2700 West 5600 South, Roy, UT 84067 · Weber County · (801) 825-9731
176 certified beds, about 115 residents a day · For profit - Partnership · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 465003 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 2, 2024, inspectors cited 12 health deficiencies (the Utah average is 8.8, the national average 9.2).
Of 27 health citations since April 2021, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $36,645 in the last three years; the largest was $36,645, and the latest is dated July 2, 2024.
Nurses and nurse aides worked 3.84 hours per resident per day, against 4.09 across Utah and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
46.8% of nursing staff left within the year CMS measured (Utah average 50.7%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 27 health citations on file.
Inspectors wrote2. A. Resident 85 was admitted to the facility on [DATE] with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, and unspecified dementia of unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Resident 85's medical record was reviewed from 6/24/24 through 7/2/24. On 4/26/24, resident 85's annual MDS Assessment documented that a BIMS score was not conducted due to resident 85 being rarely or never understood. Resident 85's progress notes revealed the following: a. On 3/17/24 at 9:00 AM , the nurse note documented, [Resident 85] was sitting next to another resident [Resident 167] this morning at breakfast. [Resident 167] placed his hands down [Resident 85's] blouse and rubbed her breasts. [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that the resident environment remained as free of accident hazards as was possible; and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 2 out of 50 sampled residents, a resident sustained a burn after spilling coffee on himself and a resident eloped from the facility. Resident identifiers: 21 and 166.
Inspectors wroteBased on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than two hours after the allegation was made if the events that cause the allegation involve abuse or result in serious bodily injury. Specifically, for 3 out of 50 sampled residents, the facility did not report an allegation of mental/verbal abuse until seven days after the incident occurred, the facility did not report an allegation of sexual abuse until five days after the incident occurred, and the facility did not report an additional allegation of sexual abuse to Adult Protective Services (APS) or the police within two hours of the allegation being made. Resident Identifiers: 21, 63, 85, and 167. Findings Included: [...]
Inspectors wroteBased on observation, interview and record review, the facility did not provide food that was palatable, attractive, and at a safe and appetizing temperature. Specifically, for 5 out of 50 sampled residents, residents complained about the food being served cold, the resident council minutes had concerns documented regarding food being served cold, and the food items on the test tray were cold. Resident identifiers: 25, 37, 72, 268, and 274.
Inspectors wroteBased on observation and interview, the facility did not distribute and serve food in accordance with the professional standards of food service safety. Specifically, food items in the dry storage room, walk in refrigerator and walk in freezer were open to air, the kitchen was not clean, and there were broken tiles in the kitchen.
Inspectors wroteBased on interview and record review, the facility did not exercise reasonable care for the protection of the resident's property from loss or theft. Specifically, for 1 out of 50 sampled residents, a resident who was missing a personal item did not have the missing item located or replaced in a timely manner. Resident identifier: 65.
Inspectors wroteBased on interview and record review, the facility did not electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the Centers for Medicare & Medicaid Services (CMS) system within 14 days of completing a resident's assessment. Specifically, for 1 out of 50 sampled residents, the facility did not transmit a resident's completed discharge MDS assessment to CMS. Resident Identifier: 95. Findings Included: Resident 95 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including end stage renal disease, type 2 diabetes mellitus with diabetic chronic kidney disease, chronic obstructive pulmonary disease, and acute and chronic respiratory failure with hypoxia. Resident 95's medical record was reviewed from 6/24/24 through 7/2/24. A Death in Facility MDS assessment was completed on 3/8/24. [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals preferences. Specifically, for 1 out of 50 sampled residents, a resident was observed to complain about pain and pain medications were not available. Resident identifier: 9.
Inspectors wroteBased on observation, interview, and record review, the facility did not provide pharmaceutical services which included procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident. Specifically, for 2 out of 50 sampled residents, a resident did not have Cyclobenzaprine available and another resident did not have Seroquel available for administration. Resident identifiers: 9 and 111.
Inspectors wroteBased on interview and record review, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued; or any combinations of the reasons above. Specifically, for 2 out of 50 sampled residents, resident's receiving blood pressure support medication for hypotension did not have the medication held when the systolic blood pressure (SBP) was outside of the physician's ordered parameters. In addition, a resident receiving insulin did not have the medication held when the blood sugar was below the physician's ordered parameters. Resident identifiers: 35 and 65.
