Washington County, Utah · Nursing home
Bella Terra St George (Black Rock Health and Rehab
1 of 5 overall from CMS
178 South 1200 East, St. George, UT 84790
At a glance
- Overall rating 1 of 5 Below the state average of 3.3
- Nurse time per resident, per day 2.99 hours Below the state average of 4.09
- Nursing staff who left in a year 64.8% Above the state average of 50.7%
- Health citations, last 3 inspection cycles 64 12 at the harm level or above
- Fines in 3 years $81,346 2 fines
- Certified beds in use 49.5% of 149 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.
Bella Terra St George (Black Rock Health and Rehab is a 149-bed nursing home in St. George, Utah (Washington County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.99 nurse staffing hours per resident per day, below the Utah average of 4.09. CMS lists 2 fines totaling $81,346 in the past three years.
- Certified beds
- 149
- Residents per day (average)
- 73.7
- Certified since
- 2001 (25 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Beaver Valley Hospital (5 homes)
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.
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 Bella Terra St George (Black Rock Health and Rehab
Chosen from this home's public data.
- CMS lists 2 fines totaling $81,346 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 64.8%, above the Utah average of 50.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.58 hours per resident on weekends against 2.99 overall. Who covers Saturdays and Sundays?Weekend staffing 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 2 of 5 Utah average 3.2
- Quality measures 4 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 2.99 h Utah average 4.09
- Nurse aides 1.73 h Utah average 2.36
- Licensed practical nurses 0.64 h Utah average 0.48
- Registered nurses 0.62 h Utah average 1.25
- All staff, weekends 2.58 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 turnover64.8%
- Utah average50.7%
- Registered nurse turnover30.8%
- 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 | 13.8% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% | 3.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.2% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 24.2% | 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 | 4.2% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.8% | 15.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.2% | 25.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.9% | 3.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% | 21.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 18.0% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.09 | 1.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.42 | 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 | 95.0% | 93.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% | 0.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 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 64 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 11 involved actual harm; the rest were graded as no actual harm. 56 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 13, 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 |
|---|---|---|
| Jan 8, 2026 | 2 | 2 |
| Nov 13, 2024 | 56 | 11 |
| Jun 28, 2023 | 6 | 4 |
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 (64)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jan 23, 2026)
-
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 (Jan 7, 2025)
-
HActual harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 7, 2025)
-
HActual harm, pattern
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 7, 2025)
Show 25 more
-
HActual harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 7, 2025)
-
HActual harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 7, 2025)
-
GActual harm, isolated
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 7, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2025)
-
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 (Jan 7, 2025)
-
GActual 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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2025)
-
GActual harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2025)
-
GActual harm, isolated
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 7, 2025)
-
FPotential for more than minimal harm, widespread
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 7, 2025)
-
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 7, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 7, 2025)
-
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
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 (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 7, 2025)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2025)
-
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Keep complete, dated laboratory records in the resident's record.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 7, 2025)
Showing the 30 most recent of 64.
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 8, 2024 | Fine | $68,812 |
| Feb 6, 2024 | Fine | $12,534 |
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
- Size8 of 97 by certified beds
- Utah average residents per day61.1
- ChainBeaver Valley Hospital
- Chain average overall rating2.6 of 5
- Resident or family councilResident
- Homes in St. George6
- Homes in Washington County8
Common questions
What is the CMS star rating for Bella Terra St George (Black Rock Health and Rehab?
Bella Terra St George (Black Rock Health and Rehab has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Bella Terra St George (Black Rock Health and Rehab have?
Bella Terra St George (Black Rock Health and Rehab has 149 certified beds. It averages 73.7 residents per day, about 49.5% of its certified beds.
How much nursing care do residents get at Bella Terra St George (Black Rock Health and Rehab?
The home reports 2.99 hours of nurse staffing per resident per day, including 0.62 hours from registered nurses. The Utah average is 4.09 hours and 1.25 hours from registered nurses.
Has Bella Terra St George (Black Rock Health and Rehab been fined?
Yes. CMS lists 2 fines totaling $81,346 in the past three years.
Does Bella Terra St George (Black Rock Health and Rehab 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
- 4 of 5 St. George Rehabilitation 99beds 97.5%in use 3.53nurse hours a day
- 5 of 5 Coral Desert Rehabilitation and Care 60beds 87.2%in use 4.71nurse hours a day
- 1 of 5 Red Cliffs Health and Rehab 124beds 65.5%in use 3.46nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Washington County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 465152. 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.