01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-17 | 9 | 2025-06-17 | 0 |
| Cycle 2 | 2023-08-21 | 9 | 2023-08-21 | 8 |
| Cycle 3 | 2021-10-18 | 14 | 2021-10-18 | 5 |
CMS CCN 4650892026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Rocky Mountain Care - Willow Springs
85 East 2000 North · Tooele, UT 84074 · Tooele County
Certified beds112CMS provider file
Recent citation rows45current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
45 rows in the current release
5 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-31 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-04-17 · complaint2026-03-31 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-04-17 · complaint2026-03-31 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-17 · complaint2025-06-17 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-06-272025-06-17 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-07-222025-06-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-07-212025-06-17 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-06-17 · complaint2025-06-17 · HEALTHF0775Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
Correction field: Deficient, Provider has date of correction · 2025-07-222025-06-17 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-302024-08-01 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-08-30 · complaint2024-08-01 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-02 · complaint2024-08-01 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-08-30 · complaint2023-08-21 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2023-09-192023-08-21 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-10-012023-08-21 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-10-032023-08-21 · HEALTHF0809Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-10-102023-08-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-10-102023-08-21 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-10-102023-08-21 · FIREK0100Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2023-09-102023-08-21 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-09-102023-08-21 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-09-102023-08-21 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2023-09-102023-08-21 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-09-102023-08-21 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-10-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-17 | Fine | $9,269 | 0 |
| 2024-08-01 | Fine | $31,623 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BEAVER CITY CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/01/2015
- BANGERTE, NATHANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- BANGERTER, EDWARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- BANGERTER, JOHNATHANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- BARNEY, JANETTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2012
- BEEMAN, RAYMONDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/22/2022
- BOARDMAN, LAURAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/22/2022
- BROWN, GARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2011
- DARBY, MEGANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- GATHERUM, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- HALE, FREDRICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/22/2022
- HANSEN, KENTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- MIKESELL, BRADLEYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/22/2022
- NEVES, COURTNEYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- OAKDEN, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2010
- OWENS, JONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2025
- ROBINSON, MATTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2019
- SAMUELSON, LANCEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/22/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.63per resident day
RN hours0.65per resident day
Weekend nurse hours3.20per resident day
Staff turnover54.3%CMS reported field
06 / LOCAL RECORDS
Open the Utah ledger →Other published facilities nearby
No second facility in the same city met the directory rule.