Rocky Mountain Care - Cottage on Vine
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 142 Google reviews

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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 (2/5 stars)
- Above-median deficiencies (17 vs median 7)
- High staff turnover (78%)
- High RN turnover (77%)
Bottom 25% in UT · Meets national RN staffing standard · Very high staff turnover · Below chain average · $110,770 in fines
What this means for your family
The facility has seen a significant influx of positive reviews since 2024, suggesting that recent management changes have improved the culture and care quality. However, given the history of serious safety and medication concerns, we strongly advise families to conduct an unannounced visit and specifically ask for the current medication administration protocols and staff-to-resident ratios.
Google Reviews
Google Reviews
142 reviews on Google“Rocky Mountain Care - Cottage on Vine receives polarized feedback, with many recent reviews praising a significant improvement in management, staffing, and resident engagement. However, long-term and past reviews highlight serious concerns regarding neglect, medication errors, and high staff turnover that families should investigate thoroughly. While the facility is often described as 'home-like' and 'charming' by current supporters, the history of critical safety complaints warrants caution.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing and CNA staff
- Engaging activities and recreation program
- Strong physical therapy department
- Recent improvements in management and leadership
Concerns
- Medication management errors and administration issues (mentioned by 4 reviewers)
- Understaffing leading to neglect and slow response times (mentioned by 7 reviewers)
- Small, cramped rooms with shared bathrooms (mentioned by 4 reviewers)
- High staff turnover and reliance on agency personnel (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 126 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has been working on management improvements lately; what specific changes have been implemented to help with staff consistency and reduce reliance on agency personnel?
- 2With the current staffing levels, what is your facility's protocol for ensuring timely responses to call lights and resident requests?
- 3Given that medication administration is a complex process, could you walk me through the safety checks and oversight measures you have in place to prevent errors?
- 4The activity program seems to be a real highlight here; what are some of the most popular social or recreational events that residents look forward to each week?
- 5I see that some of the rooms feature shared bathrooms; how do you manage privacy and cleanliness in those shared spaces to ensure resident comfort?
- 6I appreciate that the leadership team is active in responding to feedback online; how do you incorporate that kind of family input into your day-to-day operations?
Personalized based on this facility's data
Key Review Excerpts
“The first thing I noticed when my wife was admitted to Rocky Mountain Care-Cottage on Vine after her stroke was the cleanliness of the facility and patient rooms. Next as we became familiar with the staff and GREAT nurses, we experienced a genuine love and dedication to my wife.”
“The building is grim - tiny rooms with two people per room and beds placed so it felt like he was in a closet. Worn out furniture and, in my father's case a light with a broken cord he couldn't reach.”
“Under Madi M and Gerald N the facility has made many improvements to resident care and staffing. They understand the needs of everyone who comes in the building (residents, families, staff) and do their best to help wherever they're needed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed reports triggering inspections, revealing recurring concerns about resident safety and abuse protection protocols that have persisted across multiple surveys spanning 2022-2025. The facility has shown repeated deficiencies in safety supervision (preventing accidents and falls), medication management, and abuse reporting procedures. While all violations have been formally corrected, the pattern of ongoing issues in these critical areas warrants careful consideration during your visit.
Nov 5, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 6, 2025Routine16
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
May 15, 2024Complaint5
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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.
Nov 8, 2023Routine2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nov 8, 2023Complaint8
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Sep 21, 2023Complaint4
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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Nov 8, 2023
$55,999
Fine
Sep 21, 2023
$22,947
Payment Denial
Sep 21, 2023
4-day denial
Ownership & Operations
Who Operates This Facility
Rocky Mountain Care - Cottage on Vine
for profit
Chain Affiliation
Rocky Mountain Care
10 facilities nationwide
Chain avg rating: 3.0/5 · Rank 7 of 9
Ownership & Management
Owners
Beaver City Corporation
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
142 reviews from families & visitors
Official Website
Visit rmcare.com
Medicare data downloads
Original nursing home datasets
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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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