San Rafael Health and Rehabilitation

CMS overall rating

455 West Mill Road, Ferron, UT 84523 View map

Calculator: See prices in your area

San Rafael Health and Rehabilitation accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

San Rafael Health and Rehabilitation accepts Medicaid, Medicare, and private pay.

Overview of San Rafael Health and Rehabilitation

Owned by the County of Emery, San Rafael Health and Rehabilitation is a nursing home in Ferron, Utah. The 51-bed facility operates as a skilled nursing home. Ferron is a rural community with limited nearby services. Its Walk Score is 26, so most trips require transportation. The home has been operating for 45 years, with an occupancy rate of 67%. Residents stay an average of 198 days. Medicaid, Medicare, and private pay are accepted, providing multiple options for both short-term rehabilitation and longer-stay residents.

Nurse staffing averages 3 hours and 50 minutes per resident each day. Registered nurses provide 1 hour and 28 minutes of care daily. Residents who require skilled nursing support and personal assistance receive care through this staffing structure. Family councils are a part of the home’s engagement model.

Recent inspections identified concerns involving care planning, medication management, documentation practices, infection control, and facility sanitation. Deficiencies were also noted in incident reporting protocols and staff training related to resident protection. These areas are important parts of the facility’s operations. Families evaluating the home should ask how these findings have been addressed and what the improvements are.

The facility’s rural location means travel may be necessary for family visits and medical follow-up appointments. San Rafael Health and Rehabilitation has served the Ferron community for many years and provides care for residents who need skilled nursing services.

Facility Direct Line (435) 384-2301 administrator@sanrafaelhealth.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 50m per day

vs avg

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +23% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 28m per day	▲ 23% State avg: 1h 11m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	10m per day	▼ 69% State avg: 31m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 10m per day	▼ 9% State avg: 2h 22m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 16m per day	▼ 7% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 84% State avg: 7m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	1h 0m per day	▲ 20% State avg: 50m per day · National avg: 28m per day

Capacity and availability

198 days

51-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

45 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 26 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

67%

Similar to the Utah average: 70.1%

Occupied beds

34 / 51

Average occupied beds in Utah homes 60 beds

Facility TypeNursing Care Facility

StatusRegulated

IssuanceMarch 15, 1981

CountyEmery

CMS Certification Number465085

Accept Medicaid

Since 2024 · 2 years of data 10 deficiencies 2 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Utah state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2024 vs. Utah state average

Overall vs. UT average

Latest Inspection November 15, 2024 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	UT Average	vs. UT Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	10	14	This facility has 29% fewer total deficiencies than a typical Utah assisted living residence (10 vs. UT avg 14).↓ 29% better
Deficiencies per year Average deficiencies per year since 2024.	5	7	This facility has 29% fewer deficiencies per year than a typical Utah assisted living residence (5 vs. UT avg 7).↓ 29% better
Deficiencies per inspection Average deficiencies per inspection.	5	4.7	This facility has 6% more deficiencies per inspection than a typical Utah assisted living residence (5 vs. UT avg 4.7).↑ 6% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	UT Average	vs. UT Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	2	3	This facility has 33% fewer total inspections than a typical Utah assisted living residence (2 vs. UT avg 3).↓ 33% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

November 15, 2024 complaint investigation found 10 deficiencies including physical abuse, neglect, failure to report incidents, and inadequate staff training on abuse prevention.
Deficiencies included poor care planning, unsafe medication management, infection control failures, and unsanitary kitchen conditions risking resident safety and health.
The facility was substantiated for abuse, neglect, and exploitation, with repeated failures in incident investigation, reporting, and maintaining accurate medical records.

Show Inspection Reports

Inspections since 2021

Total health inspections 3

State average N/A

Last Health inspection on Nov 2024

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 27 citations resulted from standard inspections; and 11 of 27 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

3 critical citations State average: N/A

3 serious citations State average: N/A

20 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 5 years)

Abuse/Neglect critical citation Nov 15, 2024

Corrected

Abuse/Neglect critical citation Nov 15, 2024

Corrected

Abuse/Neglect critical citation Nov 15, 2024

Corrected

Abuse/Neglect moderate citation Nov 15, 2024

Corrected

Total staff 64

Employees 52

Contractors 12

Staff to resident ratio 1.64 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,659

Nursing staff breakdown

9.3 hours

12.1 hours

9 hours

Contractor staffing

705 contractor hours this quarter

Mental Health Service Worker: 4 Speech Language Pathologist: 2 Occupational Therapy Aide: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Dietitian: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	13	0	13	4,577	92	100%	9
Registered Nurse	13	0	13	4,481	92	100%	9.3
Occupational Therapy Aide	10	1	11	2,810	92	100%	6.4
Nurse Aide in Training	6	0	6	1,816	92	100%	8.2
Administrator	2	0	2	973	71	77%	7.5
Medication Aide/Technician	2	0	2	948	76	83%	8.8
Other Dietary Services Staff	2	0	2	791	65	71%	6.8
Dental Services Staff	1	0	1	565	70	76%	8.1
Nurse Practitioner	1	0	1	480	60	65%	8
RN Director of Nursing	1	0	1	422	60	65%	7
Speech Language Pathologist	0	2	2	261	53	58%	3.9
Physical Therapy Aide	0	1	1	251	38	41%	6.6
Licensed Practical Nurse	1	0	1	121	10	11%	12.1
Respiratory Therapy Technician	0	1	1	65	18	20%	3.6
Mental Health Service Worker	0	4	4	51	3	3%	7.2
Physical Therapy Assistant	0	1	1	23	15	16%	1.5
Occupational Therapy Assistant	0	1	1	15	3	3%	5
Dietitian	0	1	1	9	3	3%	3.1