Inspectors wroteBased on interview and record review, the facility did not provide or obtain timely laboratory services to meet the needs of the residents. Specifically, for 1 out of 50 sampled residents, a Depakote lab was not obtained or followed-up on for 10 days and a Complete Blood Count (CBC) was not obtained or followed-up on for seven days. Resident identifier: 55.
Inspectors wroteBased on observation and interview, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 5 out of 50 sampled residents, a Certified Nursing Assistant (CNA) assisted multiple residents with dining and hand hygiene was not performed when environmental surfaces and resident objects were touched. Resident identifiers: 21, 24, 40, 63, and 84.
Inspectors wroteBased on interview and record review, it was determined, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility failed to have evidence that all alleged violations were thoroughly investigated. Specifically, for 6 out of 13 sampled residents, the facility did not thoroughly investigate resident to resident altercations, a resident with an injury of unknown origin, and a family to resident altercation. Resident Identifiers: 2, 3, 4, 5, 8 and 10.
Inspectors wroteBased on interview and record review, it was determined, the facility did not ensure that the resident's environment remained as free of accident hazards as was possible. Specifically, for 2 out of 36 sampled residents, a resident sustained a scrotal laceration during a transfer with a mechanical lift. The deficient practice identified was found to have occurred at a harm level. Additionally, a resident sustained a fall during a one person assistance with a slideboard transfer. Resident identifiers: 73 and 77.
Inspectors wroteBased on interview and record review, it was determined, the facility did not immediately consult with the resident's physician when there was a need to alter treatment significantly. Specifically, for 1 out of 36 sampled residents, the facility nursing staff did not notify the provider when a resident's blood sugar (BS) was lower than 60 and greater than 400 as ordered by the physician. Resident identifier: 53.
Inspectors wroteBased on interview and record review, it was determined, the facility did not develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental, and psychosocial needs. Specifically, for 1 out of 36 sampled residents, a resident's Activities of Daily Living (ADL) care plan was not revised after the resident sustained an injury during a Hoyer lift transfer. Furthermore, the care plan did not have a focus area that addressed the resident's scrotal laceration with identified interventions. Resident identifier: 77.
Inspectors wroteBased on observation, interview, and record review, it was determined, the facility did not ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice. Specifically, for 1 out of 36 sampled residents, facility staff did not have a process implemented on how often an oxymask needed to be changed. Resident identifier:
Inspectors wroteBased on interview and record review, it was determined, the facility did not ensure that the resident's drug regimen was free from unnecessary drugs. An unnecessary drug was any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicated the dose should be reduced or discontinued; or any combination of the reasons stated in this section. Specifically, for 2 out of 36 sampled residents, a Certified Nurse Assistant (CNA) administered a medication to a resident that was obtained from inside the resident's backpack, and a Registered Nurse (RN) connected an intravenous antibiotic to a resident's peripherally inserted central catheter (PICC) and did not start the antibiotic infusion for sixty minutes after connecting the antibiotic. Resident identifiers: [...]
Inspectors wroteBased on observation, interview, and record review, it was determined, the facility must store all drugs and biologicals under proper temperature controls. Specifically, medications were not stored at the proper temperature according to manufacturer's recommendations.
Inspectors wroteBased on interview and record review, it was determined, the facility did not ensure the Quality Assessment and Assurance (QAA) committee developed and implemented appropriate plans of correction to correct identified quality deficiencies. Specifically, the facility was found to be in non-compliance with F880, which was cited within the facility's 2019 and 2021 recertification survey.
Inspectors wroteBased on observation, interview, and record review, it was determined, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 1 out of 36 sampled residents, observations were made of cross contamination, gloves not changed, and hand hygiene not performed during a dressing change. Resident identifier: 77.
Inspectors wroteBased on observation, interview and record review it was determined, for 12 of 50 sampled residents, that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. [...]
Inspectors wroteBased on observation, interview, and record review, it was determined the facility did not provide a safe, clean, comfortable, and homelike environment. Specifically, observations were made of residents smoking in close proximity to the facility creating smoking odors in the resident hallways.
