01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-05 | 1 | 2026-03-05 | 0 |
| Cycle 2 | 2024-03-14 | 1 | 2024-03-14 | 4 |
| Cycle 3 | 2022-07-06 | 0 | 2022-07-06 | 1 |
CMS CCN 4651672026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Stonehenge Of Orem
435 West Center Street · Orem, UT 84057 · Utah County
Certified beds34CMS provider file
Recent citation rows7current CMS citation release
Penalty rows0current 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
7 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-05 · HEALTHF0880Severity D · isolated; 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 · 2026-04-252024-03-14 · 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 · 2024-03-252024-03-14 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-03-252024-03-14 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-03-252024-03-14 · 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 · 2024-03-252024-03-14 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-03-252022-07-06 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-08-2003 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MILESTONE HEALTHCARE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/03/2025
- BURNAM, SOONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/09/2025
- HOOPES, TYLERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/09/2025
- PORT, BARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2019
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/09/2025
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2011
- CARRERA, RORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- STEVENS, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- CASCADE MOUNTAIN HEALTH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/09/2025
- STANDARD BEARER HEALTHCARE OP, LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/31/1999
- THE ENSIGN GROUP INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- CARRERA, RORYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
- STEVENS, DAVIDIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2025
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 hours3.93per resident day
RN hours1.29per resident day
Weekend nurse hours3.31per resident day
Staff turnover47.7%CMS reported field