San Rafael Health and Rehabilitation
455 West Mill Road, Ferron, UT 84523 · (435) 384-2301
Government - County · 51 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
San Rafael Health and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2024, found 14 citations, 4 for actual harm or immediate jeopardy (the Utah average is 8.8). It was fined 2 times in the last three years, $29,347 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 15, 2024 found 14 citations. What an inspection citation means
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 15, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 15, 2024 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Respond appropriately to all alleged violations.November 15, 2024 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 15, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 15, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.November 15, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to organize and participate in resident/family groups in the facility.November 15, 2024 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 15, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.November 15, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 15, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.November 15, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.November 15, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.November 15, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 15, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Honor the resident's right to organize and participate in resident/family groups in the facility.November 15, 2024 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 15, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 15, 2024 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Respond appropriately to all alleged violations.November 15, 2024 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.November 15, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 15, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 15, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.November 15, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $25,929November 15, 2024
- Fine of $3,418February 6, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Utah average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.86 | 4.09 | 3.86 |
| Registered nurses (RN) | 1.40 | 1.25 | 0.69 |
| Licensed practical nurses (LPN) | 0.17 | 0.48 | 0.86 |
| Nurse aides | 2.29 | 2.36 | 2.32 |
| Total nursing staff turnover | 52.1% | 50.7% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 51 |
| Average residents per day | 36.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Four Corners Regional Care Center Blanding · ★★★★★ 1 out of 5 stars
- Canyonland Care Center Moab · ★★★★★ 5 out of 5 stars
- Pinnacle Nursing and Rehabilitation Center Price · ★★★★★ 5 out of 5 stars
- Parkdale Health and Rehab Price · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from San Rafael Health and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.