Federal inspection record · CMS data as of October 1, 2026
Bella Terra St George (Black Rock Health and Rehab
178 South 1200 East, St. George, UT · (435) 688-1207
- Certified beds
- 149
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Beaver Valley Hospital
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 7, 2001
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Bella Terra St George (Black Rock Health and Rehab carries 163.75 inspection points. That is fewer than 10% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
64 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (12)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
H
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
H
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.
-
H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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G
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights10E
- E
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.
- E
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.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
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.
- D
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.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Nutrition and Dietary9F
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
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.
- D
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.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Assessment and Care Planning8E
- E
Ensure each resident receives an accurate assessment.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care7E
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Respond appropriately to all alleged violations.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- E
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.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Implement a program that monitors antibiotic use.
Pharmacy Service3E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration3E
- E
Keep complete, dated laboratory records in the resident's record.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Inspection history
2026-01-08
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-11-13
56 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (10 deficiencies)
2023-06-28
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 5 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 46% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$81,346 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-08 | Fine | $68,812 |
| 2024-02-06 | Fine | $12,534 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.8 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 2.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts better | 99.6% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts worse | 91.5% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.1 pts worse | 25.0% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 2.8% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 21.1% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse | 16.4% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.6 pts better | 10.1% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts worse | 13.0% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.1% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 28.1% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 6.5% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 96.4% | 94.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 94.1% | 92.2% | 80.1% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Barney, Janett | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Beaver Valley Hospital | Adp Of The SNF · Organization | 0% | 12 facilities |
| Brown, Gary | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Burwell, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Burwell, Nicole | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Carter, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Carter, Shauna | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Cottonwood Healthcare LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Cottonwood Healthcare LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Fey, Daniel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Fey, Kristin | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Fisher, Mahana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fisher, Mahana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Langford, Scott | Corporate Officer · Individual | 0% | 24 facilities |
| Moss, Tyler | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Myers, Katie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 17 facilities |
| Myers, Walter | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Oakden, Richard | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Robinson, Matt | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Schena, Tyler | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Smith, Brady | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Smith, Brady | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, Val | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| St. George Bella Terra Nursing And Rehabilitation LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| St. George Bella Terra Nursing And Rehabilitation LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Swain, Cameron | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Swain, Holly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 16 facilities |
| Swain, Jared | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 20 facilities |
| Wright, Craig | Managing Control - Governing Body · Individual | 0% | 8 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
- D
Establish policies and procedures for volunteers.
- D
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems3F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
Smoke3F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Egress2D
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Meet other general requirements.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 29 min
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- $0
-
Coral Desert Rehabilitation and Care
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- Nursing / resident / day
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-
Red Cliffs Health and Rehab
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★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 26 min
- Fines
- $153,114