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San Rafael Health and Rehabilitation

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San Rafael Health and Rehabilitation is a government - county facility in Ferron, UT with 51 certified beds and a 1-star overall CMS rating. The facility has 27 deficiency records on file. Total penalties: $29K.

455 West Mill Road, Ferron, UT 84523

Phone: 4353842301

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
465085
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
51
Residents
34
In Hospital
No
County
Emery
Last Inspection
Nov 15, 2024
Abuse citation on record

Staffing Data

RN Hours
1.49 (nat'l avg: 0.68)
LPN Hours
0.20
CNA Hours
2.37
Total Nursing Hours
4.06 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
58.0%
RN Turnover
41.7%

What the CMS Record Reveals About San Rafael Health and Rehabilitation

San Rafael Health and Rehabilitation operates 51 certified beds in Ferron, UT with approximately 34 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 27 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $29K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.06 total nursing hours per resident day (national average 3.89), with RN coverage at 1.49 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, San Rafael Health and Rehabilitation falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

F — Widespread - Minimal harm Nov 15, 2024 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Nov 15, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 13, 2024

G — Isolated - Actual harm Nov 15, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 13, 2024

E — Pattern - Minimal harm Nov 15, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 13, 2024

J — Isolated - Jeopardy Nov 15, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2024

J — Isolated - Jeopardy Nov 15, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2024

J — Isolated - Jeopardy Nov 15, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2024

E — Pattern - Minimal harm Nov 15, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Dec 13, 2024

E — Pattern - Minimal harm Nov 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 13, 2024

F — Widespread - Minimal harm Nov 15, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Nov 15, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Nov 15, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Nov 15, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 13, 2024

E — Pattern - Minimal harm Nov 15, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Mar 15, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Mar 24, 2023

E — Pattern - Minimal harm Mar 15, 2023 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 29, 2023

E — Pattern - Minimal harm Mar 15, 2023 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 24, 2023

C — Widespread - No harm Jun 17, 2021 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Jul 23, 2021

E — Pattern - Minimal harm Jun 17, 2021 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 23, 2021

D — Isolated - Minimal harm Jun 17, 2021 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Jul 23, 2021

E — Pattern - Minimal harm Jun 17, 2021 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 23, 2021

E — Pattern - Minimal harm Jun 17, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 23, 2021

E — Pattern - Minimal harm Jun 17, 2021 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 23, 2021

G — Isolated - Actual harm Jun 17, 2021 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2021

D — Isolated - Minimal harm Jun 17, 2021 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2021

G — Isolated - Actual harm Jun 17, 2021 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2021

D — Isolated - Minimal harm Jun 17, 2021 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 23, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 14.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 46.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 91.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.4% Yes

Penalty History 2 penalties totaling $29K

Date Type Amount
Nov 15, 2024 Fine $26K
Feb 6, 2024 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for San Rafael Health and Rehabilitation?
San Rafael Health and Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at San Rafael Health and Rehabilitation?
San Rafael Health and Rehabilitation reports 4.06 total nursing hours per resident day (national average: 3.89). RN hours are 1.49 per resident day (national average: 0.68). Nursing staff turnover is 58.0%.
How many beds does San Rafael Health and Rehabilitation have?
San Rafael Health and Rehabilitation has 51 certified beds with approximately 34 residents. The facility is located at 455 West Mill Road, Ferron, UT 84523.
Does San Rafael Health and Rehabilitation have any deficiencies on record?
Yes, San Rafael Health and Rehabilitation has 27 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has San Rafael Health and Rehabilitation received any fines or penalties?
Yes, San Rafael Health and Rehabilitation has received 2 penalties totaling $29K.
Who owns San Rafael Health and Rehabilitation?
San Rafael Health and Rehabilitation is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was San Rafael Health and Rehabilitation last inspected?
The most recent health inspection for San Rafael Health and Rehabilitation was on Nov 15, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for San Rafael Health and Rehabilitation?
San Rafael Health and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial