Emery County, Utah · Nursing home
San Rafael Health and Rehabilitation
1 of 5 overall from CMS
455 West Mill Road, Ferron, UT 84523
At a glance
- Overall rating 1 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.86 hours Below the state average of 4.09
- Nursing staff who left in a year 52.1% Above the state average of 50.7%
- Health citations, last 3 inspection cycles 27 6 at the harm level or above
- Fines in 3 years $29,347 2 fines
- Certified beds in use 71.8% of 51 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
San Rafael Health and Rehabilitation is a 51-bed nursing home in Ferron, Utah (Emery County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.86 nurse staffing hours per resident per day, below the Utah average of 4.09. CMS lists 2 fines totaling $29,347 in the past three years.
- Certified beds
- 51
- Residents per day (average)
- 36.6
- Certified since
- 1981 (45 yrs)
Government - County Participates in Medicare and MedicaidCMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask San Rafael Health and Rehabilitation
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $29,347 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Nov 15, 2024 plus complaint and infection-control inspections); the Utah average is 8.8. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Utah average 3.3
- Health inspections 1 of 5 Utah average 2.8
- Staffing 4 of 5 Utah average 3.2
- Quality measures 2 of 5 Utah average 4.6
The vertical line marks the Utah average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.86 h Utah average 4.09
- Nurse aides 2.29 h Utah average 2.36
- Licensed practical nurses 0.17 h Utah average 0.48
- Registered nurses 1.40 h Utah average 1.25
- All staff, weekends 3.14 h Utah average 3.58
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Utah average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover52.1%
- Utah average50.7%
- Registered nurse turnover23.1%
- Utah average40.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Utah and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Utah | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.7% | 3.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.4% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 13.8% | 16.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 25.4% | 15.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.6% | 25.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.4% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.0% | 3.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% | 21.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 33.8% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.53 | 1.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.64 | 1.43 | 1.78 |
Short-stay residents
| Measure | This home | Utah | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% | 93.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% | 0.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.3% | 91.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 16.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 27 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 15, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 15, 2024 | 14 | 0 |
| Mar 15, 2023 | 3 | 0 |
| Jun 17, 2021 | 10 | 0 |
Utah homes averaged 8.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (27)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 13, 2024)
-
JImmediate jeopardy, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 13, 2024)
-
JImmediate jeopardy, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 13, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 13, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 13, 2024)
Show 22 more
-
FPotential for more than minimal harm, widespread
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Develop 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 · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide 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 · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2023)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 29, 2023)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Mar 24, 2023)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 23, 2021)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 23, 2021)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 23, 2021)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jul 23, 2021)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Jul 23, 2021)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 23, 2021)
-
DPotential for more than minimal harm, isolated
Develop 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 · Deficient, Provider has date of correction (Jul 23, 2021)
-
DPotential for more than minimal harm, isolated
Provide 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 · Deficient, Provider has date of correction (Jul 23, 2021)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · Deficient, Provider has date of correction (Jul 23, 2021)
-
CPotential for minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Jul 23, 2021)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 15, 2024 | Fine | $25,929 |
| Feb 6, 2024 | Fine | $3,418 |
Utah homes averaged 0.9 fines and $23,954 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Utah
- Size72 of 97 by certified beds
- Utah average residents per day61.1
- ChainNone listed
- Resident or family councilResident
- Homes in Emery County1
Common questions
What is the CMS star rating for San Rafael Health and Rehabilitation?
San Rafael Health and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 2.
How many beds does San Rafael Health and Rehabilitation have?
San Rafael Health and Rehabilitation has 51 certified beds. It averages 36.6 residents per day, about 71.8% of its certified beds.
How much nursing care do residents get at San Rafael Health and Rehabilitation?
The home reports 3.86 hours of nurse staffing per resident per day, including 1.40 hours from registered nurses. The Utah average is 4.09 hours and 1.25 hours from registered nurses.
Has San Rafael Health and Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $29,347 in the past three years.
Does San Rafael Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Mission at Community Living Rehabilitation Center 46beds 90.2%in use 2.94nurse hours a day
- 2 of 5 Parkdale Health and Rehab 58beds 51.0%in use 3.50nurse hours a day
- 5 of 5 Pinnacle Nursing and Rehabilitation Center 100beds 56.0%in use 3.54nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Emery County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 465085. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.