Heritage Park Healthcare and Rehabilitation

2700 West 5600 South · Roy, UT · 84067 · 8018259731

176 certified beds For profit - Partnership Chain: The Ensign Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 52
Staffing 20% 74
Federal penalties 15% 68
Trend 10% 41
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.733.48 min · 4.1 strong
RN hours / resident-day0.900.55–0.75
Weekend hours / resident-day3.25≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $36,645

Inspection citations (27 in the current record)

  • Actual harm · G July 2, 2024

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

    Corrected August 4, 2024 · Quality of Life and Care

  • Actual harm · G July 2, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2024

    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.

    Corrected August 5, 2024 · Resident Rights

  • Potential for harm · E July 2, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 2, 2024

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

    Corrected August 4, 2024 · Quality of Life and Care

  • Potential for harm · D July 2, 2024

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

    Corrected August 4, 2024 · Pharmacy Service

  • Potential for harm · D July 2, 2024

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

    Corrected August 4, 2024 · Pharmacy Service

  • Potential for harm · D July 2, 2024

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected August 4, 2024 · Administration

  • Potential for harm · E July 2, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected August 4, 2024 · Nutrition and Dietary

  • Potential for harm · E July 2, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 4, 2024 · Nutrition and Dietary

  • Potential for harm · D July 2, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 4, 2024 · Infection Control

  • Potential for harm · E October 24, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G November 15, 2022

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

    Corrected December 2, 2022 · Quality of Life and Care

  • Potential for harm · D November 15, 2022

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 2, 2022 · Resident Rights

  • Potential for harm · D November 15, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 2, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 2, 2022 · Quality of Life and Care

  • Potential for harm · D November 15, 2022

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

    Corrected December 2, 2022 · Pharmacy Service

  • Potential for harm · D November 15, 2022

    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.

    Corrected December 2, 2022 · Pharmacy Service

  • Potential for harm · D November 15, 2022

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected December 2, 2022 · Administration

  • Potential for harm · D November 15, 2022

    Provide and implement an infection prevention and control program.

    Corrected December 2, 2022 · Infection Control

  • Potential for harm · E April 8, 2021

    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.

    Corrected June 1, 2021 · Resident Rights

  • Potential for harm · D April 8, 2021

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 15, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 8, 2021

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 15, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 8, 2021

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 15, 2021 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 2, 2024Fine$36,645

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465003 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.