3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operated by American Fork Nursing and Rehabilitation LLC, Sandstone American Fork is a nursing home and skilled nursing facility in American Fork, Utah. The community is about half a mile from the city center and a short drive from Intermountain Health American Fork Hospital. It has been serving residents in the area for 37 years. The 106-bed facility has an occupancy rate of about 62.5%. Residents stay for an average of 95 days, which is a mix of short-term rehabilitation and longer nursing care.
Care focuses on short-term rehabilitation, physical therapy, and skilled nursing. Residents also have access to orthopedic rehabilitation, wound care, IV therapy, pain management, and chronic disease management. Nursing staff provides an average of about 5 hours and 28 minutes of total nursing care per resident each day, combining registered nurse, licensed practical nurse, and nurse aide hours. An active resident council meets regularly to discuss community policies, care, and activities.
Sandstone American Fork accepts Medicare, Medicaid, and private pay, giving families several ways to cover the cost of rehabilitation and long-term care. The area has a Walk Score of 49 out of 100 and is considered somewhat walkable. A few nearby errands can be completed on foot, but most trips require a car.
State inspections have most often focused on care planning and documentation, medication management, infection control, and environmental upkeep. Families touring Sandstone American Fork should ask how these areas are managed daily.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 4th out of 79 homes in Utah for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 49m per day | ▲ 54% State avg: 1h 11m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1m per day | ▼ 96% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 22m per day | ■ Avg State avg: 2h 22m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 36m per day | ■ Avg State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 88% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 14m per day | ▲ 48% State avg: 50m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Utah, the Department of Health and Human Services, Health Facility Licensing conducts regular onsite inspections to ensure compliance with state and federal healthcare standards.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Utah state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | UT Average | vs. UT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 80 | 14 | This facility has 471% more total deficiencies than a typical Utah nursing home (80 vs. UT avg 14).↑ 471% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 80 | 4.7 | This facility has 1602% more deficiencies per inspection than a typical Utah nursing home (80 vs. UT avg 4.7).↑ 1602% worse |
Inspections
| This Facility | UT Average | vs. UT Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 1 | 3 | This facility has had 67% fewer total inspections than the Utah average (1 vs. UT avg 3). More inspections can mean more regulatory scrutiny rather than worse care.↓ 67% fewer |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Utah average 3.5
Last Health inspection on Sep 2025
Utah average 27.7
Utah average 7.62
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 66 citations resulted from standard inspections; 2 of 66 resulted from complaint investigations; and 38 of 66 came from combined inspections (standard and complaint).
100% better than Utah averageUtah average: 0.7
140% worse than Utah averageUtah average: 2.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
40% more staff per resident than Utah average
15% worse than Utah average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
All 2 LPN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 18 CNA Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
404 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 18 | 0 | 18 | 4,115 | 92 | 100% | 7.4 |
| Registered Nurse | 11 | 0 | 11 | 2,186 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 606 | 64 | 70% | 4.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 554 | 80 | 87% | 5.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 320 | 65 | 71% | 4.8 |
| Licensed Practical Nurse | 2 | 0 | 2 | 36 | 4 | 4% | 9 |
| Physical Therapy Aide | 0 | 3 | 3 | 28 | 28 | 30% | 1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 23 | 21 | 23% | 1.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 20 | 19 | 21% | 1 |
| Qualified Social Worker | 0 | 2 | 2 | 12 | 8 | 9% | 1.5 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
33% lower than Utah averageUtah average: $53K
48% fewer fines than Utah averageUtah average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Utah averageUtah average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 6, 2023 · $35K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 6, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.3
75% better than Utah averageUtah average: 9.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.5
62% better than Utah averageUtah average: 20.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
4.4%
72% better than Utah averageUtah average: 15.7%
Percent of long-stay residents whose ability to move independently worsened
4.7%
78% better than Utah averageUtah average: 21.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.5%
42% better than Utah averageUtah average: 23.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Utah averageUtah average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
38% better than Utah averageUtah average: 4.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Utah averageUtah average: 2.1%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Utah averageUtah average: 4.1%
Percent of long-stay residents who have depressive symptoms
14.3%
13% better than Utah averageUtah average: 16.5%
Percent of long-stay residents who received an antipsychotic medication
4.6%
66% better than Utah averageUtah average: 13.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Utah averageUtah average: 97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Utah averageUtah average: 98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than Utah averageUtah average: 92.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Utah averageUtah average: 1.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
In line with Utah averageUtah average: 91.0%
Rate of successful return to home or community from a skilled nursing facility.
