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

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

1.86

Nurse aide staffing

Weekend hours

2.88

Weekend nurse staffing

RN turnover

65%

Annual RN turnover

Total nurse turnover

73%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

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