Cycle 1
Health 2025-05-29 · Fire 2025-05-29
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Richfield, UT
Stonehenge of Richfield
5-star overall rating with 3-star inspections with 8 recent health deficiencies
125 East 600 North, Richfield, UT
(435) 896-2000
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
19
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stonehenge Of Utah
Operator or chain grouping
Approved since
2010-07-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 5 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.06
Registered nurse staffing · state 1.19 · national 0.68
LPN hours / resident day
0.15
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.37 · national 2.35
Total nurse hours
4.72
All reported nurse hours · state 4.06 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.93
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
1.47
Weekend registered nurse coverage · state 0.84 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
2.02
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
24%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
199
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
78.47
Composite VBP score used to determine payment impact.
Payment multiplier
1.0255
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.72
Baseline 19.86% · Performance 17.39% · Measure score 8.72 · Achievement 8.72 · Improvement 8.22
Healthcare-associated infections
6.23
Baseline 7.62% · Performance 5.97% · Measure score 6.23 · Achievement 6.23 · Improvement 5.78
Total nurse turnover
8.59
Baseline 42.86% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 7.43
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 6.25% · Lower 95% interval 6.77% |
| Discharge to community | 65.78% |
50.57%
15.2 pts better
|
Better than the National Rate · Eligible stays 105 · Observed rate 73.33% · Lower 95% interval 56.78% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 72 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 42 · Denominator 63 |
| Discharge mobility score | 60.32% |
50.94%
9.4 pts better
|
Numerator 38 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 72 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.97% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 1.49% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 1.79% |
8.2%
6.4 pts worse
|
Numerator 1 · Denominator 56 |
| Staff flu vaccination coverage | 96.36% |
42%
54.4 pts better
|
Numerator 53 · Denominator 55 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 45 · Denominator 63 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 58 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 2.78% |
25.2%
22.4 pts worse
|
Numerator 1 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.8%
3.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
16.1%
13.5 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
3.8%
3.8 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.9% |
24.1%
10.8 pts worse
|
19.6%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.4% |
15.4%
4 pts worse
|
16.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.9% |
13.6%
7.3 pts worse
|
14.9%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.2% |
0.9%
2.3 pts worse
|
1.0%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.8%
1.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
22.4%
2.1 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 10.4% |
4.1%
6.3 pts worse
|
5.1%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.3%
6.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
11.8%
0.2 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.7% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
0.9%
0.9 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
91.0%
6.1 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 6.1% |
17.4%
11.3 pts better
|
23.9%
17.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.4% · Expected 20.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-12 · Fire 2023-07-12
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-09-02 · Fire 2021-09-02
13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-29
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-27
E · Potential for more than minimal harm
2025-05-29
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-06-18
E · Potential for more than minimal harm
2025-05-29
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 2025-06-19
E · Potential for more than minimal harm
2025-05-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-29
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-27
D · Potential for more than minimal harm
2025-05-29
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 2025-06-27
D · Potential for more than minimal harm
2025-05-29
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 2025-06-27
G · Actual harm
2021-09-02
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 2021-10-22
F · Potential for more than minimal harm
2021-09-02
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2021-10-22
E · Potential for more than minimal harm
2021-09-02
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2021-10-22
E · Potential for more than minimal harm
2021-09-02
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 2021-10-22
E · Potential for more than minimal harm
2021-09-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
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 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2021-10-22
D · Potential for more than minimal harm
2021-09-02
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 2021-10-22
D · Potential for more than minimal harm
2021-09-02
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-10-22
Penalties and ownership
What sits behind the stars
Ownership
Archstone Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Archstone Healthcare LLC
Operational/Managerial Control · Organization
Cichos, Tyson
5% Or Greater Direct Ownership Interest · Individual
Cichos, Tyson
Operational/Managerial Control · Individual
Cloward, Wyatt
5% Or Greater Direct Ownership Interest · Individual
Cloward, Wyatt
Operational/Managerial Control · Individual
Gillespie, Deborah
5% Or Greater Indirect Ownership Interest · Individual
Gillespie, Deborah
Operational/Managerial Control · Individual
Howells, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Howells, Stephen
Operational/Managerial Control · Individual
Howells, Stephen
Corporate Officer · Individual
Juluson, Tyler
5% Or Greater Indirect Ownership Interest · Individual
Juluson, Tyler
Operational/Managerial Control · Individual
Kane County Human Resource Special Service District
5% Or Greater Direct Ownership Interest · Organization
Kane County Human Resource Special Service District
Operational/Managerial Control · Organization
Loveless, Kurt
5% Or Greater Indirect Ownership Interest · Individual
Loveless, Kurt
Operational/Managerial Control · Individual
Loveless, Kurt
Corporate Officer · Individual
Robison, Cory
5% Or Greater Indirect Ownership Interest · Individual
Robison, Cory
Operational/Managerial Control · Individual
Spencer, Jesse
5% Or Greater Indirect Ownership Interest · Individual
Spencer, Jesse
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Monument Healthcare Richfield (Mission at Richfiel
Richfield, UT
5-star overall rating with 4-star inspections with $8,148 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Mission at Community Living Rehabilitation Center
Centerfield, UT
3-star overall rating with 3-star inspections with $6,351 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Millard County Care and Rehabilitation
Delta, UT
3-star overall rating with 2-star inspections with $19,656 in total fines with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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