36.5%
28% worse than Utah averageUtah average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
18Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sandstone American Fork from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #31 / 76Payroll — State benchmarkedThis home is ranked 31st out of 76 homes in Utah for payroll. Shows total annual staff payroll benchmarked to the Utah average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Utah that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #20 / 76Payroll % — State benchmarkedThis home is ranked 20th out of 76 homes in Utah for payroll %. Shows payroll as a percentage of revenue versus the Utah average. Well-run Utah facilities typically land around 52–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Utah that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from American Fork's city center to Sandstone American Fork's address, calculated via Google Maps.
— 1.18 miles to nearest hospital (Intermountain Health American Fork Hospital)
Add your location
Info below is compiled from CMS reports & the UT Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Sandstone Pioneer Trail | NH SNF | Brigham City (South 200 West) | 72
Facility
72
UT AVG
84
Rank
#105 / 192 |
48.6%
Facility
48.6%
UT AVG
69.3
Rank
#57 / 71 | -30% | 3.86
Facility
3.86
UT AVG
3.72
Rank
#18 / 79 | +38% | +4% | $19.7k
Facility
$19.7k
UT AVG
$52.4k
Rank
#50 / 79 | 16
Facility
16
UT AVG
27.7
Rank
#21 / 74 | 5.3
Facility
5.3
UT AVG
7.6
Rank
#23 / 74 | 2 | 35 | - |
52
Facility
52
UT AVG
47
Rank
#133 / 280 | Brigham City Nursing & Rehab LLC | $4.6MFiscal year ending 06/2024
Facility
$4.6MFiscal year ending 06/2024
UT AVG
$10.3M
Rank
#61 / 76 | $2.3MFiscal year ending 06/2024
Facility
$2.3MFiscal year ending 06/2024
UT AVG
$3.8M
Rank
#57 / 76 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
UT AVG
38%
Rank
#46 / 76 | 465020 | ||||
| Sandstone Brigham City | NH SNF | Brigham City (North 200 East) | 84
Facility
84
UT AVG
84
Rank
#82 / 192 |
38.8%
Facility
38.8%
UT AVG
69.3
Rank
#61 / 71 | -44% | 3.67
Facility
3.67
UT AVG
3.72
Rank
#26 / 79 | +10% | -1% | $15.6k
Facility
$15.6k
UT AVG
$52.4k
Rank
#45 / 79 | 19
Facility
19
UT AVG
27.7
Rank
#29 / 74 | 6.3
Facility
6.3
UT AVG
7.6
Rank
#34 / 74 | 2 | 33 | - |
26
Facility
26
UT AVG
47
Rank
#213 / 280 | Willow Glen Nursing & Rehab LLC | $5.0MFiscal year ending 06/2024
Facility
$5.0MFiscal year ending 06/2024
UT AVG
$10.3M
Rank
#58 / 76 | $2.4MFiscal year ending 06/2024
Facility
$2.4MFiscal year ending 06/2024
UT AVG
$3.8M
Rank
#60 / 76 | 47.8%Fiscal year ending 06/2024
Facility
47.8%Fiscal year ending 06/2024
UT AVG
38%
Rank
#52 / 76 | 465093 | ||||
| Sandstone American Fork | NH SNF | American Fork | 106
Facility
106
UT AVG
84
Rank
#54 / 192 | - | - | 5.46
Facility
5.46
UT AVG
3.72
Rank
#4 / 79 | +21% | +47% | $35.4k
Facility
$35.4k
UT AVG
$52.4k
Rank
#59 / 79 | 66
Facility
66
UT AVG
27.7
Rank
#68 / 74 | 16.5
Facility
16.5
UT AVG
7.6
Rank
#69 / 74 | 6 | 19 | - |
49
Facility
49
UT AVG
47
Rank
#142 / 280 | American Fork Nursing & Rehabilitation LLC | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
UT AVG
$10.3M
Rank
#39 / 76 | $3.6MFiscal year ending 06/2024
Facility
$3.6MFiscal year ending 06/2024
UT AVG
$3.8M
Rank
#31 / 76 | 44.3%Fiscal year ending 06/2024
Facility
44.3%Fiscal year ending 06/2024
UT AVG
38%
Rank
#20 / 76 | 465097 |
Sandstone American Fork is located in American Fork, Utah.
Here are the financial assistance programs available to residents in Utah.
Sandstone American Fork has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to UT state health department records, Sandstone American Fork's license expires on July 31, 2027.
Sandstone American Fork's occupancy is 62.5%.
Sandstone American Fork has been operating for approximately 37 years, based on available licensing and registration records.
No, Sandstone American Fork has a no-pet policy.
Sandstone American Fork is registered as a for-profit in UT.
Sandstone American Fork has 106 beds.
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