Rocky Mountain Care - Cottage on Vine
835 East Vine Street · Murray, UT · 84107 · 8016933800
61 certified beds For profit - Individual Chain: Rocky Mountain Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.06 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 2 · $78,946 |
Inspection citations (57 in the current record)
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Potential for harm · D November 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
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 April 24, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2025
Respond appropriately to all alleged violations.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2025
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · D March 6, 2025
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.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025
Ensure that residents are free from significant medication errors.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025
Keep complete, dated laboratory records in the resident's record.
Corrected April 24, 2025 · Administration
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Potential for harm · E March 6, 2025
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.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · F March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 6, 2025
Implement a program that monitors antibiotic use.
Corrected April 24, 2025 · Infection Control
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Potential for harm · D March 6, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 24, 2025 · Infection Control
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Potential for harm · D May 15, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 30, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 30, 2024 · Resident Assessment and Care Planning
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Actual harm · H November 8, 2023
Provide and implement an infection prevention and control program.
Corrected December 21, 2023 · Infection Control
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Potential for harm · D November 8, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 21, 2023 · Infection Control
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Potential for harm · D November 8, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 21, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 8, 2023 | Fine | $55,999 |
| September 21, 2023 | Fine | $22,947 |
| September 21, 2023 | Payment Denial | 4 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465125 · certified since May 30, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.