San Rafael Health and Rehabilitation

Nursing Home · Ferron, UT

CMS overall rating 1/5 SFF candidate Abuse citation Government - County

CMS certification number465085
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

455 West Mill Road
Ferron, UT 84523
Emery County
Phone
(435) 384-2301
ZIP code
84523 – all care providers

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Facility details

Certified beds
51
Residents per day
36.6 (72% occupied)
Ownership
Government - County
Legal name
Emery County Care and Rehabilitation Center
Medicare certified since
September 1, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.3
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.0
Quality measures★★★★★ 2/5
State avg 4.6
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.86 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
1.40 (state 1.25 · U.S. 0.69)
Licensed practical nurses
0.17 (state 0.48 · U.S. 0.86)
Nurse aides
2.29 (state 2.35 · U.S. 2.32)
Weekend total
3.14 (state 3.56 · U.S. 3.42)
Nursing staff turnover
52.1 (state 50.7 · U.S. 45.8)%
RN turnover
23.1 (state 40.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
November 15, 2024
Health deficiencies (last cycle)
14.0 (state 8.6 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
27 health · 0 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2024-11-15 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-13
2024-11-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-13
2024-11-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-13
2024-11-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-12-13
2024-11-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2023-03-15 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-24
2023-03-15 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-03-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-24
2021-06-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2021-07-23
2021-06-17 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2021-07-23
2021-06-17 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-07-23
2021-06-17 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2021-07-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $29,347 in fines.

DateTypeAmount
2024-11-15Fine$25,929
2024-02-06Fine$3,418

Ownership & management

NameRoleSince
County of Emery (organization)5%+ Direct Ownership Interest · 100%
Allen, Glori (individual)Administrator · NOT APPLICABLE
Bramall, Charles (individual)Administrator · NOT APPLICABLE
Bronemann, Nathan (individual)Administrator · NOT APPLICABLE
County of Emery (organization)Administrator · NOT APPLICABLE
Hansen, Quinlin (individual)Administrator · NOT APPLICABLE
Traditions Health Care, INC. (organization)Administrator · NOT APPLICABLE
Bramall, Charles (individual)Corporate Officer · NOT APPLICABLE
Bronemann, Nathan (individual)Corporate Officer · NOT APPLICABLE
Allen, Glori (individual)Operational/managerial Control · NOT APPLICABLE
Bramall, Charles (individual)Operational/managerial Control · NOT APPLICABLE
Bronemann, Nathan (individual)Operational/managerial Control · NOT APPLICABLE
Hansen, Quinlin (individual)Operational/managerial Control · NOT APPLICABLE
Traditions Health Care, INC. (organization)Operational/managerial Control · NOT APPLICABLE
County of Emery (organization)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of San Rafael Health and Rehabilitation?

San Rafael Health and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Utah.

How many beds does San Rafael Health and Rehabilitation have?

It has 51 certified beds and cares for about 37 residents per day.

Has San Rafael Health and Rehabilitation been fined?

Yes. CMS lists 2 penalties totaling $29,347 in the last three years.

What is the phone number of San Rafael Health and Rehabilitation?

(435) 384-2301. The facility is located at 455 West Mill Road, Ferron, UT 84523.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.