Federal inspection record · CMS data as of October 1, 2026
Southern Utah Veterans Home - Ivins
160 North 200 East, Ivins, UT · (435) 634-5220
- CMS high-performer trophy
- Certified beds
- 108
- Residents per day
- 105
- Ownership
- For-Profit
- Chain
- Avalon Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 14, 2013
1
How this home got 5 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
★★★★★+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.
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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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Southern Utah Veterans Home - Ivins carries 40 inspection points. That is fewer than 63% 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
12 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care4E
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 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.
Resident Rights3D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
2025-05-20
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-06-28
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2021-09-29
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 5 h 56 min of nursing staff time a day, 1 h 37 min of it from a registered nurse.
This home
5 h 56 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 30% 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
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 days0.5 pts better | 0.7 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 100.0% | 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 injury2.6 pts worse | 5.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.2 pts better | 11.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 5.3% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.9 pts worse | 45.7% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts worse | 16.7% | 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 worsened1.9 pts better | 10.8% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better | 6.8% | 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 infection1.6 pts better | 0.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 17.8% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts better | 0.6% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 99.1% | 94.1% | 82.3% |
| 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 vaccine7.8 pts better | 100.0% | 92.2% | 80.1% |
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Who owns and runs it
37 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 |
|---|---|---|---|
| Avalon Va Management LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Avalon Veterans Services, L.l.c. | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 4 facilities |
| Avalon Health Care Inc | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Avalon Health Care Inc | Adp Of The SNF · Organization | 0% | 14 facilities |
| Avalon Health Care Management Inc | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Avalon Health Care Management Inc | Adp Of The SNF · Organization | 0% | 16 facilities |
| Brereton, Dean | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brereton, Dean | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dangerfield, David | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Dangerfield, David | Corporate Director · Individual | 0% | 15 facilities |
| Derrick, Michael | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Harris, Bradford | Corporate Officer · Individual | 0% | 10 facilities |
| Harris, Bradford | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Harris, Bradford | Adp Of The SNF · Individual | 0% | 10 facilities |
| Hash, Alan | Corporate Officer · Individual | 0% | 17 facilities |
| Hash, Alan | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Hash, Alan | Adp Of The SNF · Individual | 0% | 17 facilities |
| Kirton, Byron | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Byron | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Officer · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Adp Of The SNF · Individual | 0% | 15 facilities |
| Kirton, Spencer | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Spencer | Corporate Director · Individual | 0% | 15 facilities |
| Olson, Jerry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olson, Jerry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Orr, Trevor | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Orr, Trevor | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, Nicole | Corporate Officer · Individual | 0% | 16 facilities |
| Smith, Nicole | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Smith, Nicole | Adp Of The SNF · Individual | 0% | 16 facilities |
| State Of Utah | Operational/Managerial Control · Organization | 0% | 4 facilities |
| State Of Utah | Adp Of The SNF · Organization | 0% | 4 facilities |
| Woltil, Robert | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Woltil, Robert | Corporate Director · Individual | 0% | 15 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Seasons Healthcare and Rehabilitation
St. George, UT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
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