13 Certified Nursing Assistant

% of Days 100%

13 Registered Nurse

% of Days 100%

11 Occupational Therapy Aide

% of Days 100%

6 Nurse Aide in Training

% of Days 100%

2 Administrator

% of Days 77%

2 Medication Aide/Technician

% of Days 83%

2 Other Dietary Services Staff

% of Days 71%

1 Dental Services Staff

% of Days 76%

1 Nurse Practitioner

% of Days 65%

1 RN Director of Nursing

% of Days 65%

2 Speech Language Pathologist

% of Days 58%

1 Physical Therapy Aide

% of Days 41%

1 Licensed Practical Nurse

% of Days 11%

1 Respiratory Therapy Technician

% of Days 20%

4 Mental Health Service Worker

% of Days 3%

1 Physical Therapy Assistant

% of Days 16%

1 Occupational Therapy Assistant

% of Days 3%

1 Dietitian

% of Days 3%

View All Staffing Data

Total fines amount $29K

45% lower than State average

State average: $53K

Number of fines 2

In line with State average

State average: 1.9

Payment Denials 0

100% fewer payment denials than State average

State average: 0.3

Fines amount comparison

This facility $29K

State average $53K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Nov 15, 2024

$26K

Civil Money Penalty Feb 6, 2024

$3K

Last updated: Jan 2026

High-risk clinical events score 12.7

37% worse than State average

State average: 9.3

Functional decline score 22.9

14% worse than State average

State average: 20.1

Long-stay resident measures

Below average State avg: 4.0

Need for Help with Daily Activities Increased 22.4%

43% worse than State average

State average: 15.7%

Walking Ability Worsened 27.3%

28% worse than State average

State average: 21.3%

Low Risk Residents with Bowel/Bladder Incontinence 18.9%

18% better than State average

State average: 23.1%

Falls with Major Injury 7.1%

172% worse than State average

State average: 2.6%

High Risk Residents with Pressure Ulcers 2.4%

43% better than State average

State average: 4.2%

Urinary Tract Infection 3.3%

57% worse than State average

State average: 2.1%

Lost Too Much Weight 4.4%

9% worse than State average

State average: 4.1%

Depressive Symptoms 15.0%

9% better than State average

State average: 16.5%

Antipsychotic Use 28.7%

113% worse than State average

State average: 13.5%

Pneumococcal Vaccine 100.0%

In line with State average

State average: 97.1%

Influenza Vaccine 94.4%

In line with State average

State average: 98.0%

Hospitalizations per 1,000 days 0.86

28% better than State average

State average: 1.19

ED visits per 1,000 days 1.39

7% better than State average

State average: 1.50

Short-stay resident measures

Average State avg: 3.3

Pneumococcal Vaccine 98.0%

5% better than State average

State average: 92.9%

Antipsychotic medication increase 1.9%

79% worse than State average

State average: 1.1%

Influenza Vaccine 91.3%

In line with State average

State average: 91.0%

Re-hospitalized after SNF stay 25.1%

44% worse than State average

State average: 17.4%

Emergency department visits 5.8%

51% better than State average

State average: 11.8%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 24.0%

55% worse than State average

State average: 53.7%

Successful return to home or community 44.4%

12% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

51% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

30% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 39

Medicare

12.8% of residents

Medicaid

56.4% of residents

Private pay or other

30.8% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for San Rafael Health and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 66.9% ↑ 7.6pp vs 2022

