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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E2 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 28, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Aug 7, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint, Health Standard | 9 | Actual harm | — | Open → |
| Dec 1, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 1, 2022 | Health | Health Standard | 0 | No citations | — | Open → |
| Mar 25, 2021 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 25, 2021 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 28, 2025 | Civil money penalty (fine) | $12,363 | — | 465172|Fine|117247 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E2 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 28, 2025 | 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 Feb 28, 2025 | Complaint |
| Feb 28, 2025 | 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 | J · Immediate jeopardy Isolated | Corrected Feb 28, 2025 |
“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 this facility only.
16 facilities in 5 states. CMS chain ID 57.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon VA Management LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 31, 2019 |
| Avalon Veterans Services, L.l.c | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Dec 18, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon VA Management LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 31, 2019 |
| Avalon Veterans Services, L.l.c | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Dec 18, 2018 |
| David Dangerfield | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 5, 2007 |
| Byron Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| William E Christofferson Salt Lake Veterans Home 700 South Foothill Drive, Salt Lake City, UT 84113 CCN 465150 | 81 | Mar 19, 2026 | 201 harm | $8,278 | |
| Southern Utah Veterans Home - Ivins 160 North 200 East, Ivins, UT 84738 CCN 465180 | 108 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Lomond Peak Nursing and Rehabilitation 524 East 800 North, Ogden, UT 84404 CCN 46A071 | 3.4 km | 86 | Aug 13, 2026 | 222 harm | — | |
| Harrison Pointe Healthcare and Rehabilitation 3430 Harrison Boulevard, Ogden, UT 84403 CCN 465009 | 9.8 km | 63 | Mar 4, 2026 | 16 | — | |
| Crestwood Rehabilitation and Nursing 3665 Brinker Avenue, Ogden, UT 84403 CCN 465083 | 10.2 km | 88 | Apr 27, 2026 | 561 IJ3 harm | $65k | |
| Stonehenge of Ogden 5648 South Adams Avenue, Washington Terrace, UT 84405 CCN 465182 | 11.2 km | 52 | Jul 1, 2026 | 16 | — | |
| Mt Ogden Health and Rehabilitation Center 375 East 5350 South, Washington Terrace, UT 84405 CCN 465069 | 12.6 km | 108 | Dec 5, 2024 | 14 | — | |
| The Terrace Transitional 400 East 5350 South, Ogden, UT 84405 CCN 465115 | 12.7 km | 120 | Oct 8, 2024 | 26 | — | |
| Heritage Park Healthcare and Rehabilitation 2700 West 5600 South, Roy, UT 84067 CCN 465003Abuse icon | 13.2 km | 176 | Jul 2, 2024 | 273 harm | $37k | |
| South Ogden Post-Acute (Cascades at South Ogden) 5540 South 1050 East, Ogden, UT 84405 CCN 465117 | 13.7 km | 122 | Aug 21, 2025 | 421 IJ2 harm | $29k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465172 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465172 | 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 | F23-106697 | 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
| Feb 28, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Aug 7, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 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 | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 7, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 7, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 7, 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 Sep 27, 2024 |
| Aug 7, 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 | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Aug 7, 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 | D · Potential harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Dec 1, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2022 |
| Dec 1, 2022 | 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 14, 2022 |
| Dec 1, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2022 |
| Dec 1, 2022 | 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 14, 2022 |
| Mar 25, 2021 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2021 |
| Mar 25, 2021 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2021 |
| Mar 25, 2021 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.09 (case-mix index 1.17).
| Hyrum Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 23, 2012 |
| Avalon Health Care Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 9, 2009 |
| Avalon Health Care Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 3, 2010 |
| State of Utah | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 9, 2009 |
| Andrea Aston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2013 |
| Jill Bird | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 15, 2025 |
| Maria Borisevich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 8, 2024 |
| Alan Hash | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2017 |
| Hyrum Kirton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 29, 2022 |
| Robert Mohr | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 4, 2021 |
| Nicole Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| David Dangerfield | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 5, 2007 |
| Byron Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 23, 2012 |
| Maria Borisevich | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 8, 2024 |
| Alan Hash | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 15, 2017 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 29, 2022 |
| Nicole Smith | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2023 |
| Avalon Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 9, 2009 |
| Avalon Health Care Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2025 |
| State of Utah | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 9, 2009 |
| Andrea Aston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 28, 2021 |
| Jill Bird | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 15, 2025 |
| Maria Borisevich | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2024 |
| Alan Hash | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2017 |
| Hyrum Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 29, 2022 |
| Robert Mohr | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 4, 2021 |
| Nicole Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| May 20, 2025 |
14 |
| — |
| Mervyn Sharp Bennion Central Utah Veterans Home 1551 North Main Street, Payson, UT 84651 CCN 465181 | 108 | Apr 13, 2026 | 171 harm | — |