Bella Terra St George (Black Rock Health and RehabCMS ratings, inspections and fines
- Address
- 178 South 1200 East, St. George, UT 84790
- CCN
- 465152
- Ownership type
- For-profit, limited liability company
- Certified beds
- 149
- Residents per day
- 74
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Bella Terra St George (Black Rock Health and Rehab an overall rating of 1 of 5 stars. The last standard survey was on 8 Jan 2026. The latest survey cycle has 2 health citations. The median for nursing homes in Utah is 7. CMS lists 2 fines with a total of $81,346 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Washington County median | Utah median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 97 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Utah median |
|---|---|---|---|
| Cycle 1 (latest) | 8 Jan 2026 | 2 | 7 |
| Cycle 2 | 13 Nov 2024 | 56 | 6 |
| Cycle 3 | No date | 6 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 23 Jan 2026 |
| 8 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Jan 2026 |
Survey cycle 2: 56 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0578 | 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 | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0584 | 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 | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0585 | 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. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | H | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0758 | 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. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0775 | Keep complete, dated laboratory records in the resident's record. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | G | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Complaint investigation | 7 Jan 2025 |
| 13 Nov 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 7 Jan 2025 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Jul 2023 |
| 28 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Jul 2023 |
| 28 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 31 Jul 2023 |
| 28 Jun 2023 | F0690 | 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 | Standard survey | 31 Jul 2023 |
| 28 Jun 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 31 Jul 2023 |
| 28 Jun 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 31 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 8 Nov 2024 | Fine | $68,812 | |
| 6 Feb 2024 | Fine | $12,534 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Utah median | Utah average (CMS) |
|---|---|---|---|
| All nurse staff | 2.99 | 3.70 | 4.07 |
| Registered nurses (RN) | 0.62 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.64 | 0.48 | |
| Nurse aides | 1.73 | 2.35 | |
| All nurse staff, weekends | 2.58 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- 64.8%
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- 30.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Utah median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.8% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.8% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.0% | 10.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Beaver Valley Hospital
- Chain
- Beaver Valley Hospital (5 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cottonwood Healthcare LLC | Operational/managerial control | 10 Feb 2016 | |
| St. George Bella Terra Nursing and Rehabilitation LLC | Operational/managerial control | 11 Jul 2025 | |
| Beaver Valley Hospital | Adp of the snf | 2 Feb 2016 | |
| Cottonwood Healthcare LLC | Adp of the snf | 3 Jul 2025 | |
| St. George Bella Terra Nursing and Rehabilitation LLC | Adp of the snf | 11 Jul 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Washington County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| St. George Rehabilitation | St. George | 4 of 5 | 8 | $0 | 7 Jun 2024 | |
| Coral Desert Rehabilitation and Care | St. George | 4 of 5 | 2 | $0 | 21 Nov 2024 | |
| Red Cliffs Health and RehabSpecial Focus candidate | St George | 1 of 5 | 35 | $153,114 | 6 Jun 2024 | |
| Advanced Health Care of St. George | St George | 5 of 5 | 4 | $0 | 15 May 2025 | |
| Seasons Healthcare and Rehabilitation | St. George | 3 of 5 | 4 | $0 | 17 Jul 2024 | |
| Southern Utah Veterans Home - Ivins | Ivins | 5 of 5 | 11 | $0 | 20 May 2025 | |
| Hurricane Health and Rehabilitation | Hurricane | 2 of 5 | 7 | $46,602 | 25 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Bella Terra St George (Black Rock Health and Rehab (CCN 465152). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/bella-terra-st-george-black-rock-health-and-rehab-st-george-ut-465152/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Bella Terra St George (Black Rock Health and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 8 Jan 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 13 Nov 2024.
- Who operates Bella Terra St George (Black Rock Health and Rehab?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Beaver Valley Hospital. The CMS ownership file names Cottonwood Healthcare LLC and St. George Bella Terra Nursing and Rehabilitation LLC for operational or managerial control. This site does not show the names of persons.
- Is Bella Terra St George (Black Rock Health and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Utah as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.