Net Patient Income $9.7K ↑ ~$157.9K vs 2022

Payroll Costs $2.2M ↑ ~$191.5K vs 2022

Operating Margin 0.2% ↑ 4.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	61.7%	62.6%	57.1%	41.3%	45.8%	50.9%	44.8%	49.0%	51.1%	50.3%	60.2%	59.4%	66.9%
Beds	55	55	55	55	55	55	55	51	51	51	51	51	51
Net Income	-$208,295	-$134,457	-$183,556	$27,006	$102,685	$195,217	$58,195	$124,111	-$187,393	$193,391	-$287,730	-$86,398	$140,330
Gross Revenue	$2,391,831	$2,567,687	$2,287,378	$1,635,335	$1,972,073	$2,051,815	$1,859,770	$2,248,136	$2,585,959	$4,207,737	$5,029,257	$5,225,657	$5,673,864
Operating Expenses	$2,585,727	$2,722,012	$2,574,919	$2,400,147	$2,197,050	$2,310,437	$2,278,620	$2,617,136	$3,014,199	$3,271,976	$3,949,973	$3,961,356	$4,413,298
Net Patient Income	-$193,896	-$154,325	-$287,541	-$764,812	-$224,977	-$258,622	-$418,850	$114,927	-$233,980	-$181,676	-$528,235	-$148,266	$9,675
Net Patient Revenue	$2,391,831	$2,567,687	$2,287,378	$1,635,335	$1,972,073	$2,051,815	$1,859,770	$2,732,063	$2,780,219	$3,090,300	$3,421,738	$3,813,090	$4,422,973
Payroll Costs	$1,437,260	$1,510,629	$1,537,686	$1,271,578	$1,156,229	$1,235,178	$1,161,292	$1,289,129	$1,350,799	$1,575,939	$1,715,973	$2,028,681	$2,220,157
Operating Margin %	-8.1%	-6.0%	-12.6%	-46.8%	-11.4%	-12.6%	-22.5%	4.2%	-8.4%	-5.9%	-15.4%	-3.9%	0.2%
Medicare %	10.0%	12.5%	8.3%	9.5%	14.5%	14.1%	16.5%	20.6%	17.8%	15.1%	24.9%	23.1%	17.8%
Medicaid %	65.0%	67.1%	65.6%	62.0%	59.8%	64.1%	51.9%	48.6%	58.2%	62.5%	54.8%	55.6%	62.0%
Private %	25.1%	20.4%	26.1%	28.5%	25.7%	21.8%	31.6%	30.8%	24.0%	22.4%	20.3%	21.3%	20.2%
Net Patient Revenue/Day	$193	$204	$200	$197	$214	$200	$207	$299	$292	$329	$305	$345	$355
Cost/Day	$209	$216	$225	$290	$239	$225	$253	$287	$317	$349	$352	$359	$354
Avg Length of Stay	145.6 days	114.5 days	107.2 days	106.2 days	98.9 days	140.4 days	128.6 days	136.2 days	179.5 days	177.0 days	167.3 days	106.2 days	197.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.4M

Net patient income

$9.7K

Government Operated by federal authorities.

Net patient revenue

$4.4M

Net patient income

$9.7K

Other income

$130.7K

Payroll costs

$2.2M 50.2% of net patient revenue

Other operating costs

$2.2M

Total costs

$4.4M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 51%

Private pay 30%

Medicaid 19%

Coverage residents most often leave under.

Medicare 40%

Private pay 33%

Medicaid 27%

0.0 miles from city center Estimated distance in miles from Ferron's city center to San Rafael Health and Rehabilitation's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to San Rafael Health and Rehabilitation

Add your location

Compare Nursing Homes around the area

The information below is reported by the Utah Department of Health and Human Services, Health Facility Licensing.


San Rafael Health and Rehabilitation	NH	Ferron	-	51	-	26	-
Maple Springs of North Logan	NH AL IL MC	North Logan	-	80	-	33	Studio
Fairfield Village a Generations Community	NH AL IL MC	Layton (Cherry Lane Heights)	-	112	-	31	Studio / 1 Bed / 2 Bed
City Creek Post Acute	NH	Salt Lake City (East Central)	-	108	-	75	-
William E. Christoffersen Salt Lake Veterans Home	NH MC NC RC	Salt Lake City (University)	-	81	-	39	-

Nursing Home Explorer

Is San Rafael Health and Rehabilitation in a walkable area?

San Rafael Health and Rehabilitation has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at San Rafael Health and Rehabilitation?

San Rafael Health and Rehabilitation's occupancy is 67%.

Is San Rafael Health and Rehabilitation a government-operated facility?

San Rafael Health and Rehabilitation is a government-operated nursing facility in UT.

How many beds does San Rafael Health and Rehabilitation have?

San Rafael Health and Rehabilitation has 51 beds.

Are there photos of San Rafael Health and Rehabilitation?

Yes — there are 3 photos of San Rafael Health and Rehabilitation in the photo gallery on this page.

What is the address of San Rafael Health and Rehabilitation?

San Rafael Health and Rehabilitation is located at 455 West Mill Road, Ferron, UT 84523.

What is the phone number of San Rafael Health and Rehabilitation?

(435) 384-2301 will put you in contact with the team at San Rafael Health and Rehabilitation.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

San Rafael Health and Rehabilitation

Overview of San Rafael Health and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Payment & Insurance

Amenities & Lifestyle

Contact San Rafael Health and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Utah state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

13 Certified Nursing Assistant

13 Registered Nurse

11 Occupational Therapy Aide

6 Nurse Aide in Training

2 Administrator

2 Medication Aide/Technician

2 Other Dietary Services Staff

1 Dental Services Staff

1 Nurse Practitioner

1 RN Director of Nursing

2 Speech Language Pathologist

1 Physical Therapy Aide

1 Licensed Practical Nurse

1 Respiratory Therapy Technician

4 Mental Health Service Worker

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

1 Dietitian

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near San Rafael Health and Rehabilitation

Calculate Travel Distance to San Rafael Health and Rehabilitation

Compare Nursing Homes around the area

Guides for Better Senior Living