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Nursing HomeMedicaid

Rocky Mountain Care - Willow Springs

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy team. Still worth an in-person visit.

85 East 2000 North, Tooele, UT 84074112 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 186 Google reviews

5
4
3
2
1
Rocky Mountain Care - Willow Springs Nursing Home in Tooele, UT — Street View
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What this means for your family

This facility is highly regarded for its physical and occupational therapy programs, making it a strong candidate for short-term rehab. However, families should be aware of persistent reports regarding slow response times to call lights and communication difficulties; we strongly recommend frequent visits and active involvement in your loved one's daily care to ensure their needs are met.

Google Reviews

Google Reviews

186 reviews on Google
Rocky Mountain Care - Willow Springs is a visually appealing facility that receives high praise for its physical therapy department, with many residents noting significant improvements in mobility after working with specific therapists. However, the facility faces consistent, serious criticism regarding understaffing, poor communication, and neglectful care, particularly concerning hygiene, meal delivery, and responsiveness to call lights.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0Activities8.0Meds3.0Memory4.0Comms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy team
  • Modern, clean, and well-maintained facility
  • Compassionate and attentive individual staff members
  • Engaging activities and social events for residents

Concerns

  • Slow or non-existent response to call lights (mentioned by 9 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 7 reviewers)
  • Inadequate hygiene care (soiled briefs, bed sores) (mentioned by 5 reviewers)
  • Poor quality or incorrect dietary meals (mentioned by 6 reviewers)
  • Understaffing leading to neglect (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(9)'20(7)'22(5)'24(31)'26(42)

Distribution · 191 analyzed

5
137
4
7
3
4
2
10
1
33

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the physical and occupational therapy teams are highly praised; how do you integrate these therapy sessions into a resident's daily schedule to ensure they stay active?
  • 2Given that communication is a top priority for families, what is the best way for us to get timely updates on our loved one's care or reach a staff member if we have a question?
  • 3I understand that response times can sometimes be a challenge in nursing settings; what is your protocol for ensuring call lights are answered promptly, especially during shift changes?
  • 4We want to ensure our loved one feels comfortable and well-cared for; could you walk us through your daily routine for personal hygiene and skin integrity checks?
  • 5I see that you have a variety of social events; how do you tailor these activities for residents who might need a little extra encouragement to participate?
  • 6Regarding dietary needs, how do you handle specific meal preferences or medical dietary restrictions to ensure residents are receiving the proper nutrition?

Personalized based on this facility's data


Key Review Excerpts

The whole physical therapy group have been awesome to deal with. But I had a strong personal connection with Josh and Stewart. These two guys were very professional , knowledgeable and have top of the line people skills.

Rehab patient · 2024★★★★★

The staff often stay past the ends of their shifts to make sure they take care of the patients' needs. Beautiful facilities, great therapy, 5-star rating from the Centers for Medicare and Medicaid.

Family member · 2018★★★★★

They drop dad's meals off. When he could not feed himself and not come back for hours. Now, 3 times this week, and he can use his hand. They do not wake him, and let him know food is there. 2 hours or better later. When he wakes up. Food is cold.

Resident's family · 2024★★★☆☆
Source: 186 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
85%
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
48%
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 · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.5%
UT
14.6%
💉

Residents vaccinated for pneumonia

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

Residents with depression symptoms

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
12.1%
UT
16.5%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.6%
Better than Avg
Here
19.6%
US
19.5%
UT
24.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
15.3%
UT
16.8%
💉

Residents vaccinated for the flu

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

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
79.8%
UT
91.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
UT
93.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
UT
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
7 complaint-triggered
$40,733 in fines

This facility has faced recurring safety and medication management problems, with families filing complaints about accident hazards and medication errors. The most frequent issues involve safety supervision, medication services, and food service quality, with safety hazards appearing in complaints as recently as 2024 and 2025. While the facility corrects deficiencies when cited, the pattern of repeated safety violations across multiple surveys suggests ongoing challenges with maintaining consistent oversight and resident protection.

Mar 31, 2026Complaint
3
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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

Jun 17, 2025Routine
5
0775Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

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.

Jun 17, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Aug 1, 2024Complaint
3
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

Aug 21, 2023Routine
14
0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Oct 18, 2021Routine
19
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.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0757Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0908Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

0725Potential for harm · PatternCorrected

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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0885Potential for harm · PatternCorrected

Infection Control Deficiencies

Report COVID19 data to residents and families.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

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.

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.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0200Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Federal Penalties

Fine

Jun 17, 2025

$9,269

Fine

Aug 1, 2024

$31,623

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rocky Mountain Care - Willow Springs

Organization Type

nonprofit

Chain Affiliation

Chain Name

Rocky Mountain Care

Chain Size

10 facilities nationwide

Chain avg rating: 3.0/5 · Rank 2 of 9

Ownership & Management

Owners

Beaver City Corporation

Owner · Organization

100%

Key personnel

Bangerte, NathanManaging Control - Governing BodyBangerter, EdwardManaging Control - Governing BodyBangerter, JohnathanManaging Control - Governing BodyBarney, JanettManaging Control - Governing BodyBeeman, RaymondManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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