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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G7 | H4 | I· |
| Potential harm | D40 | E20 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Nov 13, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Nov 13, 2024 | Health | Health Complaint, Health Standard | 56 | Immediate jeopardy | — | Open → |
| Jun 28, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 28, 2023 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 8, 2024 | Civil money penalty (fine) | $68,812 | — | 465152|Fine|117228 |
| Feb 6, 2024 | Civil money penalty (fine) | $12,534 | — | 465152|Fine|117168 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G7 | H4 | I· |
| Potential harm | D40 | E20 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 13, 2026 | |
| Jan 8, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 13, 2026 | |
| Jan 8, 2026 | F-0605 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 40 facilities.
5 facilities in 1 states. CMS chain ID 747.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Burwell | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Nicole Burwell | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Mark Carter | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Shauna Carter | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Daniel Fey | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Kristin Fey | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Heritage Park Healthcare and Rehabilitation 2700 West 5600 South, Roy, UT 84067 CCN 465003Abuse icon | 176 | Jul 2, 2024 | 273 harm | $37k | |
| Mt. Olympus Rehabilitation Center 2200 East 3300 South, Salt Lake City, UT 84109 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Crestwood Rehabilitation and Nursing 3665 Brinker Avenue, Ogden, UT 84403 CCN 465083 | 88 | Apr 27, 2026 | 561 IJ3 harm | $65k | |
| Spanish Fork Rehabilitation and Nursing 151 East Center Street, Spanish Fork, UT 84660 CCN 465183 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St. George Rehabilitation 1032 East 100 South, St. George, UT 84770 CCN 465064 | 0.2 km | 99 | Aug 6, 2026 | 17 | — | |
| Coral Desert Rehabilitation and Care 1490 East Foremaster Drive, St. George, UT 84790 CCN 465160 | 1.3 km | 60 | Nov 21, 2024 | 13 | — | |
| Red Cliffs Health and Rehab 1745 East 280 North, St George, UT 84790 CCN 465137SFF CandidateAbuse icon | 2 km | 124 | Mar 25, 2025 | 6511 harm | $153k | |
| Advanced Health Care of St. George 1934 East Riverside Drive, St George, UT 84790 CCN 465190 | 2 km | 100 | May 15, 2025 | 14 | — | |
| Seasons Healthcare and Rehabilitation 242 North 200 West, St. George, UT 84770 CCN 465144 | 2.8 km | 53 | Jul 17, 2024 | 20 | — | |
| Southern Utah Veterans Home - Ivins 160 North 200 East, Ivins, UT 84738 CCN 465180 | 12.9 km | 108 | May 20, 2025 | 14 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465152 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465152 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Utah DLBC Licensed Facilities UT | F23-106915 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Mar 7, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jan 23, 2026 |
| Jan 8, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Nov 13, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | H · Actual harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | H · Actual harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | G · Actual harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 13, 2024 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 13, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 20, 2024 |
| Nov 13, 2024 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 13, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Nov 13, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Nov 13, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 13, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 13, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Nov 13, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 13, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Nov 13, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0775 | Keep complete, dated laboratory records in the resident's record. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Nov 13, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Jun 28, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 31, 2023 |
| Jun 28, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 4, 2023 |
| Jun 28, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 22, 2023 |
| Jun 28, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 19, 2023 |
| Jun 28, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 22, 2023 |
| Jun 28, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 28, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 28, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 28, 2023 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 28, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.02 (case-mix index 1.43).
| Partner |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| not provided |
| Jul 11, 2025 |
| Katie Myers | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Cameron Swain | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Holly Swain | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Jared Swain | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 11, 2025 |
| Janett Barney | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Gary Brown | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Richard Oakden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Matt Robinson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Tyler Schena | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Val Smith | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Craig Wright | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 2, 2025 |
| Cottonwood Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2016 |
| St. George Bella Terra Nursing and Rehabilitation LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 11, 2025 |
| Mahana Fisher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 3, 2025 |
| Tyler Moss | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 3, 2025 |
| Walter Myers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2016 |
| Brady Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 3, 2025 |
| Scott Langford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2014 |
| Beaver Valley Hospital | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 2, 2016 |
| Cottonwood Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| St. George Bella Terra Nursing and Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2025 |
| Mahana Fisher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 3, 2025 |
| Brady Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| 100 |
| Jun 29, 2026 |
643 IJ2 harm |
| $144k |
| Harrison Pointe Healthcare and Rehabilitation 3430 Harrison Boulevard, Ogden, UT 84403 CCN 465009 | 63 | Mar 4, 2026 | 16 | — |
| Spring Creek Healthcare Center 4600 South Highland Drive, Salt Lake City, UT 84117 CCN 465049 | 92 | Jul 30, 2026 | 1097 IJ19 harm | $53k |
| Four Corners Regional Care Center 818 North 400 West, Blanding, UT 84511 CCN 465057 | 104 | Jan 9, 2025 | 292 harm | $68k |
| St. George Rehabilitation 1032 East 100 South, St. George, UT 84770 CCN 465064 | 99 | Aug 6, 2026 | 17 | — |
| Rocky Mountain Care- Clearfield 1481 East 1450 South, Clearfield, UT 84015 CCN 465067 | 168 | May 14, 2026 | 806 harm | $59k |
| Mt Ogden Health and Rehabilitation Center 375 East 5350 South, Washington Terrace, UT 84405 CCN 465069 | 108 | Dec 5, 2024 | 14 | — |
| 45 |
| Nov 24, 2025 |
282 harm |
| $40k |
| Millcreek Rehabilitation and Nursing 3520 South Highland Drive, Salt Lake City, UT 84106 CCN 465185Abuse icon | 61 | Apr 7, 2026 | 452 IJ1 harm | $25k |
| Alpine Meadow Rehabilitation and Nursing 2520 South Redwood Road, West Valley City, UT 84119 CCN 465191 | 42 | Apr 22, 2026 | 33 | — |