ElderGrade
D

40.5/100

Below average

San Rafael Health And Rehabilitation

455 West Mill Road, Ferron, UT 84523

CMS 1/5 stars (435) 384-2301
Certified beds
51
Occupancy
72%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $29,347 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

15.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.76 total nurse hours per resident per day (national median 3.77)
  • 1.4 RN hours per resident per day
  • Weekend staffing drops 19% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 52% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $29,347 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.86 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 1.40 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.14 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 52.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 27 citations

Last standard health inspection: November 15, 2024 (1 year ago).

J Nov 15, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

J Nov 15, 2024 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Immediate jeopardy to resident health or safety

J Nov 15, 2024 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Immediate jeopardy to resident health or safety

G Nov 15, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

F Nov 15, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Nov 15, 2024 F0943 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

No actual harm, potential for more than minimal harm

E Nov 15, 2024 F0565 From a complaint

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E Nov 15, 2024 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BRAMALL, CHARLES Individual CORPORATE OFFICER
BRONEMANN, NATHAN Individual CORPORATE OFFICER
TRADITIONS HEALTH CARE, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
ALLEN, GLORI Individual OPERATIONAL/MANAGERIAL CONTROL
BRAMALL, CHARLES Individual OPERATIONAL/MANAGERIAL CONTROL
BRONEMANN, NATHAN Individual OPERATIONAL/MANAGERIAL CONTROL
HANSEN, QUINLIN Individual OPERATIONAL/MANAGERIAL CONTROL
COUNTY OF EMERY Organization TRUSTEE OF THE SNF
COUNTY OF EMERY Organization ADP OF THE SNF
TRADITIONS HEALTH CARE, INC. Organization ADP OF THE SNF
ALLEN, GLORI Individual ADP OF THE SNF
BRAMALL, CHARLES Individual ADP OF THE SNF

What families say

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Common questions about San Rafael Health And Rehabilitation

What is the ElderGrade for San Rafael Health And Rehabilitation? +

San Rafael Health And Rehabilitation holds an ElderGrade of D (40.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at San Rafael Health And Rehabilitation? +

Residents receive an average of 3.86 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has San Rafael Health And Rehabilitation been cited for harming residents? +

Yes. 6 of the 27 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does San Rafael Health And Rehabilitation accept Medicaid? +

Yes, San Rafael Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.