Show Inspection Reports
Total health inspections
3
Utah average 3.5
Last Health inspection on Nov 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
San Rafael Health and Rehabilitation
Nursing Home
San Rafael Health and Rehabilitation
Nursing Home
San Rafael Health and Rehabilitation is located in Ferron, Utah. It provides skilled nursing and rehabilitation services in a family-home atmosphere. The facility is Medicare-Medicaid approved for long-term and short-term care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
51
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.9%
Residents per day (avg)
34
Occupancy rate
66.9%
Residents per day (avg)
34
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Governmental home
City-County
Home revenue
$5.8M
Surplus of revenue
$140.3K
Governmental home
City-County
Home revenue
$5,804,519.00
Surplus of revenue
$140,330.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
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.
About this community
License Status
REGULATED
Facility Type
Nursing Care Facility
License Date
March 15, 1981
Additional licensing details
CMS Certification Number:
465085
County:
Emery
Care Services
Accepts Medicaid
Programs & Activities
Specific Programs
Services, Activities, Family Councils, Admission Information
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Inspection History
In Utah, the Department of Health and Human Services, Health Facility Licensing conducts regular onsite inspections to ensure compliance with state and federal healthcare standards.
2 visits/inspections
Latest inspection
Date:November 15, 2024
Type:Complaint Investigation
6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Utah
The information below is reported by the Utah Department of Health and Human Services, Health Facility Licensing.
Advanced Health Care of St George
+18%
+37%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
UT 84790
50
No
SWIGERT, JASON
57.7%
$9,903,627.00
$3,291,514.00
33.2%
42.50
5.1004
1
8
-
+18%+37%-18%
Coral Desert Rehabilitation and Care
-39%
-10%
-3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
UT 84790
60
No
MILESTONE HEALTHCARE LLC
67.7%
$10,648,062.00
$5,113,422.00
48%
42.50
3.3340
-
13
-
-39%-10%-3%
Cedar Health and Rehabilitation
-53%
-2%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
UT 84721
120
No
CEDAR CITY HEALTHCARE, INC.
57.5%
$9,424,977.00
$4,402,815.00
46.7%
76.60
3.6367
-
20
1
-53%-2%-18%
Four Corners Regional Care Center
-47%
+3%
-37%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
UT 84511
104
No
CASCADES AT FOUR CORNERS REHAB LLC
44.4%
$3,875,423.00
$1,727,210.00
44.6%
47.90
3.8467
2
26
2
-47%+3%-37%
San Rafael Health and Rehabilitation
-12%
+3%
-5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
UT 84523
51
No
COUNTY OF EMERY
66.9%
$5,673,864.00
$1,781,209.00
31.4%
34.00
3.8394
2
27
6
-12%+3%-5%
Advanced Health Care of St George
Type of care:
SNF
AL
Community:
UT 84790
Bed Count:
50
Pets Allowed:
No
Operator:
SWIGERT, JASON
CCN:
465190
Occupancy:
57.7%
Home Revenue:
$9,903,627.00
Payroll Costs:
$3,291,514.00
Payroll %:
33.2%
Avg Residents/Day:
42.50
Overall Rating:
Adj Nurse Hours:
5.1004
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
8
RN share vs State Avg:
+18%
+18%
Staffing vs State Avg:
+37%
+37%
Occupancy vs State Avg:
-18%
-18%
Coral Desert Rehabilitation and Care
Type of care:
SNF
AL
Community:
UT 84790
Bed Count:
60
Pets Allowed:
No
Operator:
MILESTONE HEALTHCARE LLC
CCN:
465160
Occupancy:
67.7%
Home Revenue:
$10,648,062.00
Payroll Costs:
$5,113,422.00
Payroll %:
48%
Avg Residents/Day:
42.50
Overall Rating:
Adj Nurse Hours:
3.3340
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-39%
-39%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
-3%
-3%
Cedar Health and Rehabilitation
Type of care:
SNF
AL
Community:
UT 84721
Bed Count:
120
Pets Allowed:
No
Operator:
CEDAR CITY HEALTHCARE, INC.
