Federal inspection record · CMS data as of October 1, 2026
Four Corners Regional Care Center
818 North 400 West, Blanding, UT · (435) 638-2251
- Certified beds
- 104
- Residents per day
- 51
- Ownership
- Government
- Chain
- Cascades Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 17, 1977
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
-
Staffing
★★★★★−1 star
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.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Four Corners Regional Care Center carries 103 inspection points. That is fewer than 22% 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
26 health citations on record since 2021. 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 (2)
-
H
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.
Everything else, by area of care
Pharmacy Service7E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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
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.
- D
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
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.
Quality of Life and Care5E
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning3E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services2F
- F
Post nurse staffing information every day.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2025-01-09
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2023-03-15
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2021-06-17
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 49 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
2 h 49 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 40% 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
$68,471 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-09 | Fine | $68,471 |
| 2025-01-09 | Payment Denial · 8 day denial | $0 |
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 vaccine12.8 pts worse | 85.0% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 100.0% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.9 pts worse | 29.8% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 4.8% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.8 pts better | 7.0% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.7 pts worse | 25.5% | 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 worsened4.8 pts worse | 17.5% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.6 pts worse | 25.3% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 1.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.5% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 22.5% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 0.9% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse | 87.1% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.5 pts better | 0.0% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 1.9% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24 pts worse | 68.2% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 13.0% | 17.0% | 23.4% |
·
Who owns and runs it
20 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 | Corporate Director · Individual | 0% | 14 facilities |
| Brown, Gary | Corporate Director · Individual | 0% | 15 facilities |
| Cascades Healthcare LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Cascades Healthcare LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Fullmer, Chad | Corporate Director · Individual | 0% | 14 facilities |
| Fullmer, Chad | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Fullmer, Chad | Adp Of The SNF · Individual | 0% | 14 facilities |
| Jones, Lloyd | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jones, Lloyd | Adp Of The SNF · Individual | 0% | 1 facilities |
| Langford, Scott | Corporate Officer · Individual | 0% | 24 facilities |
| Mcspadden, Darin | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Corporate Officer · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Adp Of The SNF · Individual | 0% | 17 facilities |
| Oakden, Richard | Corporate Director · Individual | 0% | 13 facilities |
| Robinson, Matthew | Corporate Director · Individual | 0% | 5 facilities |
| Smith, Val | Corporate Director · Individual | 0% | 14 facilities |
| Stokes, Samuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stokes, Samuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| White, Craig | Corporate Director · Individual | 0% | 6 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3F
- D
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
-
Vista Grande Rehabilitation And Healthcare Center
Cortez, CO · Centennial Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 6 min
- Fines
- $36,023
-
Canyonland Care Center
Moab, UT
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 33 min
- Fines
- $11,193
-
Valley Rehabilitation And Healthcare Center, The
Mancos, CO · Centennial Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 10 min
- Fines
- $8,278