Stonehenge of Orem reported 3.93 HPRD in Q1 2026. This level is below the CMS case-mix benchmark (4.40 HPRD) and in the 66th percentile of Utah nursing homes.
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
Ownership change reported in last 12 months (CMS Provider Info).
| Name | Type | Role | Since | |
|---|---|---|---|---|
| David Stevens | Individual | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| Rory Carrera | Individual | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| Soon Burnam | Individual | Operational/managerial control; Corporate officer | 5/9/2025 | |
| Milestone Healthcare LLC | Organization | 100% ownership interest; Ownership interest | 9/3/2025 | |
| The Ensign Group Inc | Organization | 100% ownership interest; Ownership interest; ADP of the SNF | 5/9/2025 | |
| Chad Keetch | Individual | Corporate officer | 3/1/2011 | |
| Tyler Hoopes | Individual | Corporate director | 5/9/2025 | |
| Barry Port | Individual | Corporate director | 6/1/2019 | |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | 12/31/2099 | |
| Cascade Mountain Health Holdings LLC | Organization | ADP of the SNF | 11/1/2025 | |
| Ensign Services Inc | Organization | ADP of the SNF | 5/9/2025 |
Staffing from CMS Payroll-Based Journal (PBJ) public nurse files (2017–2026), plus Provider Information (August 2026) and chain data where shown. State staffing context via March 2022 compendium. Methodology · PBJ explained.
Metrics
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.