Rocky Mountain Care - the Lodge
544 East 1200 South · Heber City, UT · 84032 · 4356545500
92 certified beds Non profit - Corporation Chain: Rocky Mountain Care
Why this verdict
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $32,029 |
Inspection citations (29 in the current record)
-
Potential for harm · D March 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2025 · Quality of Life and Care
-
Potential for harm · D March 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 21, 2025 · Pharmacy Service
-
Immediate jeopardy · J March 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2024 · Quality of Life and Care
-
Potential for harm · D March 29, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 8, 2024 · Resident Rights
-
Potential for harm · D March 29, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 29, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 8, 2024 · Resident Rights
-
Potential for harm · D March 29, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 29, 2024 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G January 13, 2022
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 4, 2022 · Quality of Life and Care
-
Potential for harm · D January 13, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2022 · Quality of Life and Care
-
Potential for harm · D January 13, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 4, 2022 · Quality of Life and Care
-
Potential for harm · E January 13, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 4, 2022 · Pharmacy Service
-
Potential for harm · D January 13, 2022
Provide or obtain dental services for each resident.
Corrected March 4, 2022 · Quality of Life and Care
-
Actual harm · G October 15, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 8, 2019 · Quality of Life and Care
-
Actual harm · G October 15, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2019 · Quality of Life and Care
-
Potential for harm · E October 15, 2019
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.
Corrected November 8, 2019 · Resident Rights
-
Potential for harm · E October 15, 2019
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.
Corrected November 9, 2019 · Resident Rights
-
Potential for harm · D October 15, 2019
Ensure each resident receives an accurate assessment.
Corrected November 4, 2019 · Resident Assessment and Care Planning
-
Potential for harm · E October 15, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 4, 2019 · Resident Assessment and Care Planning
-
Potential for harm · E October 15, 2019
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 4, 2019 · Quality of Life and Care
-
Potential for harm · D October 15, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 22, 2019 · Quality of Life and Care
-
Potential for harm · E October 15, 2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 15, 2019 · Nursing and Physician Services
-
Potential for harm · D October 15, 2019
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 15, 2019 · Pharmacy Service
-
Potential for harm · E October 15, 2019
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.
Corrected November 9, 2019 · Pharmacy Service
-
Potential for harm · E October 15, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 22, 2019 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 29, 2024 | Fine | $32,029 |
| March 29, 2024 | Payment Denial | 22 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465147 · certified since January 8, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.