Cycle 1
Health 2025-05-15 · Fire 2025-05-15
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
St George, UT
Advanced Health Care of St. George
5-star overall rating with 4-star inspections with $4,194 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1934 East Riverside Drive, St George, UT
(435) 522-2100
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2018-06-13
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.69
Registered nurse staffing · state 1.19 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
3.54
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
6.34
All reported nurse hours · state 4.06 · national 3.89
Licensed hours
2.80
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
5.43
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.91
Weekend registered nurse coverage · state 0.84 · national 0.47
Physical therapist
0.36
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.32
CMS adjusted RN staffing hours
Adjusted total hours
4.93
CMS adjusted total nurse staffing hours
Case-mix index
1.76
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
864
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.81
Composite VBP score used to determine payment impact.
Payment multiplier
1.0177
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.65
Baseline 22.37% · Performance 20.15% · Measure score 3.65 · Achievement 2.76 · Improvement 3.65
Healthcare-associated infections
10
Baseline 5.89% · Performance 4.42% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
4.48
Baseline 70.49% · Performance 47.76% · Measure score 4.48 · Achievement 3.89 · Improvement 4.48
Adjusted total nurse staffing
7
Baseline 4.99 hours · Performance 5.07 hours · Measure score 7 · Achievement 7 · Improvement 0.50
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.66% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 680 · Observed rate 7.65% · Lower 95% interval 7.62% |
| Discharge to community | 75.66% |
50.57%
25.1 pts better
|
Better than the National Rate · Eligible stays 632 · Observed rate 80.38% · Lower 95% interval 73.5% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.31% |
95.27%
3 pts better
|
Numerator 406 · Denominator 413 |
| Falls with major injury | 0.48% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 413 |
| Discharge self-care score | 62.92% |
53.69%
9.2 pts better
|
Numerator 207 · Denominator 329 |
| Discharge mobility score | 57.14% |
50.94%
6.2 pts better
|
Numerator 188 · Denominator 329 |
| Pressure ulcers or injuries, new or worsened | 2.18% |
2.29%
0.1 pts better
|
Numerator 9 · Denominator 413 · Adjusted rate 2.92% |
| Healthcare-associated infections requiring hospitalization | 4.42% |
7.12%
2.7 pts better
|
Better than the National Rate · Eligible stays 397 · Observed rate 2.02% · Lower 95% interval 2.49% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 104 |
| Staff flu vaccination coverage | 23.91% |
42%
18.1 pts worse
|
Numerator 33 · Denominator 138 |
| Discharge function score | 53.8% |
56.45%
2.7 pts worse
|
Numerator 177 · Denominator 329 |
| Transfer of health information to provider | 99.45% |
95.95%
3.5 pts better
|
Numerator 362 · Denominator 364 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 42 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 11.93% |
25.2%
13.3 pts worse
|
Numerator 26 · Denominator 218 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
93.3%
3 pts better
|
81.7%
14.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.3% · Q3 96.5% · Q4 92.2% · 4Q avg 96.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
11.8%
3.4 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 13.8% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
0.9%
0.7 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.3% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% |
91.0%
5.7 pts better
|
79.7%
17 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
17.4%
6.3 pts worse
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 19.0% · Expected 19.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-29 · Fire 2023-06-29
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-09-29 · Fire 2021-09-29
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-15
F · Potential for more than minimal harm
2025-05-15
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-05-15
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-05-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-15
E · Potential for more than minimal harm
2023-06-29
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-22
E · Potential for more than minimal harm
2021-09-29
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-11-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-15
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-15
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-15
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-20
D · Potential for more than minimal harm
2023-06-29
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-29
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-25
Penalties and ownership
What sits behind the stars
$4,194
2023-05-08
Fine
Fine · fine $4,194
Fine
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
Peterson, Joshua
Operational/Managerial Control · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Coral Desert Rehabilitation and Care
St. George, UT
5-star overall rating with 4-star inspections with 2 recent health deficiencies
#2
Bella Terra St George
St. George, UT
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $100,651 in total fines with 56 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
St. George Rehabilitation
St. George, UT
3-star overall rating with 3-star inspections with 8 recent health deficiencies
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