Intermountain Health Holy Rosary Hospital

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 84 beds and averages 52.1 residents a day — about 62% occupied, or roughly 32 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.21 hrs/resident/day on weekends vs 4.14 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.42 to 1.01 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · F2026-04-23 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the medical director or his designee attended and/or participated in the Quality Assurance (QA) program at least quarterly. This deficient practice increased the risk of negative outcomes for residents with respect to quality assessment and assurance activities. The facility reported a census of 54 residents. Findings include:During an interview on 4/20/26 at 3:13 p.m., staff member A stated staff member G was onsite at the facility once a month. She stated when staff member G was onsite at the facility, it did not always correspond with when QA was scheduled to meet. Staff member A stated staff member G was not currently attending the QA meetings quarterly either in person, or via videoconferencing or teleconference calls, and did not have an authorized designee to attend instead. She stated she did review the QA minutes with staff member G but did not have documentation of staff member G's acknowledgement of the provided QA information.Review of the QAPI Agenda and/or Attendance Roster, dated 9/9/25 through…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-23 · tag F0941 — widespread
  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide required effective communication training to all direct care staff. This deficient practice had the potential to affect the care of all residents residing in the facility. Findings include:During an interview on 4/22/26 at 1:30 p.m., staff member A stated the last all staff training which would have included effective communication was last provided on 8/29/24. She stated the next all staff training on effective communication was due 8/29/25. Staff member A stated they did establish a training program, which included effective communication, which they failed to implement by 8/29/25. Staff member A stated it was the expectation for all direct care staff to receive training on effective communication at hire, and annually thereafter.Review of the facility's all staff training for effective communication showed the last training was provided on 8/29/24.A request was submitted to the facility for a policy and procedure on staff education/training requirements for effective communication on 4/22/26 at 4:00 p.m. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-23 · tag F0943 — widespread
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide required dementia training to include management of dementia related behaviors to all staff. This deficient practice had the potential to affect the care of residents with dementia health needs in the facility. Findings include:During an interview on 4/22/26 at 1:30 p.m., staff member A stated the last all staff dementia training occurred on 8/29/24. She stated the next annual dementia training was due 8/29/25. Staff member A stated all staff have not been provided dementia training since 8/29/25. She stated they did establish a training program for dementia which they failed to implement by 8/29/25. Staff member A stated it was the expectation for all staff to receive dementia training to include management of dementia related behaviors at hire and annually thereafter.During an interview on 4/22/26 at 1:56 p.m., staff member V stated the facility used quarterly workday assignments to assign training. Staff member V stated she did not remember doing any specific dementia training. During an interview on 4/22/26 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-23 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to report investigation findings to the State Survey Agency (SSA) within the required timeframe of 5 working days for 4 (#s 21, 29, 44, and 62) of 25 sampled and supplemental residents. Findings include:A review of Facility Reported Events showed: 1. Review of the facility's reported incident, dated 1/24/26, showed, Resident (#44) came out of her room and went over to another resident (#62) and kicked her feet. Review of the facility's investigative findings for the incident reported on 1/24/26, between resident #s 44 and 62, was submitted to the SSA on 2/4/26, 11-days after the facility reported the incident. 2. Review of the facility's reported incident, dated 3/20/26, showed, One resident (#29) kicked another resident (#44) in the legs while both were in their wheelchairs. No injuries noted or reported from the resident who was kicked. Immediate interventions were to separate the residents. Review of the facility's investigative findings for the incident reported on 3/20/26 did not show that the facility submitted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-23 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to thoroughly investigate allegations of abuse, failed to prevent further potential abuse, and failed to report the results of the investigation to the State Survey Agency (SSA) to verify corrective actions were taken for allegations of resident-to-resident abuse for 2 (#s 29 and 44); and the facility failed to document a thorough investigation of multiple elopements and identify the root-cause of the elopements for 3 (#s 21, 61, and 62) of 25 sampled and supplemental residents. These failures had the potential to cause the facility to miss key parts of the investigation and prevent further elopements or injuries to the residents and increased the risk for more than minimal harm by creating an environment that perpetuates