Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
San Rafael Health and Rehabilitation runs on county money and 51 beds in Ferron, and its staffing hours land right at the national average, close enough that there's no real cushion. What stands out is the churn: more than half the nursing staff turns over in a year, and weekend coverage drops about 19% below weekday levels. The inspection record is where things get serious. Twenty-seven deficiencies, six of them involving harm or jeopardy, four tied to abuse, plus two fines near $29,000 and a spot in CMS's Special Focus Facility program. Inspectors were last there in November 2024. County ownership doesn't change what those numbers say.
Mission At Alpine Rehabilitation Center is a 52-bed nonprofit home in Pleasant Grove that federal regulators have placed in the Special Focus Facility program, the designation CMS reserves for the homes it considers among the poorest performers in the country. The inspection record explains why: 44 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and $125,737 in fines across two actions. Staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays and turnover at 65.1% against a national 45.8%. The quality measure stars look strong, but that's what families see on paper; the staffing and inspection numbers are what happen on the floor.
Provo Rehabilitation and Nursing runs 220 certified beds under corporate ownership, and its staffing sits at 3.88 nurse hours per resident day, essentially the national average, though weekends drop about 11% below its own weekday level. The bigger issue is what inspectors keep finding: 75 deficiencies on the current record, 27 of them at harm or jeopardy level and 12 tied to abuse, with two fines totaling $82,617. Staff turnover hits 54.5% against a national 45.8%, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. A 1/5 inspection rating and a last visit in October 2024 tell you the oversight is ongoing.
Red Cliffs runs 3.46 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. The bigger problem is who's still there to provide that care: annual turnover hits 73.8%, well above the 45.8% national figure. Inspectors have cited 63 deficiencies, 11 of them at harm or jeopardy level and 9 tied to abuse, with a $153,114 fine and a June 2024 inspection on record. CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers. A for-profit LLC operates it.
Mountain View Health Services is a 155-bed for-profit in Ogden, and the numbers behind its record are hard to look past. Nurse staffing sits at 3.08 hours per resident per day against a national average of 3.86, and more than half the nursing staff turned over in the past year. The home carries 101 deficiencies on its current record, 22 of them serious enough to involve harm or jeopardy, plus seven tied to abuse. Three CMS fines total $150,781, and the federal government has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes. If you're considering this one, ask what's changed since the January 2026 inspection.
Monument Healthcare South Salt Lake is a 140-bed hospital-district home that the federal government has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 57 deficiencies, nine of them serious enough to endanger residents, six tied to abuse, and two fines totaling $36,546. Its last inspection was in June 2025.
Nursing hours come in slightly under the national average, and weekends run about 15% thinner than weekdays, when supervision is already stretched. The quality-measure score looks good on paper, but that number reflects resident assessments, not the day-to-day care and oversight problems regulators keep finding here. Staff turnover sits just above the national rate.
Maple Ridge runs on 2.28 nurse hours per resident day, roughly 41% under the national average of 3.86, and weekends dip about 6% below its own weekday coverage. Staff turnover sits at 72.4% against a national 45.8%, so the people around your family member change often. The inspection record backs that up: 34 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $11,887. Salt Lake City-county ownership doesn't change the arithmetic. The 4/5 quality measure score reflects how residents are doing on paper, but the last inspection was June 2025 and the staffing rating is 1/5. Worth asking hard questions before a move-in.
Pine Creek Rehabilitation and Nursing runs 34 certified beds in Salt Lake City under corporate ownership, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 80% against a national 45.8%, which means the aides and nurses caring for your relative are likely newer than the building itself. The inspection record shows 41 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus one fine of $56,121. A recent October 2025 inspection is the one bright spot, ask what changed since.
Meadow Brook runs on a knife's edge with staffing, and the numbers show it. Total nurse coverage sits just under the national average, but weekends drop roughly 19% below the home's own weekday levels, and annual turnover hits 77.8% against a national average of 45.8%, meaning the people caring for residents are, more often than not, new to the building. The inspection record is the harder problem: 59 deficiencies on file, 8 of them serious enough to put residents in harm's way and 9 tied to abuse, with a $31,331 fine attached. A recent inspection in November 2025 and a government-hospital-district owner don't erase that pattern.
Heritage Park runs 176 certified beds in Roy under for-profit partnership ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.84 hours per resident day, just under the national average, and weekend coverage drops about 12% below its own weekday levels, a gap families often feel on Saturdays and Sundays. Turnover at 46.8% edges past the national rate, meaning caregivers cycle through steadily.
The inspection record is the real concern: 27 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, with a $36,645 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not whether the building is safely run day to day.
Monument Healthcare Brigham City runs 84 certified beds under for-profit LLC ownership, and the inspection record is where families should focus. Twenty deficiencies on the current record, three of them serious enough to cause harm or jeopardy, plus three abuse-related citations and a $15,640 fine, that's a lot of documented trouble for a home this size. Staffing tells a similar story: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects. The quality measure score of 5 out of 5 looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. The most recent inspection was April 16, 2024, so this picture is current. Ask hard questions about direct care hours before considering it.
Monument Healthcare Murray Creek runs 184 certified beds in Millcreek under for-profit LLC ownership, and the numbers pull in two directions. Its quality measure rating is perfect, but that same record carries 50 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus two fines totaling $120,948, and the most recent inspection was June 2025. Nurse staffing sits just under the national average at 3.82 hours per resident day, and weekends drop about 12% below the home's own weekday levels. Turnover, at 42.2%, is actually a bit better than the 45.8% national figure. The inspection side is the part worth asking hard questions about.
Millcreek Rehabilitation and Nursing is a 61-bed county-owned home in Salt Lake City, and its inspection record is the first thing you'd want to look at. Twenty-nine deficiencies, three of them serious enough to put residents in harm's way, and four tied to abuse. The health inspection rating sits at 1 out of 5, with a $25,441 fine on the books and a survey completed in late March 2025.
Staffing is the other weak spot. At 2.25 nurse hours per resident per day, it runs about 42% under the national average, and weekends drop roughly another 13% below the home's own weekday levels. Turnover of 52.4% exceeds the national figure, and the staffing rating lands at 2 out of 5.