The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
San Rafael Health and Rehabilitation
Ferron, UT · Medicare-certified · 51 beds
Needs attention
Special Focus candidateAbuse citationGovernment-run
1 of 5 overall
San Rafael Health and Rehabilitation in Ferron, UT has a 1 out of 5 overall rating, with a 1-star health inspection score and special-focus facility/candidate status. Staffing is rated 4 stars, but reported nurse staffing is 3.78 hours per resident per day, below the 4.1-hour federal benchmark, and the facility had $25,929 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.7813 hrs/resident/day
Quality measures
Last inspection: November 15, 2024Penalties, last 24 months: $25,929special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7813.
Staffing detail
- Registered nurses
- 1.46
- Licensed practical nurses
- 0.16
- Nurse aides
- 2.16
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30%28.6%Improving
Residents with a fall causing major injury
9.4%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
6.5%6.7%No change
Residents who lost too much weight
0%3.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%22.2%Improving
Residents whose ability to walk got worse
—27.4%—
Long-stay residents on antianxiety or sleep medication
48.1%41.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.6%40.2%Worsening
Residents with depressive symptoms
3.3%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.3%—
Short-stay residents given the pneumonia vaccine
95.5%96.2%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $25,929 was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $29,347 in total fines.
- $25,929
Federal fine
Nov 15, 2024
- $3,418
Federal fine
Feb 6, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 36.9 residents on an average day (72% of 51 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.