Federal inspection record · CMS data as of October 1, 2026

Stonehenge of Cedar City

333 West 1425 North, Cedar City, UT · (435) 267-1700

CMS overall rating

2 of 5

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Certified beds
50
Residents per day
42
Ownership
For-Profit
Chain
Stonehenge Of Utah
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 2003

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Utah homes

Stonehenge of Cedar City carries 74 inspection points. That is fewer than 39% of Utah's 96 rated homes.

5★4★3★2★1★+3 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 74 pts · 2★

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

19 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (3)

  1. G

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

    May 19, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 12, 2026

  2. G

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 26, 2026 · Standard inspection · Resident Rights · F550 · Corrected May 18, 2026

  3. G

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

    March 26, 2026 · Complaint inspection · Nursing and Physician Services · F725 · Corrected May 18, 2026

Everything else, by area of care

Quality of Life and Care4D
  1. D

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

    March 26, 2026 · Complaint · F676 · Corrected May 18, 2026

  2. D

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

    March 26, 2026 · Standard · F689 · Corrected May 18, 2026

  3. D

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

    November 30, 2023 · Standard · F677 · Corrected December 20, 2023

  4. D

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

    December 1, 2021 · Standard · F689 · Corrected January 28, 2022

Resident Rights3E
  1. E

    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.

    March 26, 2026 · Standard · F585 · Corrected May 18, 2026

  2. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 26, 2026 · Standard · F628 · Corrected May 18, 2026

  3. D

    Keep residents' personal and medical records private and confidential.

    December 1, 2021 · Standard · F583 · Corrected January 28, 2022

Nutrition and Dietary2E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    March 26, 2026 · Complaint · F804 · Corrected May 18, 2026

  2. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    March 26, 2026 · Complaint · F805 · Corrected May 18, 2026

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    February 5, 2025 · Complaint · F609 · Corrected March 17, 2025

  2. D

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

    December 1, 2021 · Standard · F609 · Corrected January 28, 2022

Infection Control2F
  1. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    December 1, 2021 · Standard · F882 · Corrected January 28, 2022

  2. D

    Perform COVID19 testing on residents and staff.

    December 1, 2021 · Standard · F886 · Corrected January 28, 2022

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    December 1, 2021 · Standard · F641 · Corrected January 24, 2022

  2. D

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

    December 1, 2021 · Standard · F656 · Corrected January 28, 2022

Pharmacy Service1D
  1. D

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

    December 1, 2021 · Standard · F757 · Corrected January 28, 2022

Inspection history

  1. 2026-03-26

    9 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2023-11-30

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2021-12-01

    8 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 48 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.

This home

3 h 48 min

Utah average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 36% 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

$50,780 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-19Fine$14,380
2026-03-26Fine$36,400

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse1.41.21.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same1.41.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better100.0%97.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better100.0%98.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse4.2%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms14.1 pts better2.8%16.9%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts worse3.6%3.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.4 pts better10.4%25.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication12.6 pts better1.2%13.8%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened13.1 pts worse25.8%12.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts worse12.6%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts better0.9%1.9%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse23.2%20.3%18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts worse6.6%3.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts better99.7%94.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better10.9%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better0.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts better100.0%92.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts worse21.0%17.0%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Avebury Healthcare LLCOperational/Managerial Control · Organization0%1 facilities
Avebury Healthcare LLCAdp Of The SNF · Organization0%1 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Gillespie, DeborahOperational/Managerial Control · Individual0%5 facilities
Gillespie, DeborahAdp Of The SNF · Individual0%5 facilities
Howells, StephenCorporate Officer · Individual0%5 facilities
Howells, StephenOperational/Managerial Control · Individual0%5 facilities
Howells, StephenAdp Of The SNF · Individual0%5 facilities
Kane County Human Resource Special Service DistrictOperational/Managerial Control · Organization0%5 facilities
Kane County Human Resource Special Service DistrictAdp Of The SNF · Organization0%5 facilities
Loveless, KurtCorporate Officer · Individual0%5 facilities
Loveless, KurtOperational/Managerial Control · Individual0%5 facilities
Loveless, KurtAdp Of The SNF · Individual0%5 facilities
Newman, StevenOperational/Managerial Control · Individual0%1 facilities
Newman, StevenAdp Of The SNF · Individual0%1 facilities
Stemmons, KentOperational/Managerial Control · Individual0%1 facilities
Stemmons, KentAdp Of The SNF · Individual0%1 facilities
Stonehenge Of Cedar Cityut IncOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure that testing and maintenance of electrical equipment is performed.

    November 30, 2023 · K921 · Corrected February 1, 2024

Egress1D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 1, 2021 · K211 · Corrected January 7, 2022

·

Other homes nearby

  1. Cedar Health and Rehabilitation

    Cedar City, UT · The Ensign Group

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 45 min
    Fines
    $0
  2. Worst citation, 3 yrs
    F
    Nursing / resident / day
    7 h 5 min
    Fines
    $0
  3. Hurricane Health and Rehabilitation

    Hurricane, UT · The Ensign Group

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 52 min
    Fines
    $46,602