San Rafael Health And Rehabilitation - 1-Star Rehab Facility in Ferron, UT | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 34.44%Falls causing major injury 5.6%Pressure ulcers (high-risk) 2.89%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Nov 2024 (569 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
2/5
★★☆☆☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 1h 11m · US avg: 41 min
Total Nurse / Resident / Day
4h 4m
State avg: 4h 3m · US avg: 3h 53m
1 min
State avg: 7 min · US avg: 4 min
58 per 100
State avg: 52 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
35%well below avg
US avg: 64%
Total Nurse Weekend
2h 45m
Federal Penalties
18 penalties · $264,123 total
| Date | Type | Fine | Denial Days |
|---|
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 11/15/2024 | Fine | $25,929 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
| 2/6/2024 | Fine | $3,418 | - |
Inspection Citations
Survey: November 15, 2024(42 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for Harm
25.1 per 100
State avg: 17.4 · US avg: 23.9
5.8 per 100
State avg: 11.8 · US avg: 12.0
5.6 per 100
State avg: 2.6 · US avg: 3.3
2.9 per 100
State avg: 4.1 · US avg: 5.1
0.0 per 100
State avg: 0.9 · US avg: 1.6
91.3 per 100
State avg: 91.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
16/100
Incentive Payment
-1.84% penalty
Healthcare-Assoc. Infections
8.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
51.4 days
Avg Payment / Stay
$21,630.53
Patient Complexity
1.77 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Resident Rights Deficiencies
Complaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: March 15, 2023(9 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
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