Stonehenge of American Fork
American Fork · 2.7 mi · 119 beds
Citations0Substantiated0
Mission at Alpine Rehabilitation Center
25 East Alpine Drive, Pleasant Grove, UT, 84062
Nursing home52 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 30 deficiencies against Mission at Alpine Rehabilitation Center in Pleasant Grove, Utah at its most recent standard inspection on 2025-08-20, 10 of them arising from complaints. 5 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $125,737. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
52certified beds
30deficiencies at the last inspection
5immediate-jeopardy findings on record
3actual-harm findings on record
2federal fines, $125,737
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.5
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.36
Potential for minimal harmThe least serious band.0
Most recentKKKKKHHFFFFEEEEEEEDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0600 · 2025-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2025-08-20 · standard survey · Actual harm to a resident
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2025-08-20 · standard survey · Actual harm to a resident
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Administration Deficiencies · F0843 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2025-08-20 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0728 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0809 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2025-08-20 · from a complaint · No actual harm, potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
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 · F0580 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.13018
Nursing staff turnoverShare of nursing staff who left in a year65.1%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$125,737
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Mission at Alpine Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| BARTHOLOMEW, BRENDA | Individual | NOT APPLICABLE | since 10/01/2021 |
| MURRAY, BRIAN | Individual | NOT APPLICABLE | since 04/01/2017 |
| MISSION HEALTH SERVICES | Organization | NOT APPLICABLE | since 04/01/2017 |
| ELLIS, ASHLEY | Individual | NOT APPLICABLE | since 06/01/2021 |
| KEELE, EDDIE | Individual | NOT APPLICABLE | since 04/01/2023 |
| TAYLOR, JACOB | Individual | NOT APPLICABLE | since 07/16/2024 |
| WOOTTON, ZACHARY | Individual | NOT APPLICABLE | since 04/01/2024 |
| WORKMAN, DAVID | Individual | NOT APPLICABLE | since 06/01/2023 |
| ZIMBELMAN, MICHELLE | Individual | NOT APPLICABLE | since 04/01/2017 |
| MISSION HEALTH SERVICES | Organization | NOT APPLICABLE | since 06/04/2025 |
| ELLIS, ASHLEY | Individual | NOT APPLICABLE | since 06/01/2021 |
| TAYLOR, JACOB | Individual | NOT APPLICABLE | since 07/16/2024 |
Part of the MISSION HEALTH SERVICES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Monument Healthcare American Fork
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Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 465088.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction