Rocky Mountain Care - Willow Springs

    85 E 2000 N, Tooele, UT, 84074
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Beautiful facility, great therapy, concerns

    I'm torn - the building, activities and dining room look great and the PT/OT team (they rebuilt strength and balance) and many nurses/CNAs were compassionate and effective. But staffing and management are inconsistent: rude or undertrained aides, long call-light waits, phone/communication failures, medication/wound-care mistakes and occasional neglect/safety issues. Food, housekeeping and responsiveness were hit-or-miss, and high turnover/money-driven decisions undermined trust. In short: excellent therapy and a beautiful facility, but serious staffing, safety and communication concerns mean I'd be cautious about long-term placement.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.72 · 116 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.6
    • Meals

      1.9
    • Amenities

      4.4
    • Value

      1.7

    Pros

    • strong physical therapy program
    • effective occupational therapy
    • many compassionate and dedicated CNAs
    • several attentive and skilled nurses
    • individualized, resident-focused care in some cases
    • engaging activities program (bingo, ice cream days, dancing)
    • clean and spotless facility reported by many reviewers
    • beautiful, modern and well-designed building and common areas
    • comfortable, hotel-like rooms and amenities
    • helpful, friendly housekeeping and maintenance staff
    • quick responsiveness to room-change or accommodation requests
    • customizable meals and menu options reported by some
    • successful rehabilitation outcomes (regained independence/walking)
    • supportive, motivating therapy staff who go above and beyond
    • compassionate end-of-life care recounted by families
    • some highly praised individual staff (named PTs, nurses, CNAs)
    • positive reviews of administration under new management
    • CMS 5-star rating and awards noted by reviewers
    • well-equipped therapy gym and rehab spaces
    • strong social atmosphere reported by some residents/families

    Cons

    • consistent reports of rude, uncaring, or unprofessional staff
    • frequent medication errors and omissions
    • long call-light response times and ignored call lights
    • understaffing and high staff turnover
    • poor wound care and reported bedsores
    • instances of hygiene neglect (soiled linens, urine exposure)
    • food quality complaints (cold meals, poor taste)
    • communication failures (unanswered phones, no callbacks)
    • safety concerns (falls, no bed rails/alarms, bathroom incidents)
    • failed emergency responses (oxygen setup, delayed meds)
    • inconsistent room conditions (dirty rooms, construction issues)
    • promised private rooms not honored
    • staff distracted by phones/gossiping during shifts
    • disorganized management and unhelpful administration reported
    • overmedication or inappropriate medication changes without family consent
    • early or inappropriate discharges
    • billing and unexpected charge complaints
    • visitor/phone notification failures leading to missed goodbyes
    • conflicting accounts from staff causing family distress
    • allegations of abuse or neglect with severe outcomes
    • dietary mismanagement (diabetic and allergy issues)
    • some reports of COVID-era visitation/mental health neglect
    • inconsistent cleanliness reports (some say filthy interior)
    • inconsistent activity/social engagement depending on unit/staff
    • poor front-desk/office responsiveness and long waits

    Summary review

    Overall sentiment across the reviews for Rocky Mountain Care - Willow Springs is deeply polarized. Many families and residents praise the facility's rehabilitation services, certain nursing and CNA staff, and the physical environment. Conversely, a significant portion of reviewers report serious lapses in basic nursing care, medication management, hygiene, safety, and communication. The pattern is one of excellence in therapy and some staff members, mixed with troubling clinical and operational failures in other areas.

    Care quality and clinical safety emerge as the most critical dichotomy. Physical therapy and occupational therapy are repeatedly and consistently praised: reviewers cite excellent therapists (several by name), substantial gains in mobility, strength and independence, thorough instruction and motivation, and a well-equipped rehab gym. Many families credit PT/OT with meaningful recoveries and positive outcomes. However, nursing and general clinical care receive mixed to negative assessments. Numerous reports describe medication errors or omissions (including serious lapses such as heart medications not given), overmedication with laxatives, removal of psychiatric meds without family notification, and poor wound care leading to untreated skin tears or bedsores. There are also high-severity incidents alleged: failed oxygen setup, extended delays in responding to calls, residents left unattended in bathrooms, and accounts of falls and safety lapses. These clinical failures are a repeated, substantive theme and represent risk for residents, especially those with complex medical needs.

    Staffing and staff behavior is another area of stark contrast. Many reviews single out individual staff members for exemplary, compassionate care — CNAs, nurses, therapists, housekeeping and certain administrators receive frequent, heartfelt praise. Names appear repeatedly as trusted caregivers, and some families describe staff as going 'above and beyond.' At the same time, a large number of reports describe rude, unprofessional, undertrained or distracted staff. Common complaints include staff ignoring call lights, scrolling on phones, gossiping, and turning call lights off at stations. Understaffing is frequently alleged as an underlying cause of delayed responses, omissions of care, and poor hygiene. Several reviewers link quality declines to staff turnover and management issues.