CCN:
465143
Occupancy:
57.5%
Home Revenue:
$9,424,977.00
Payroll Costs:
$4,402,815.00
Payroll %:
46.7%
Avg Residents/Day:
76.60
Overall Rating:
Adj Nurse Hours:
3.6367
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
Severe Citations:
1
RN share vs State Avg:
-53%
-53%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
-18%
-18%
Four Corners Regional Care Center
Type of care:
SNF
AL
Community:
UT 84511
Bed Count:
104
Pets Allowed:
No
Operator:
CASCADES AT FOUR CORNERS REHAB LLC
CCN:
465057
Occupancy:
44.4%
Home Revenue:
$3,875,423.00
Payroll Costs:
$1,727,210.00
Payroll %:
44.6%
Avg Residents/Day:
47.90
Overall Rating:
Adj Nurse Hours:
3.8467
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
26
Severe Citations:
2
RN share vs State Avg:
-47%
-47%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
-37%
-37%
San Rafael Health and Rehabilitation
Type of care:
SNF
AL
Community:
UT 84523
Bed Count:
51
Pets Allowed:
No
Operator:
COUNTY OF EMERY
CCN:
465085
Occupancy:
66.9%
Home Revenue:
$5,673,864.00
Payroll Costs:
$1,781,209.00
Payroll %:
31.4%
Avg Residents/Day:
34.00
Overall Rating:
Adj Nurse Hours:
3.8394
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
27
Severe Citations:
6
RN share vs State Avg:
-12%
-12%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
-5%
-5%Places of interest near San Rafael Health and Rehabilitation
0.0 miles from city center
Ferron, UT 84523
Calculate Travel Distance to San Rafael Health and Rehabilitation
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
74
Total Staff
65
Employees
9
Contractors
18,176
Total Hours (Quarter)
27
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 9.2 | No |
| Licensed Practical Nurse | 3 | 11.3 | No |
| Certified Nursing Assistant | 18 | 7.6 | No |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
45 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.7hs shift avg
Therapy Services ⓘ
19 staff
6.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
3 staff
6.5hs shift avg
Other Services ⓘ
3 staff
8.1hs shift avg
Contractor Analysis
3.5%
of total hours from contractors
629 contractor hours this quarter
Occupational Therapy Aide: 1
Speech Language Pathologist: 2
Dental Services Staff: 1
Respiratory Therapy Technician: 1
Physical Therapy Aide: 1
Dietitian: 1
Mental Health Service Worker: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 18 | 0 | 18 | 4,741 | 91 | 100% | 7.6 |
| Registered Nurse | 11 | 0 | 11 | 3,523 | 90 | 99% | 9.2 |
| Occupational Therapy Aide | 13 | 1 | 14 | 2,816 | 91 | 100% | 6.5 |
| Nurse Aide in Training | 10 | 0 | 10 | 2,004 | 90 | 99% | 6.6 |
| Administrator | 2 | 0 | 2 | 964 | 68 | 75% | 7.8 |
| Medication Aide/Technician | 2 | 0 | 2 | 838 | 80 | 88% | 7.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 669 | 65 | 71% | 6.6 |
| Dental Services Staff | 1 | 1 | 2 | 566 | 68 | 75% | 8.1 |
| Licensed Practical Nurse | 3 | 0 | 3 | 566 | 41 | 45% | 11.3 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 260 | 38 | 42% | 6.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 238 | 55 | 60% | 3.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 227 | 32 | 35% | 7.1 |
| RN Director of Nursing | 1 | 0 | 1 | 190 | 27 | 30% | 7.1 |
| Mental Health Service Worker | 0 | 1 | 1 | 25 | 3 | 3% | 8.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 23 | 10 | 11% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 4.8 |
| Dietitian | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
Health Inspection History
Inspections
Total health citations
27
Citations per inspection
9
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 3 years)
Critical Health citations
3
3
329% worse than Utah averageUtah average: 0.7
Serious Health citations
3
3
20% worse than Utah averageUtah average: 2.5
3 critical citations
3 serious citations
20 moderate citations
1 minor citation
Citations history (last 3 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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: County Government
Part of: Traditions Healthcare
Resident Census by Payment Source
39
Total Residents
Medicare
5
(12.8%)
ⓘ
Medicaid
22
(56.4%)
ⓘ
Private Pay/Other
12
(30.8%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.7
37% worse than Utah averageUtah average: 9.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
14% worse than Utah averageUtah average: 20.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
43% worse than Utah averageUtah average: 15.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.3%
Percent of long-stay residents whose ability to move independently worsened
27.3%
28% worse than Utah averageUtah average: 21.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
18% better than Utah averageUtah average: 23.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
172% worse than Utah averageUtah average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
43% better than Utah averageUtah average: 4.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.3%
Percent of long-stay residents with a urinary tract infection
3.3%
57% worse than Utah averageUtah average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
9% worse than Utah averageUtah average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
15.0%
Percent of long-stay residents who have depressive symptoms
15.0%
9% better than Utah averageUtah average: 16.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.7%
Percent of long-stay residents who received an antipsychotic medication
28.7%
113% worse than Utah averageUtah average: 13.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Utah averageUtah average: 97.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Utah averageUtah average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
5% better than Utah averageUtah average: 92.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
79% worse than Utah averageUtah average: 1.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
In line with Utah averageUtah average: 91.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$29K
45% lower than Utah averageUtah average: $53K
Number of fines
2
In line with Utah averageUtah average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Utah averageUtah average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$29K
Utah average
$53K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
$26K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for San Rafael Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
66.9%
↑ 7.6pp vs 2022
Net Income
$140,330
↑ ~$227K vs 2022
Total Payroll
$2,220,157
↑ ~$191K vs 2022
Profit Margin
2.5%
↑ 4.1pp vs 2022
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