Mission at Alpine Rehab: Mental Health Services Denied - UT
That admission came during an August 20 inspection, when federal surveyors examined whether the facility had been providing Specialized Rehabilitative Services, known as SRS, to residents whose assessments identified those services as recommended. The assessment process, called a PASRR Level II evaluation, screens nursing home residents for mental illness and intellectual disabilities and flags what additional services they need.
For Resident 11, the screening had apparently flagged a need. The services had apparently never come.
The administrator told inspectors the last time an SRS provider had been inside the facility was January 30th, more than six months before the inspection. He said the Resident Activity coordinator was the staff member responsible for arranging SRS services for residents. Then he said he wasn't sure Resident 11 had ever had those services arranged since her admission. Then he said he would guess she hadn't.
He also said he was the one responsible for making sure the facility had a contract with an SRS provider in the first place.
The administrator told inspectors that when a PASRR Level II evaluation recommends services for a resident, he would expect those services to be arranged within a couple of weeks. He did not explain why that hadn't happened for Resident 11, or how long she had been waiting.
The inspection report does not say how long Resident 11 had been a resident at Mission at Alpine. It does not describe her diagnosis, her condition, or what the PASRR evaluation specifically recommended for her. What it records is an administrator acknowledging, without apparent dispute, that a resident who had been identified as needing specialized mental health or rehabilitative services had gone without them, and that the facility's SRS provider had not set foot in the building in the better part of a year.
CMS cited the deficiency under F0740, which covers the obligation to provide necessary specialized services to residents whose assessments identify them as needed. The level of harm was recorded as minimal harm or potential for actual harm, and the number of residents affected was listed as few.
That classification reflects the lower end of the federal harm scale. It does not mean nothing happened to Resident 11. It means inspectors could not document, or did not document, that she had already been concretely harmed by going without the services her evaluation said she needed. The gap between "minimal harm" and "no harm" is a distinction worth holding onto.
Mental health services in nursing homes are chronically underprovided. Residents who arrive with psychiatric diagnoses or intellectual disabilities are among the most vulnerable people in any long-term care setting, and the PASRR process exists specifically because facilities have historically failed to identify or meet their needs. A Level II evaluation is not a suggestion. It is a clinical finding that a resident requires something beyond standard nursing home care.
Mission at Alpine's administrator said he would expect services to be arranged within a couple of weeks of a recommendation. By his own account, that hadn't happened. The SRS provider's last visit was in January. The inspection was in August.
The report does not say whether Resident 11 knew she was supposed to be receiving services. It does not say whether anyone had told her family. It does not say whether anyone at the facility had noticed the gap before inspectors arrived and asked.
What it says is that the administrator, when asked, guessed she had never received them at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mission At Alpine Rehabilitation Center from 2025-08-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 3, 2026 · Our methodology
Mission at Alpine Rehabilitation Center in Pleasant Grove, UT was cited for violations during a health inspection on August 20, 2025.
For Resident 11, the screening had apparently flagged a need.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.