Rocky Mountain Care - Willow Springs
85 East 2000 North · Tooele, UT · 84074 · 4358432000
112 certified beds Non profit - Corporation Chain: Rocky Mountain Care
Why this verdict
- 5 citations involved actual harm to residents.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $40,892 |
Inspection citations (32 in the current record)
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Potential for harm · D March 31, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 31, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D March 31, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2026 · Quality of Life and Care
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Actual harm · G June 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D June 17, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D June 17, 2025
Assess the resident when there is a significant change in condition
Corrected July 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 17, 2025
Keep complete, dated laboratory records in the resident's record.
Corrected July 22, 2025 · Administration
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Potential for harm · D June 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Actual harm · G August 1, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 30, 2024 · Pharmacy Service
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Potential for harm · D August 1, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 2, 2024 · Quality of Life and Care
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Potential for harm · D August 21, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 1, 2023 · Quality of Life and Care
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Potential for harm · D August 21, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 3, 2023 · Pharmacy Service
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Potential for harm · F August 21, 2023
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.
Corrected October 10, 2023 · Nutrition and Dietary
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Potential for harm · F August 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2023 · Nutrition and Dietary
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Potential for harm · E August 21, 2023
Provide and implement an infection prevention and control program.
Corrected October 10, 2023 · Infection Control
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Actual harm · G October 18, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 1, 2021 · Quality of Life and Care
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Actual harm · G October 18, 2021
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 1, 2021 · Quality of Life and Care
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Actual harm · G October 18, 2021
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 1, 2021 · Pharmacy Service
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Potential for harm · D October 18, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 1, 2021 · Resident Rights
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Potential for harm · D October 18, 2021
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 1, 2021 · Resident Rights
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Potential for harm · D October 18, 2021
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 1, 2021 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2021
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 1, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 17, 2025 | Fine | $9,269 |
| August 1, 2024 | Fine | $31,623 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465089 · certified since January 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.