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Nursing HomeMedicaid Investigative

Lomond Peak Nursing and Rehabilitation, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

524 East 800 North, Ogden, UT 8440486 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 33 Google reviews

5
4
3
2
1
Lomond Peak Nursing and Rehabilitation, LLC Nursing Home in Ogden, UT — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 7)

Bottom 25% in UT · Below recommended RN staffing · Significantly below average staffing · No penalties on record

Source: Medicare data

What this means for your family

While some families report positive experiences with end-of-life care and activities, the facility has recurring, serious reports of medical neglect and understaffing. If you consider this facility, you must conduct an unannounced visit and specifically observe the responsiveness of staff to resident needs, as multiple reviewers have raised alarms regarding hygiene and medical follow-through.

Google Reviews

Google Reviews

33 reviews on Google
Lomond Peak Nursing and Rehabilitation presents a polarized experience, with some families praising the attentive care and cleanliness, while others report severe neglect and staffing shortages. Critical concerns include inconsistent medical oversight, poor hygiene, and reports of residents being left unattended or unbathed. Prospective families should be aware of the stark contrast between positive long-term reports and serious allegations of systemic failure.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean6.0Activities8.0Meds2.0Memory3.0Comms3.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Spacious rehabilitation gym
  • Compassionate end-of-life care reported by some families
  • Engaging activities and social environment

Concerns

  • Chronic understaffing leading to neglect (mentioned by 4 reviewers)
  • Poor hygiene and failure to assist with basic needs (mentioned by 4 reviewers)
  • Inconsistent or negligent medical/nursing care (mentioned by 3 reviewers)
  • Unprofessional or demeaning staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'21(8)'23(4)'25(4)

Distribution · 36 analyzed

5
14
4
5
3
1
2
3
1
13

How They Respond to Reviews

7%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily hygiene and personal care needs?
  • 2I noticed the facility has a spacious rehabilitation gym; how are these resources integrated into the daily routines of long-term residents to keep them active and engaged?
  • 3With the recent focus on improving communication, what is the standard process for family members to receive updates on their loved one's medical status and medication management?
  • 4How does your nursing team coordinate care to ensure that residents receive consistent attention and support throughout all shifts, especially during evenings and weekends?
  • 5Could you walk me through how your staff is trained to maintain a professional and supportive environment when assisting residents with complex medical or emotional needs?
  • 6In light of the facility's experience with end-of-life care, what support systems are available for families navigating those sensitive transitions?

Personalized based on this facility's data


Key Review Excerpts

The day she passed, most of the staff were in tears. I’m so grateful for their selfless service.

End-of-life care family member · 2025★★★★★

The nursing staff never turned in my mother's urine sample, she died of septic urinary infection.

Long-term resident's family · 2025☆☆☆☆

They are understaffed and undertrained! ... The nursing staff was extremely demeaning and derogatory to my brother in law, who has dementia. He was ALWAYS IN FILTHY UNWASHED CLOTHES

Memory care family member · 2023☆☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
2.52hrs
61%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
15.5%
UT
14.6%
Weber
9.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
15.3%
UT
16.8%
Weber
19.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
14.4%
UT
12.1%
Weber
14.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.5%
Mixed vs Avgs
Here
20.5%
US
19.5%
UT
24.7%
Weber
33.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
UT
97.1%
Weber
91.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.4%
UT
21.8%
Weber
20.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
UT
93.8%
Weber
86.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Above state avg (9.1)
1 complaint-triggered

This facility shows recurring issues across multiple care areas, with 21 deficiencies found over three surveys and one complaint filed by families regarding food safety concerns. The most persistent problems involve nutrition and dietary services, with repeated citations for food temperature, storage, and accommodation of dietary needs appearing in all three inspections. Safety hazards and infection control also recur as ongoing concerns. While all deficiencies have correction dates, the pattern of repeated violations in key areas like food service suggests systemic challenges that families should discuss during visits.

Oct 9, 2025Routine
10
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0770Potential for harm · PatternCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0728Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Oct 9, 2025Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Apr 25, 2024Routine
3
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Aug 3, 2022Routine
7
0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0885Potential for harm · PatternCorrected

Infection Control Deficiencies

Report COVID19 data to residents and families.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lomond Peak Nursing and Rehabilitation, LLC

Organization Type

government

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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