Lomond Peak Nursing and Rehabilitation, LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 86 beds and averages 85.0 residents a day — about 99% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.50 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.54 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.06 hrs/resident/day on weekends vs 2.67 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.51 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · Gcited before2025-10-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined, for 2 out of 26 sampled residents, that the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, two high fall-risk residents did not have interventions put in place after falls and interventions were repeated. One of these examples was cited as harm. Resident identifiers: 39 and 43.Findings included: HARM 1. Resident 43 was admitted to the facility on [DATE] with diagnoses which included encephalopathy, mild cognitive impairment, and ataxia. On 10/6/25 at 2:59 PM, an interview was conducted with resident 43. Resident 43 stated that he had fallen a few times at the facility and had gotten hurt. Resident 43 stated that he had gone to the hospital a few times for lacerations. Resident 43's medical record was reviewed 10/6/25 through 10/9/25. An admission Minimum Data Set (MDS) dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-09 · tag F0770 — failed to provide lab services — pattern
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility did not provide or obtain laboratory services to meet the needs of its residents. If the facility provided its own laboratory services; the services must meet the applicable requirement for laboratories. Specifically, the facility glucometers were not being calibrated according to the manufacturer requirements and the control solution available was expired. Findings included:On [DATE] at approximately 3:00 PM, the 200 hall medication cart and medication storage room were observed. There were bottles of glucometer control solution in both the 200 hall medication cart and the medication storage room with an expiration date of [DATE]. There were no bottles available that were not expired.On [DATE] at 3:03 PM, an interview was conducted with Licensed Practical Nurse (LPN) 1. LPN 1 stated she did not know what the process for testing the glucometers was because the night shift tested the glucometers. On [DATE] at 11:00 AM, an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-09 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not provide food that was palatable, attractive, and at a safe and appetizing temperature. Specifically, for 7 out of 26 sampled residents, residents complained of the quality and taste of the food and a test tray was not palatable. Resident identifiers: 3, 4, 6, 10, 11, 56, and 77.Findings Included: On 10/6/25 at 10:22 AM, an interview was conducted with resident 56. Resident 56 stated the food was bland and did not taste good. On 10/6/25 at 11:50 AM, an interview was conducted with resident 4. Resident 4 stated that the food did not taste good and most of the time she bought her own food to eat.On 10/6/25 at 2:34 PM, an interview was conducted with resident 10. Resident 10 stated that the food was dry and not tasty.On 10/6/25 at 3:07 PM, an interview was conducted with resident 6. Resident 6 stated the food was not edible.On 10/6/25 at 3:48 PM, an interview was conducted with resident 11. Resident 11 stated the food was lukewarm and not good and he had to buy his own snacks.On 10/7/25 at 9:32 AM, an interview was conducted with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, it was determined that the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, there were undated food items stored in the refrigerator and freezer, hairnets were not worn correctly; resident refrigerators' temperatures were not monitored and food was unlabeled and undated; a dietary aide touched fish, chicken, and pasta with gloved hands after touching multiple surfaces; and chicken and fish were chopped with the same knife during lunch service causing cross-contamination of foods. Findings included: On 10/6/25 at 8:11 AM, an initial tour of the kitchen was conducted. The following observations were made: a. Dietary Aide (DA) 1 was wearing a hairnet with her bangs uncovered by the hair net. b. There was undated pudding in cups in the refrigerator. c. There was covered juice in cups that were undated. d. There was an opened and undated carton of thickened orange juice. e. There was an opened and undated container of lettuce. f. There was an opened and undated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 5 out of 26 residents, Enhanced Barrier Precautions (EBP) were not implemented for residents, staff were observed not performing hand hygiene during medication administration, and glucose monitors were not disinfected according to manufacturer instructions. Resident identifiers: 5, 8, 39, 67, and 73.Findings included: Enhanced Barrier Precautions On 10/6/25 at 8:37 AM, an initial tour of the resident hallways was conducted. No signage indicating transmission based precautions were observed outside residents' doorways. Pink and green dots were observed on some of the resident name placards. On 10/6/25 at 8:50 AM, an interview was conducted with the Office Manager Assistant, who stated that the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0559 — isolated