Inspectors wroteBased on observation and interview it was determined, that the facility did not ensure that all handrails in the facility were secured on each side of the hallways.
Inspectors wroteBased on interview and record review it was determined, for 2 of 50 sampled residents, that the facility did not ensure that all residents were free from abuse, neglect, misappropriation of residential property and exploitation. Specifically, staff observed a resident to resident abuse from resident 72 directed to resident 47. Resident 72 also admitted to resident abuse and agitation towards resident 47. Resident identifiers: 47 and 72.
Inspectors wroteBased on interview and record review it was determined for, 2 of 50 sampled residents, that the facility did not implement policies to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 24 hours. Specifically, nursing staff did not report a witnessed incident of resident to resident verbal abuse. Resident identifiers: 47 and 72.
Inspectors wroteBased on record review and interview, it was determined the facility did not maintain medical records on each resident that were complete and readily accessible. Additionally, the facility did not keep confidential all information contained in the resident's records, regardless of the form of storage method of the records. Specifically, for 1 of 50 sampled residents, physician visit notes including an evaluation of the resident's condition and total program of care were not included in the medical record. Additionally, on four separate occasions the facility did not safeguard medical record information. Resident identifier: 17 and 73.
| Date | Penalty | Amount or length |
|---|---|---|
| July 2, 2024 | Fine | $36,645 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Utah | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.84 | 4.09 | 3.86 |
| Registered nurses | 0.90 | 1.25 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.58 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 50.7% | 45.8% |
| Registered nurse turnover | 23.1% | 40.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.03 on weekdays and 3.38 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 3.84 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.84 | 0.90 | 4.03 | 3.38 | 1.9% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.73 | 0.90 | 3.92 | 3.25 | 1.8% | 0 of 92 | 113 |
| Jul to Sep 2025 | 3.89 | 0.99 | 4.09 | 3.38 | 2.9% | 0 of 92 | 110 |
| Apr to Jun 2025 | 3.89 | 0.93 | 4.10 | 3.36 | 3.4% | 0 of 91 | 112 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Utah, Jan to Mar 2026 | 3.91 | 1.11 | 4.10 | 3.44 | 2.8% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Utah, all employers | |||
| CNAs (nursing assistants) | $19.15 | $17.81 to $21.32 | 12,260 |
| LPNs and LVNs | $30.40 | $25.71 to $35.86 | 1,680 |
| Registered nurses | $40.67 | $38.49 to $50.54 | 27,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Utah | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.6 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.0 | 15.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.2 | 16.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.7 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage Park Healthcare and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
48.2% this home
No different from the national rate
US median of homes 51.5% · Utah: 40 better, 0 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 91 eligible stays.
8.9% this home
No different from the national rate
US median of homes 10.7% · Utah: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 103 eligible stays.
6.9% this home
No different from the national rate
US median of homes 7.1% · Utah: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 64 eligible stays.
63.3% this home
Median of homes: Utah63.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 60 residents counted.
0.0% this home
Median of homes: Utah0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 75 residents counted.
5.9% this home
Median of homes: Utah1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 75 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Utah100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BEAVER VALLEY HOSPITAL. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fletcher, Jeff | Managing control - governing body | Individual | 06/01/2017 | |
| Stelter, Casey | Managing control - governing body | Individual | 01/24/2018 | |
| Burnam, Soon | Corporate officer | Individual | 06/01/2017 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Moss, Tyler | Corporate officer | Individual | 06/01/2017 | |
| West 5600 Healthcare LLC | Operational/managerial control | Organization | 06/01/2017 | |
| Fletcher, Jeff | Operational/managerial control | Individual | 06/01/2017 | |
| Stelter, Casey | Operational/managerial control | Individual | 01/24/2018 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/01/2017 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Organization | 06/01/2017 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 06/01/2017 | |
| West 5600 Health Holdings LLC | Adp of the SNF | Organization | 06/01/2017 | |
| West 5600 Healthcare LLC | Adp of the SNF | Organization | 03/03/2026 | |
| Fletcher, Jeff | Adp of the SNF | Individual | 06/01/2017 | |
| Stelter, Casey | Adp of the SNF | Individual | 01/24/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Utah. NursingHomeClear cannot take or act on complaints.