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Nursing HomeMedicaid

Stonehenge of American Fork

Strong Medicare quality ratings; families often praise highly skilled physical therapy department. Still worth an in-person visit.

538 South 500 East, American Fork, UT 84003119 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 150 Google reviews

5
4
3
2
1
Stonehenge of American Fork Nursing Home in American Fork, UT — Street View
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What this means for your family

This facility is highly regarded for its physical therapy program and modern, clean environment, making it a strong candidate for short-term rehab. However, families should be aware of consistent reports regarding understaffing and slow response times; we strongly recommend visiting unannounced and asking specifically about the nurse-to-patient ratio on nights and weekends.

Google Reviews

Google Reviews

150 reviews on Google
Stonehenge of American Fork receives highly polarized reviews, with many families praising the facility for its clean, home-like environment and effective physical therapy team. However, a significant number of reviewers report serious concerns regarding chronic understaffing, slow response times to call lights, and inconsistent communication from nursing staff. While some patients have excellent recovery experiences, others describe neglect, medication errors, and poor hygiene management.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean8.0Activities7.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Highly skilled physical therapy department
  • Clean, modern, and home-like facility
  • Friendly and attentive front-desk staff
  • Professional and caring management team

Concerns

  • Slow response times to call lights and patient requests (mentioned by 12 reviewers)
  • Medication management errors and lack of attention to detail (mentioned by 6 reviewers)
  • Understaffing leading to neglect of basic hygiene and wound care (mentioned by 9 reviewers)
  • Lost personal belongings and clothing (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(6)'17(11)'19(6)'21(16)'23(4)'25(14)'26(5)

Distribution · 121 analyzed

5
82
4
12
3
5
2
0
1
22

How They Respond to Reviews

30%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's strong reputation for physical therapy, how do you coordinate those sessions with daily nursing care to ensure residents stay active and comfortable?
  • 2We understand that timely assistance is important for peace of mind; what is your current process for monitoring and responding to call lights to ensure residents get help when they need it?
  • 3Could you walk us through your medication administration process and the steps you take to ensure accuracy and safety for each resident?
  • 4With a large facility of 119 residents, how do you ensure that consistent attention is paid to personal care routines and hygiene throughout the day?
  • 5What systems do you have in place to help track and safeguard residents' personal belongings and clothing?
  • 6What does a typical social calendar look like here, and how do you encourage residents to participate in activities that match their interests?

Personalized based on this facility's data


Key Review Excerpts

The highly trained staff in PT went above and beyond to make you feel comfortable and treated you with respect at all times.

Rehab patient · 2025★★★★★

Nurses/CNA’s are nice but lack communication and are NOT detail oriented. Mom was there for 4 weeks. I reconciled her medications on the first day. They messed up her pain meds 3 times.

Long-term resident's family · 2022☆☆☆☆

My father fell and fractured his back 5 years ago and was transferred here after surgery. Care was excellent. I am a R.N. and there were some issues here and there but my concerns were always addressed quickly to my satisfaction.

Long-term resident's family · 2020★★★★★
Source: 150 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.26hrs
OK
Registered nurses for medical care
Total Nursing
3.99hrs
97%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Total 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

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

6

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.6%
Worse than Avg
Here
34.6%
US
15.3%
UT
16.8%
Utah
15.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
12.1%
UT
16.5%
Utah
14.1%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
19.4%
UT
21.8%
Utah
21.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
UT
97.1%
Utah
97.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.6%
Mixed vs Avgs
Here
23.6%
US
19.5%
UT
24.7%
Utah
25.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
5.3%
UT
3.5%
Utah
2.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.2%
Better than Avg
Here
95.2%
US
79.7%
UT
91.0%
Utah
86.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
81.8%
UT
93.8%
Utah
94.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
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

5deficiencies
1penalties
Near state avg (9.1)
$21,590 in fines

Stonehenge of American Fork has 23 deficiencies across three surveys, with recurring issues in care planning, safety systems, and medication management. All deficiencies have been corrected by the facility, though some problems persist across multiple surveys, including fire safety systems and backup power. The facility shows a pattern of addressing identified issues, but families should inquire about ongoing quality improvement efforts.

Jul 23, 2025Routine
7
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Oct 10, 2023Routine
5
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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 18, 2021Routine
11
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Federal Penalties

Fine

Oct 10, 2023

$21,590

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stonehenge of American Fork

Organization Type

for profit

Chain Affiliation

Chain Name

Stonehenge of Utah

Chain Size

5 facilities nationwide

Chain avg rating: 4.7/5 · Rank 7 of 7 (Worst)

Ownership & Management

Owners

Kane County Human Resource Special Service District

Owner · Organization

Stonehenge of American Fork, Lc

Owner · Organization

Robison, Cory

Owner (parent company)

47%

Key personnel

Kane County Human Resource Special Service DistrictManagerStonehenge of American Fork, LcManagerCarrera, RoryManagerCichos, TysonManagerCloward, WyattManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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