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, for 1 of 26 sampled residents, the facility did not provide residents the right to receive written notice, including the reason for the change, before the resident's room or roommate in the facility was changed. Specifically, a resident was not provided written notice when she had roommate changes. Resident identifier: 77. Findings included: Resident 77 was admitted to the facility on [DATE] with diagnoses which included dementia, generalized anxiety disorder, cognitive communication deficit, hypothyroidism, fibromyalgia, major depressive disorder and post traumatic stress disorder.On 10/17/25 at 10:00 AM, an interview was conducted with resident 77. Resident 77 stated she had different roommates and her current roommate had returned from the hospital recently. Resident 77 stated her roommate was not the same since returning from the hospital. Resident 77's medical record was reviewed. There were no notifications that resident 77 had roommate changes. There were no nursing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0728 — failed to protect against nurse-aide misconduct — isolated
  Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility did not ensure that any individual working in the facility as a nurse aide for more than 4 months was competent to provide nursing and nursing related services; and completed a training and competency program, or a competency evaluation program approved by the State. Specifically, a Nurse Aide (NA) was employed at the facility and worked as a NA for over 4 months without completion of a training or a competency evaluation program approved by the State.Findings included: On 10/8/25 NA 1's employee file was reviewed. NA 1 was hired on 5/7/25. NA 1 was still employed as a NA and the last shift worked was 10/3/25.On 10/8/29 at 2:08 PM, an interview was conducted with the Business Office Manager (BOM). The BOM stated that NA 1 was still employed by the facility as a NA. The BOM stated that NA 1 had not taken her test nor completed the NA program. The BOM stated that NA 1 had last worked on 10/3/25 and was now removed from the schedule. The BOM stated the Certified Nurse Assistant (CNA) Coordinator was in charge of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, for 1 of 26 sampled residents, the facility did not ensure each resident received necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being. Specifically, a resident with mental health diagnoses was not offered counseling services. Resident identifier: 77. Findings included: Resident 77 was admitted to the facility on [DATE] with diagnoses which included dementia, generalized anxiety disorder, cognitive communication deficit, hypothyroidism, fibromyalgia, major depressive disorder and post traumatic stress disorder. On 10/7/25 at 10:00 AM, an interview was conducted with resident 77. Resident 77 stated she was concerned because child molesters were moving into the facility and it made her feel really uncomfortable. Resident 77 stated her ex-husband molested her daughter so knowing there were residents like that in the facility brought back all her feelings. Resident 77 stated her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, it was determined that the facility did not ensure that all drugs and biologicals were stored and labeled in accordance with accepted professional principles, under proper temperature controls and cautionary instructions, and the expiration date when applicable. Specifically, there were expired medications stored in the facility's medication storage room available for patient use. Findings included: On 10/8/25 at 2:05 PM, an observation was made of the facility's medication storage room. The following medications were observed and available for resident use:One bottle of Naproxen tablets expired 9/25 Two bottles of Vitamin C tablets expired on 8/25 One bottle of Calcium tablets expired 7/24Multi-Symptom Day Cold/Flu medicine expired 9/24 on the box, the medication inside of it showed an expiration date of 9/22 Anti-Anxiety Relief one bottle expired 10/2/23, one bottle 6/2/24, and another bottle expired 7/24/24Fiber Therapy bottle expired 12/22/24One bottle of Fiber Powder expired 3/25Two boxes of Fiber Lax caplets expired 9/25A box containing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, for 1 of 26 sampled residents, the facility did not provide or obtain radiology services to meet the needs of the residents. Specifically, a resident did not have a Magnetic Resonance Imaging (MRI) scheduled. Resident identifier: 3. Findings included: Resident 3 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included cerebral infarction, hemiplegia and hemiparesis, neurologic neglect, dysphagia, major depressive disorder, insomnia, and mild-protein calorie malnutrition.On 10/7/25 at 9:32 AM, an interview was conducted with resident 3. Resident 3 stated she had a subluxation to her left shoulder. Resident 3 stated she went to a doctor's appointment 3 weeks ago and needed an MRI. Resident 3 stated the MRI had not been scheduled yet.Resident 3's medical record was reviewed 10/7/25 through 10/9/25. A nursing progress note dated 9/26/25 at 1:22 PM revealed, Resident had an appointment with an orthopedic provider today regarding her left…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-09 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined that, for 1 of 26 sampled residents, the facility failed to provide food that accommodated resident allergies, intolerances, and preferences. Specifically, a resident was provided food that was listed as an allergy. Resident identifier: 50.Findings included: Resident 50 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes, irritable bowel syndrome, and lactose intolerance.Resident 50's medical record was reviewed on 10/6/25 through 10/9/25.On 10/06/25 at 10:16 AM, an interview was conducted with resident 50. Resident 50 stated that even though he required a lactose intolerant diet, dairy products would frequently be on his meal trays. Resident 50 stated that he and the Certified Nursing Assistants (CNA) had repeatedly spoken to the kitchen staff about his lactose intolerance, but he continued to receive dairy on his meal trays. Resident 50 stated that he was constantly on the lookout for dairy products because he…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in UT