a disrespectful situation between residents. Findings include:1. Resident-to-Resident Review of the facility's reported incident, dated 3/20/26, showed, One resident (#29) kicked another resident (#44) in the legs while both were in their wheelchairs. No injuries noted or reported from the resident who was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide sufficient supervision and interventions to prevent an elopement for 4 (#s 21, 38, 61, and 62) of 23 sampled residents, which led to a fall with minor injury for resident #62. Findings include:1. During an interview on 4/20/26 at 2:40 p.m., staff member M said the facility got a wander guard alarm for the front door some time before Christmas 2025. Staff member M said the alarm was activated by a bracelet. Staff member M said the bracelet was placed on the resident or on the residents mobility devices. Staff member M said most elopements happened when residents exited through the front door. Staff member M said the other exit doors have (breakaway) alarms which ring if activated. Staff member M said the residents are assessed by the Minimum Date Set (MDS) nurse for risk of elopement on admission and quarterly. Staff member M said if the nurses identified a resident was at risk, the wander guard bracelet could be applied without an assessment.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record review, the facility failed to ensure a comprehensive grievance process was operationalized and followed effectively by staff for the resolution of a grievance related to the provision of personal resident care, for 1 (#5) of 23 sampled residents. Findings include:During an interview and observation on 4/22/26 at 11:20 a.m., resident #5 and NF3 said that resident #5 had some concerns with the care he received from the certified nurse assistants. NF3 provided a copy of the grievance dated 3/12/26. NF3 said the resident #5 and his family asked him not to get milk-based supplements. NF3 said resident #5 had a hiatal hernia, which was aggravated by milk. NF3 said the milk-based supplement made resident #5 have more phlegm and mucous, which caused resident #5 to be more congested and increased his cough. Resident #5's lunch tray was observed. The tray included a large glass of milk-based supplement. NF3 said the grievances had not been resolved to the satisfaction of resident #5 or the family.During an interview on 4/22/26 at 4:05 p.m., staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure pain was routinely assessed, and medication was given according to a physician's order for 1 (#3) of 23 sampled residents; this deficient practice had the potential for the resident to experience increased pain. Findings include:Review of resident #3's Quarterly MDS, with an accepted date of 4/21/26, showed: Section J (Health Conditions): .Pain presence Yes.Pain Frequency: 4 - Almost Constantly.Pain Effect on Sleep: 3 - Frequently.Pain Intensity: 3 - Severe.Review of resident #3's electronic health record showed: Physicians' orders: Hydrocodone-acetaminophen (5-325 mg/tab) (Norco) tablet., Dose: 1 tablet 3 times a day, start date of 4/9/26. Admin Instructions: Give with food, Diagnosis: Chronic Pain Syndrome, Time to Peak: oral 40-80 minutes, Duration: 4-8 hours, Route: oral. Additional Documentation. Flowsheets: .Pain Alert Assessment.Review of resident #3's medication administration record showed: Hydrocodone-acetaminophen (5-325 mg/tab) .- 4/14/26 at 1205 (12:05 a.m.) held not given. - 4/15/26 at 751 (7:51 a.m.)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-27 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement a consistent antibiotic stewardship program, including infection surveillance and mapping, to identify trending of the locations of infections. This deficient practice increased the risk of a negative outcome related to residents taking antibiotics for infections and increased the incidence of adverse events associated with infections throughout the facility. Findings include: During an interview on 2/27/25 at 9:19 a.m., staff member L stated infections and antibiotic use were not tracked for June of 2024. Staff member L said the facility completed the McGreers criteria for tracking infections, but it was not completed in June of 2024. Review of the facility's Infection Control binder showed a lack of infection mapping and line listings for the last year from January of 2024 through January of 2025. Staff member L said, The facility isn't so large that I couldn't just identify if there were trends related to specific infections. Staff member L was unable to identify any areas of infection trends. Staff member L…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain a safe environment, free from elopements, for 4 (#s 16, 17, 18, and 24), and the facility failed to provide an environment free from accidents and hazards for 1 (#42) of 18 sampled and supplemental residents. This deficient practice had the potential to adversely affect the well-being and safety of all residents in the facility. Findings include: 1. Review of the Facility Reported Incident, dated 8/31/24, showed resident #24 left the Residential Living side of the facility, and the resident eloped into the hospital. The facility identified the alarm between the two areas had not been activated. During an interview on 2/25/25 at 11:17 a.m., staff member B said resident #24 eloped because the alarm on the dining room doors, which led to the hospital, were not activated. Staff member B said staff were educated to ensure the alarm was set to alarm if the door to the hospital was opened. But, no system was put in place to monitor the status of the alarm. Staff member B said if the alarm was not set…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in MT