The home failed to ensure residents received food prepared in a form that met their individual needs. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: G
Nursing home report
William E Christofferson Salt Lake Veterans Home
Salt Lake City, UT · Medicare-certified · 81 beds
Needs attention
For-profitChain member
5 of 5 overall
William E Christofferson Salt Lake Veterans Home has an overall 5-star rating, with 4 stars for health inspections and 5 stars for staffing and quality measures. It reports nursing staffing above the federal benchmark (4.24 vs 4.1 hours per resident per day), but it also has $12,735 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2429 hrs/resident/day
Quality measures
Last inspection: November 12, 2025Penalties, last 24 months: $12,735recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2429.
Staffing detail
- Registered nurses
- 1.48
- Licensed practical nurses
- 0.29
- Nurse aides
- 2.48
- Weekend nursing
- 3.89
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 32%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.8%Steady
Residents with a fall causing major injury
3.6%Steady
Residents with pressure ulcers (bedsores)
2%Worsening
Residents with a urinary tract infection
2.9%Worsening
Residents who lost too much weight
3.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.7%Worsening
Residents whose ability to walk got worse
10.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.8%Improving
Short-stay residents newly given an antipsychotic
2.6%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
25.9%Worsening
Residents with depressive symptoms
7.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,735 in total fines.
- $12,735
Federal fine
Nov 12, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVALON HEALTH CARE · 15 homes · 3.5 stars avg
- Occupancy
- 74.6 residents on an average day (92% of 81 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 years
The most recent standard health inspection was more than two years ago.
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.