01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-05 | 7 | 2025-03-05 | 2 |
| Cycle 2 | 2023-05-17 | 0 | 2023-05-17 | 4 |
| Cycle 3 | 2021-08-05 | 6 | 2021-08-05 | 1 |
CMS CCN 4651302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Stonehenge Of Springville
909 West 450 South · Springville, UT 84663 · Utah County
Certified beds50CMS provider file
Recent citation rows20current 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
20 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-03-05 · 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 · 2025-04-04 · complaint2025-03-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-04-042025-03-05 · 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: Deficient, Provider has date of correction · 2025-04-042025-03-05 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-042025-03-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-042025-03-05 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2025-04-042025-03-05 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-04-042025-03-05 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-03-122025-03-05 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-03-052023-05-17 · FIREK0200Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2023-07-012023-05-17 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2023-07-012023-05-17 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-07-012023-05-17 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-07-012021-08-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2021-09-302021-08-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2021-09-302021-08-05 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2021-09-302021-08-05 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2021-09-302021-08-05 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2021-09-302021-08-05 · 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 · 2021-09-302021-08-05 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2021-09-3003 / 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 |
|---|---|---|---|
| 2023-09-18 | Fine | $1,764 | 0 |
| 2023-08-28 | Fine | $3,174 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CICHOS, TYSONIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/11/2017
- CLOWARD, WYATTIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/11/2017
- KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/25/2021
- CARRERA, RORYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/15/2022
- GILLESPIE, DEBORAHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/25/2021
- HOWELLS, STEPHENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/25/2021
- LOVELESS, KURTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/25/2021
- PITTARD, JEFFREYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2023
- HOWELLS, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/20/1992
- LOVELESS, KURTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/25/2021
- KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/25/2021
- SALISBURY PLAIN HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2025
- CARRERA, RORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/15/2022
- CICHOS, TYSONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/11/2017
- CLOWARD, WYATTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/11/2017
- GILLESPIE, DEBORAHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/25/2021
- HOWELLS, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/25/2021
- LOVELESS, KURTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/25/2021
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 hours3.64per resident day
RN hours1.29per resident day
Weekend nurse hours3.28per resident day
Staff turnover52.7%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.