Federal inspection record · CMS data as of October 1, 2026
Red Cliffs Health and Rehab
1745 East 280 North, St George, UT · (435) 628-7770
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 124
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- Cascades Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 22, 1993
1
How this home got 2 stars
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.
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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.
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Quality measures
★★★★★+1 star
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Utah homes
Red Cliffs Health and Rehab carries 382.5 inspection points. That is fewer than 1% 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
63 health citations on record since 2020. 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 (11)
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H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
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G
Provide safe, appropriate pain management for a resident who requires such services.
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G
Ensure that residents are free from significant medication errors.
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G
Provide routine and 24-hour emergency dental care for each resident.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care10D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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
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.
Resident Rights9E
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation8E
- 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.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning8E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration6E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Keep complete, dated laboratory records in the resident's record.
- E
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.
- D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Pharmacy Service6E
- 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.
- E
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.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Report COVID19 data to residents and families.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-06-06
35 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2022-07-21
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2020-01-09
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 26 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 64% 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
$153,114 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-06 | Fine | $153,114 |
| 2024-06-06 | Payment Denial · 458 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 daysAbout the same | 1.2 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse | 96.4% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts worse | 97.4% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts worse | 5.7% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.6 pts worse | 40.5% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 0.8% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts better | 16.7% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 6.0% | 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 worsened6.1 pts better | 6.6% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better | 7.4% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.2% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 20.6% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.3% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts worse | 88.9% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.6 pts worse | 22.1% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.5 pts better | 94.7% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts worse | 23.5% | 17.0% | 23.4% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Baird, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Baird, Gregory | Adp Of The SNF · Individual | 0% | 5 facilities |
| Barney, Janett | Corporate Director · Individual | 0% | 14 facilities |
| Beaver Valley Hospital | Operational/Managerial Control · Organization | 0% | 12 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 | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Fullmer, Chad | Adp Of The SNF · Individual | 0% | 14 facilities |
| Langford, Scott | Managing Control - Governing Body · Individual | 0% | 24 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 |
| Merrell, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Merrell, David | Adp Of The SNF · Individual | 0% | 1 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 |
| White, Craig | Corporate Director · Individual | 0% | 6 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
St. George Rehabilitation
St. George, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Bella Terra St George (Black Rock Health and Rehab
St. George, UT · Beaver Valley Hospital
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 5 min
- Fines
- $81,346
-
Coral Desert Rehabilitation and Care
St. George, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 53 min
- Fines
- $0