Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Pointe Meadows Health and Rehabilitation
Lehi, UT · 99 certified beds · Last Life Safety survey August 7, 2025
CMS Certification Number 465188 · first certified October 2017
Ownership
Operated by THE ENSIGN GROUP · For profit - Corporation
- Ownership changed January 2, 2019 (change of ownership)from POINTE MEADOW HEALTHCARE INC
Position within UT
8 citations — more than 68% of the 97 certified nursing homes in UT. Compared within UT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 0 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was August 2025. Facilities in UT are typically surveyed 19–24 months after the last one (median 21), measured over 88 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about Pointe Meadows Health and Rehabilitation
One email when it happens. No account; stop it any time with one click.
Emergency preparedness
4 of the 8 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 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.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in UT, and nationally. Surveyors differ markedly between states, so the UT figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in UT | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 7, 2022 | 7 |
| November 16, 2023 | 1 |
| August 7, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0036 | Establish emergency prep training and testing. | 1 | 2022-04-07 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2022-04-07 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2022-04-07 |
| K-0222 | 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. | 1 | 2022-04-07 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2022-04-07 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2023-11-16 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2022-04-07 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2022-04-07 |
What the citations cover
- Emergency Preparedness Deficiencies 4
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Egress Deficiencies 1
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 16, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (January 15, 2024) |
April 7, 2022 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (June 1, 2022) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (June 1, 2022) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (June 1, 2022) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (June 1, 2022) |
| K-0222 | 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. | Deficient, Provider has date of correction (June 1, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (June 1, 2022) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (June 1, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.