Orem Rehabilitation and Nursing Center
575 East 1400 South · Orem, UT · 84097 · 8012254741
120 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $38,357 |
Inspection citations (29 in the current record)
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Potential for harm · D May 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 1, 2025 · Resident Rights
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Potential for harm · E May 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 1, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 1, 2025 · Quality of Life and Care
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Potential for harm · E May 1, 2025
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.
Corrected July 1, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2025
Post nurse staffing information every day.
Corrected July 1, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2025
Keep complete, dated laboratory records in the resident's record.
Corrected July 1, 2025 · Administration
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Potential for harm · E May 1, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 1, 2025 · Nutrition and Dietary
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Potential for harm · E May 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 1, 2025 · Nutrition and Dietary
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Potential for harm · D May 1, 2025
Implement a program that monitors antibiotic use.
Corrected July 1, 2025 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 22, 2024 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K July 18, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K July 18, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 18, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 29, 2023 · Administration
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Actual harm · G July 18, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 29, 2023 · Administration
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Potential for harm · D July 18, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 29, 2023 · Resident Rights
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Potential for harm · D July 18, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 29, 2023 · Quality of Life and Care
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Potential for harm · D July 18, 2023
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 29, 2023 · Quality of Life and Care
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Potential for harm · D July 18, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 29, 2023 · Quality of Life and Care
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Potential for harm · D July 18, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 29, 2023 · Pharmacy Service
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Potential for harm · D July 18, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 29, 2023 · Pharmacy Service
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Potential for harm · D July 18, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 18, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 18, 2023 | Fine | $38,357 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465104 · certified since September 4, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.