    Facilities, atmosphere and activities are predominantly seen as strengths, though not universally. The building is described by many as beautiful, modern, and thoughtfully designed — natural light, indoor “main street” spaces, pergolas, benches, and a pleasant entrance recur in reviews. Multiple reviewers mention a hotel-like atmosphere, pleasing common areas, and a spotless environment. Activities are widely appreciated when delivered: bingo, ice cream days, dancing, singing, and tailored resident activities are frequently cited as positive contributors to quality of life. Yet some accounts contradict these impressions — a subset of reviewers report filthy rooms, stained linens, or an interior that feels unsafe or under construction. This suggests inconsistent housekeeping or variability between units/shifts.

    Dining and dietary management are another mixed area. Several reviewers praise customizable meals and helpful kitchen staff, with tasteful offerings and special treats. Others report cold or poor-quality food, failure to adhere to diabetic meal plans, and even allergy incidents (fish allergy) or undelivered meals. These discrepancies point to variability in dining service quality and occasional supply/management problems.

    Communication, management and administrative responsiveness are frequently criticized but occasionally praised. Multiple families recount phone systems that do not take messages or return calls, slow front-desk response, and unhelpful or rude administrators. There are reports of conflicting stories from staff, failure to notify designated visitors, and billing surprises. Conversely, some reviewers note a positive turnaround under new management, naming administrators who are proactive and responsive. The divergence suggests either recent management changes improving operations in some periods, or inconsistent performance across departments.

    Notable patterns and risks: the most consistent positive theme is rehabilitation (PT/OT) excellence and pockets of highly compassionate frontline staff. The most consistent negative themes are clinical safety lapses (medication and wound care), staffing shortages leading to long call-response times and hygiene issues, and unreliable communication with families. Multiple reviews describe severe incidents (bedsores, missed medications, failed oxygen setup) that raise safety concerns and merit verification via inspections, care plans, and up-to-date quality reports.

    In sum, Rocky Mountain Care - Willow Springs appears to deliver outstanding rehabilitation services and has many dedicated, excellent staff members and attractive facilities. However, reviewers also report recurring and serious concerns about nursing care reliability, medication and wound management, staffing levels, communication, and occasional unprofessional conduct. Experiences seem inconsistent — highly positive for some residents and distressing for others — possibly tied to unit, shift, or time-period differences (including reports of improvement under new management). Prospective residents and families should balance the facility's strong therapy program and inviting environment against the documented clinical and operational risks, and seek current, specific assurances about medication administration, wound care, staffing ratios, call-light response times, dietary management, and internal incident reporting/quality improvement efforts.

    Location

    Map showing location of Rocky Mountain Care - Willow Springs

    About Rocky Mountain Care - Willow Springs

    Rocky Mountain Care - Willow Springs sits in Tooele, Utah, close to I-80 and SR-36 for easy access, and it's part of Rocky Mountain Care, with management from Rocky Mountain Care LLC and Rocky Mountain Care Tooele, Inc. since April 2013, and the specific managers there now are Edward Bangerter, Raymond Beeman, Laura Boardman, Fredrick Hale, Bradley Mikesell, Kristy Rehfeldt, Lance Samuelson, and Alan Widdison who've been listed in charge since various times starting in 2022 and 2023. The place runs as a non-profit, takes care of an average of 103 residents a day, and has 112 certified beds, though some sources list 104 total beds, with both private and semi-private rooms, and there's hospice and home health on site. Residents can get skilled nursing, respite, short-term stays, rehab, dialysis, physical therapy, occupational therapy, speech therapy, bariatric care, intermediate care, and even have access to a specialized Alzheimer's wing. Applicants can use private pay, private insurance, long-term care insurance, Medicaid, Medicare, and managed care benefits here.

    You'll find a full-service salon, Wi-Fi everywhere, a computer nook for visitors and family, a common television area with DVDs and fresh popcorn, private rooms with big private baths and walk-in showers, plus extra-wide beds with pressure-relieving mattresses, and a separate ice cream parlor giving an old-fashioned feel, since they've got their own "Center and Main Streets" inside. Meals come from an award-winning chef, with fine dining, flat-screen TVs from 32" to 42" and DirecTV, a fitness center filled with updated therapy equipment, wireless high-speed internet, and a team of RNs, LPNs, and CNAs who are there 24/7 for care, as well as a specific focus on transitional rehab and chronic care management.

    The nurse turnover rate here sits at 48.6%, with nurses averaging 3.70 hours per resident daily. Nurses and aides work under licensed, caring staff, and local nurses, therapists, and the office make personalized wellness plans for each person who comes to stay. Rocky Mountain Care - Willow Springs has won the Activated Insights 2025 Customer Experience Award™ for good cleanliness and professional therapy. The facility does round-the-clock nursing and skilled care, outpatient therapy, palliative and personal care, and has emergency pendants and physician services. There are some deficiencies noted on inspection, including issues with accident hazards, medication error prevention, how the staff responds to claims of abuse or neglect, and infection control, which means people using the facility should stay informed and aware when choosing care here. Overall, Rocky Mountain Care - Willow Springs offers several services and a few unique touches to support the health and quality of life of its residents.

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