Nursing HomeInspections

San Rafael Health and Rehabilitation

Nursing home in Ferron, UT

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
455 West Mill Road, Ferron, UT 84523
Phone
(435) 384-2301
Listed under
Government-owned
Medicare CCN
465085
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
51
Average residents per day
37
Ownership
Government, county
Legal business name
Emery County Care and Rehabilitation Center
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1981
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 465085. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 15, 2024. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 17, 2021 to Nov 15, 2024): 8 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Nov 15, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 15, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 15, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 15, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 15, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 15, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Nov 15, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 15, 2024Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Nov 15, 2024Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		F
Potential for more than minimal harm, widespread
Nov 15, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Nov 15, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $29,347 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.86 hours
Registered nurse (RN) time per resident per day
1.40 hours
Nurse aide time per resident per day
2.29 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
23%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.