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Nursing HomeMedicaid Investigative

Orem Rehabilitation and Nursing Center

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

575 East 1400 South, Hillcrest · Orem, UT 84097120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 181 Google reviews

Orem Rehabilitation and Nursing Center Nursing Home in Orem, UT — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Above-median deficiencies (10 vs median 7)

Below average in UT · Meets national RN staffing standard · $38,357 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is highly regarded for its physical therapy program, which has helped many patients regain mobility. However, families must be vigilant regarding basic care; we strongly recommend visiting frequently and unannounced to monitor hygiene and response times, as multiple reviewers have raised concerns about neglect during off-hours.

Google Reviews

Google Reviews

181 reviews on Google
Orem Rehabilitation and Nursing Center receives highly polarized feedback, with many reviewers praising the physical therapy department and the kindness of individual staff members. However, significant and recurring concerns exist regarding understaffing, slow response times to call lights, poor hygiene, and inadequate dietary management for patients with specific needs.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean5.0Activities8.0Meds4.0MemoryN/AComms4.0Value2.0

Strengths

  • Highly effective physical and occupational therapy
  • Warm, compassionate individual nursing and CNA staff
  • Clean, well-maintained facility environment
  • Proactive management and admissions team

Concerns

  • Chronic understaffing leading to neglect (mentioned by 12 reviewers)
  • Slow response times to call lights and patient requests (mentioned by 8 reviewers)
  • Poor hygiene, including failure to bathe patients or change linens (mentioned by 7 reviewers)
  • Inadequate dietary management and failure to accommodate allergens (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'13(2)'16(3)'18(9)'20(33)'22(41)'24(27)'26(7)

Distribution · 182 analyzed

5
128
4
16
3
7
2
4
1
27
29 reviews posted between Nov 28, 2022Nov 30, 2022 · 29 were 5-star
15 reviews posted between Dec 15, 2017Dec 15, 2017 · 12 were 5-star

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard great things about the physical and occupational therapy programs here; could you tell us more about how the therapists work with residents to regain their independence?
  • 2Since we want to ensure all dietary needs are met, how does the kitchen staff manage specific food allergies and special dietary restrictions?
  • 3What is the protocol for responding to call lights, and how do you ensure that residents' requests for assistance with personal hygiene or linen changes are addressed promptly?
  • 4How does the nursing team manage medication administration to ensure everything is accurate and timely for each resident?
  • 5What is the communication process like between the nursing staff and family members regarding any changes in a resident's health or daily care?
  • 6Could you describe what a typical day looks like for residents in terms of social activities and group engagement?

Personalized based on this facility's data


Key Review Excerpts

The PT & OT staff really care for you to recover. This my first time being in one of these. I give 3 stars, because there are times when it comes to meals that you barely get much. I also feel I been forgotten when comes to getting a meal.

Rehab patient · 2022★★★★★

My dad has been in this facility for just over a week... he threw up down the front of himself and on the floor, when my mother walked in to find him that way, she told 2 CNA's and it took nearly 2 hours for someone to come clean it up.

Family member · 2023☆☆☆☆

The therapy at Orem is incredible. Keith the therapist was so kind and got my Mom moving around and made her laugh so she could get through the pain.

Family member · 2015★★★★★
Source: 181 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.4%
UT
14.6%
Utah
12.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
19.5%
UT
24.7%
Utah
25.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
14.4%
UT
12.1%
Utah
11.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.2%
Better than Avg
Here
16.2%
US
19.4%
UT
21.8%
Utah
22.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
12.1%
UT
16.5%
Utah
13.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
UT
98.0%
Utah
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.3%
Better than Avg
Here
95.3%
US
79.7%
UT
91.0%
Utah
86.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.5%
Better than Avg
Here
94.5%
US
81.8%
UT
93.8%
Utah
94.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Mixed vs Avgs
Here
1.0%
US
1.6%
UT
0.8%
Utah
0.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (9.1)
8 complaint-triggered
$38,357 in fines

This facility has concerning patterns of abuse and neglect issues, with families filing multiple complaints that triggered federal investigations across recent years. The most recurring problems involve resident protection from abuse and neglect, medication management, and care planning. While all deficiencies show correction dates, the persistence of serious abuse-related violations across multiple surveys (2023-2025) suggests ongoing challenges in maintaining consistent resident safety and proper oversight.

May 1, 2025Routine
9
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0728Potential for harm · PatternCorrected

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.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0775Potential for harm · IsolatedCorrected

Administration Deficiencies

Keep complete, dated laboratory records in the resident's record.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

May 1, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

May 22, 2024Complaint
2
0603Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 18, 2023Complaint
5
0600Immediate jeopardy · 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.

0610Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 18, 2023Routine
9
0835Actual harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0867Actual harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Feb 10, 2022Routine
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0882Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Federal Penalties

Fine

Jul 18, 2023

$38,357

Ownership & Operations

Who Operates This Facility

Owner / Operator

Orem Rehabilitation and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 163 of 328

Ownership & Management

Key personnel

Burnam, SoonOfficer / DirectorDavidson, CraigOfficer / DirectorMoss, TylerOfficer / DirectorHueneme Healthcare, INC.ManagerAlbrechtsen, JoshuaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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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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