Elder Care Record

Utah › Emery County › Ferron

San Rafael Health and Rehabilitation

455 West Mill Road, Ferron, UT 84523

CCN 465085 · Government, county · 51 certified beds

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 51 beds, San Rafael Health and Rehabilitation serves Ferron in Emery County, Utah and has taken Medicare and Medicaid residents since 1981.

CMS gives it 1 of 5 stars overall, below the Utah median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 27 health deficiencies across the three most recent survey cycles (14, 3, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 52.9 per 100 beds, more than the state median of 26.0.

CMS lists 2 penalties in the period covered: fines totalling $29K.

Reported nurse staffing is 3.9 hours per resident per day (1.4 RN), close to the Utah median of 3.7; nursing staff turnover is 52.1%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

27health deficiencies, 3 survey cycles6 at actual harm or worse
$29Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 3.7
72%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityEmery Co. medianUtah medianUS average
Overall star rating1133.0
Health citations, 3 cycles27272228.7
Citations per 100 beds52.952.926.026.8
Total nurse hours per resident day3.93.93.73.9
RN hours per resident day1.41.41.00.7
Nursing staff turnover52.1%52.1%50.9%45.8%
Fines listed$29,347$29,347$6,351—

County and state figures are medians across facilities (1 in the county, 97 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 23
Cycle 310

Dark bar: this facility. Grey bar: Utah average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Nov 2024, 15 Mar 2023.

Severity mix: J ×3 G ×3 D ×8 E ×10 F ×2 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation13 Dec 2024
15 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint investigation13 Dec 2024
15 Nov 2024F0610Respond appropriately to all alleged violations.JComplaint investigation13 Dec 2024
15 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation13 Dec 2024
15 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Dec 2024
15 Nov 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FComplaint investigation13 Dec 2024
15 Nov 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation13 Dec 2024
15 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey13 Dec 2024
15 Nov 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation13 Dec 2024
15 Nov 2024F0880Provide and implement an infection prevention and control program.EStandard survey13 Dec 2024
15 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Dec 2024
15 Nov 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey13 Dec 2024
15 Nov 2024F0758Implement 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.DStandard survey13 Dec 2024
15 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation13 Dec 2024
15 Mar 2023F0585Honor 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.EStandard survey24 Mar 2023
15 Mar 2023F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey29 Mar 2023
15 Mar 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 Mar 2023
17 Jun 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey23 Jul 2021
17 Jun 2021F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey23 Jul 2021
17 Jun 2021F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey23 Jul 2021
17 Jun 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey23 Jul 2021
17 Jun 2021F0758Implement 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.EStandard survey23 Jul 2021
17 Jun 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey23 Jul 2021
17 Jun 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 Jul 2021
17 Jun 2021F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Jul 2021
17 Jun 2021F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey23 Jul 2021
17 Jun 2021F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyCStandard survey23 Jul 2021

Penalties

DateTypeAmountDetail
15 Nov 2024Fine$25,929
6 Feb 2024Fine$3,418

Staffing

Total nursing3.86 h
Nurse aides2.29 h
LPN0.17 h
RN1.4 h
Weekend total3.14 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Utah average. Turnover: nursing staff 52.1%, RNs 23.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityUtah medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.2%10.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.4%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.4%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.0%3.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay33.8%10.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county. Legal business name: Emery County Care And Rehabilitation Center.

OrganisationRole in the CMS recordInterestSince
County of Emery5% or greater direct ownership interest100%09/14/2010
Traditions Health Care, Inc.Operational/managerial controlNOT APPLICABLE08/01/1996
County of EmeryTrustee of the snfNOT APPLICABLE09/14/2010
County of EmeryAdp of the snfNOT APPLICABLE09/14/2010
Traditions Health Care, Inc.Adp of the snfNOT APPLICABLE04/23/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has San Rafael Health and Rehabilitation been cited for?

27 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Utah median is 22 per facility.

Has San Rafael Health and Rehabilitation been fined?

Yes. CMS lists fines totalling $29K in the period covered.

How does staffing at San Rafael Health and Rehabilitation compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Utah median of 3.7 and a national average of 3.9.

Who operates San Rafael Health and Rehabilitation?

Ownership type is government, county. Organisations in the CMS ownership record include County of Emery and Traditions Health Care, Inc.. Individual owners and managers are not listed on this site.

When was San Rafael Health and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 15 Nov 2024; the most recent standard health survey was 15 Nov 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.