St George, UT

Red Cliffs Health and Rehab

2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $153,114 in total fines with 37 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1745 East 280 North, St George, UT

(435) 628-7770

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

80

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascades Healthcare

Operator or chain grouping

Approved since

1993-12-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 1.19 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 4.06 · national 3.89

Licensed hours

1.48

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.84 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.12 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.07

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

65%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

73%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,955

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.10% · Performance 21.52% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

7.76

Baseline 6.28% · Performance 5.51% · Measure score 7.76 · Achievement 7.76 · Improvement 5.45

Total nurse turnover

0

Baseline 50.60% · Performance 69.56% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.01

Baseline 3.12 hours · Performance 3.36 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0.43

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.16%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 136 · Observed rate 9.56% · Lower 95% interval 7.29%
Discharge to community 61.86%
50.57%
11.3 pts better
Better than the National Rate · Eligible stays 76 · Observed rate 60.53% · Lower 95% interval 51.78%
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 98.46%
95.27%
3.2 pts better
Numerator 64 · Denominator 65
Falls with major injury 1.54%
0.77%
0.8 pts worse
Numerator 1 · Denominator 65
Discharge self-care score 73.33%
53.69%
19.6 pts better
Numerator 33 · Denominator 45
Discharge mobility score 46.67%
50.94%
4.3 pts worse
Numerator 21 · Denominator 45
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 65 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 5.52%
7.12%
1.6 pts better
No Different than the National Rate · Eligible stays 67 · Observed rate 1.49% · Lower 95% interval 3.43%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 120
Staff flu vaccination coverage 63.46%
42%
21.5 pts better
Numerator 132 · Denominator 208
Discharge function score 66.67%
56.45%
10.2 pts better
Numerator 30 · Denominator 45
Transfer of health information to provider 97.06%
95.95%
1.1 pts better
Numerator 33 · Denominator 34
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.2
0.3 pts worse
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.5
About the same
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.6%
96.8%
7.2 pts worse
93.4%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 85.0% · Q2 90.0% · Q3 90.6% · Q4 92.4% · 4Q avg 89.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
98.0%
0.9 pts worse
95.5%
1.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
2.6%
0.2 pts worse
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 1.6% · Q4 4.5% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 54.3%
16.1%
38.2 pts worse
11.4%
42.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 54.5% · Q3 55.7% · Q4 56.2% · 4Q avg 54.3%
Percentage of long-stay residents who lose too much weight 1.7%
3.8%
2.1 pts better
5.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 3.2% · Q4 1.6% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8%
24.1%
5.3 pts better
19.6%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 17.2% · Q3 22.6% · Q4 15.6% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication 9.1%
15.4%
6.3 pts better
16.7%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 8.9% · Q3 9.6% · Q4 8.3% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 11.4%
18.3%
6.9 pts better
16.3%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q3 21.1% · Q4 0.0% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.3%
13.6%
8.3 pts better
14.9%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.7% · Q3 6.8% · Q4 8.3% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.0%
1.8%
0.2 pts worse
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 0.0% · Q4 3.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.4%
22.4%
1 pts worse
19.8%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 19.1% · Q3 18.0% · Q4 32.8% · 4Q avg 23.4%
Percentage of long-stay residents with pressure ulcers 4.3%
4.1%
0.2 pts worse
5.1%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.9% · Q3 6.0% · Q4 3.3% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.1%
93.3%
4.2 pts worse
81.7%
7.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 87.5% · Q3 87.4% · Q4 85.0% · 4Q avg 89.1%
Percentage of short-stay residents who had an outpatient emergency department visit 10.9%
11.8%
0.9 pts better
12.0%
1.1 pts better
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 11.1% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
0.9%
0.4 pts worse
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.9%
91.0%
0.1 pts worse
79.7%
11.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.3%
17.4%
1.9 pts worse
23.9%
4.6 pts better
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 19.4% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-06 · Fire 2024-06-06

37 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2022-07-21 · Fire 2022-07-21

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2020-01-09 · Fire 2020-01-09

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-07-31

D · Potential for more than minimal harm 2022-07-21

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-09-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-25

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-25

H · Actual harm 2024-06-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-31

G · Actual harm 2024-06-06

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 2024-07-30

G · Actual harm 2024-06-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-30

G · Actual harm 2024-06-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-30

G · Actual harm 2024-06-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-31

G · Actual harm 2024-06-06

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-07-30

G · Actual harm 2024-06-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-07-30

G · Actual harm 2024-06-06

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-06

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

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 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F775 · Administration Deficiencies

Health

Keep complete, dated laboratory records in the resident's record.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-30

E · Potential for more than minimal harm 2023-03-22

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-03-22

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-03-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-03-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-03-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-03-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-03-22

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 2023-06-09

G · Actual harm 2022-07-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-15

F · Potential for more than minimal harm 2022-07-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-09-15

F · Potential for more than minimal harm 2022-07-21

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-07-21

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-07-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-09-15

E · Potential for more than minimal harm 2022-07-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-07-21

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 2022-09-15

D · Potential for more than minimal harm 2022-07-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-07-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-07-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-07-21

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-07-21

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 2022-09-15

G · Actual harm 2020-01-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-02-20

G · Actual harm 2020-01-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2020-02-20

E · Potential for more than minimal harm 2020-01-09

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 2020-02-20

E · Potential for more than minimal harm 2020-01-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2020-02-20

E · Potential for more than minimal harm 2020-01-09

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2020-02-20

E · Potential for more than minimal harm 2020-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2020-02-20

D · Potential for more than minimal harm 2020-01-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-02-20

Penalties and ownership

What sits behind the stars

$153,114 2024-06-06

Fine

Fine · fine $153,114

Fine

$0 2024-06-06

Payment Denial

Payment Denial · denial start 2024-07-30 · 458 days

458 day denial

Ownership

Beaver Valley Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 34 facilities 2018-09-18
Baird, Gregory

Operational/Managerial Control · Individual

0% 5 facilities 2023-01-01
Barney, Janett

Corporate Director · Individual

0% 4 facilities 2018-09-18
Beaver Valley Hospital

Operational/Managerial Control · Organization

0% 34 facilities 2018-09-18
Brown, Gary

Corporate Director · Individual

0% 5 facilities 2018-09-18
Cascades Healthcare LLC

Operational/Managerial Control · Organization

0% 9 facilities 2023-01-01
Fullmer, Chad

Operational/Managerial Control · Individual

0% 16 facilities 2018-09-18
Langford, Scott

Corporate Officer · Individual

0% 23 facilities 2018-09-18
Mcspadden, Darin

Operational/Managerial Control · Individual

0% 20 facilities 2018-09-18
Mcspadden, Darin

Corporate Officer · Individual

0% 20 facilities 2018-09-18
Merrell, David

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-22
Oakden, Richard

Corporate Director · Individual

0% 3 facilities 2018-09-18
Robinson, Matthew

Corporate Director · Individual

0% 3 facilities 2018-09-18
Smith, Val

Corporate Director · Individual

0% 4 facilities 2018-09-18
White, Craig

Corporate Director · Individual

0% 4 facilities 2018-09-18

Nearby options

Other facilities in reach

#1

St. George Rehabilitation

St. George, UT

3-star overall rating with 3-star inspections with 8 recent health deficiencies

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0
#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

Overall
2 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$100,651
#3

Coral Desert Rehabilitation and Care

St. George, UT

5-star overall rating with 4-star inspections with 2 recent health deficiencies

Overall
5 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$0

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