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2021-08-10
2021-05-28	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 2021-08-10
2021-05-28	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2021-08-10

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

2 penalties in the last three years, including $73,003 in fines.

Date	Type	Amount
2026-03-16	Fine	$17,857
2024-10-21	Fine	$55,146

Ownership & management

Name	Role	Since
Caretrust GP LLC (organization)	Administrator · NOT APPLICABLE
Caretrust Reit INC (organization)	Administrator · NOT APPLICABLE
CTR Partnership LP (organization)	Administrator · NOT APPLICABLE
Ensign Services INC (organization)	Administrator · NOT APPLICABLE
Hoopes, Travis (individual)	Administrator · NOT APPLICABLE
Martinez, Mark (individual)	Administrator · NOT APPLICABLE
Riverview Healthcare, INC. (organization)	Administrator · NOT APPLICABLE
Silver Lake Health Holdings 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
Hoopes, Travis (individual)	Managing Control - Governing Body · NOT APPLICABLE
Martinez, Mark (individual)	Managing Control - Governing Body · NOT APPLICABLE
Hoopes, Travis (individual)	Operational/managerial Control · NOT APPLICABLE
Martinez, Mark (individual)	Operational/managerial Control · NOT APPLICABLE
Nursa INC (organization)	Operational/managerial Control · NOT APPLICABLE
Riverview Healthcare, INC. (organization)	Operational/managerial Control · NOT APPLICABLE
Rubicon Staffing LLC (organization)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Provo Rehabilitation and Nursing?

Provo Rehabilitation and Nursing has a 1-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 Provo Rehabilitation and Nursing have?

It has 220 certified beds and cares for about 130 residents per day.

Has Provo Rehabilitation and Nursing been fined?

Yes. CMS lists 2 penalties totaling $73,003 in the last three years.

Who owns Provo Rehabilitation and Nursing?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Provo Rehabilitation and Nursing?

(801) 377-9661. The facility is located at 1001 North 500 West, Provo, UT 84604.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.