South Ogden Post-Acute (Cascades at South Ogden)

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

43.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 43.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 30 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 122 beds and averages 83.6 residents a day — about 69% occupied, or roughly 38 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 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 is below 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 3.34 hrs/resident/day on weekends vs 3.86 on weekdays — 13% thinner on weekends. RN hours go from 1.14 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

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 fewer than at the previous inspection — improving. 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.

35 citations, most serious first. The 14 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-03-21 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 prevent an instance of sexual abuse between resident 269 and resident 270, and neglected to provide the supervision necessary to prevent the elopement of resident 17. The facility's failure to prevent the sexual abuse of resident 270 was determined to be noncompliant and constituted immediate jeopardy. Additionally, due to resident 17's assessed impaired cognitive status and known wandering behavior, the facility's lack of a coordinated plan to supervise the resident's whereabouts was also determined to be noncompliant and constituted immediate jeopardy. However, based on the facility's corrective actions and a review of the facility's current compliance in this regulatory area, the deficiency was determined to be past noncompliance. Resident identifiers: 17, 269, and 270. Corrective Action: Elopement: [DATE]: Resident was assessed for injury; no injuries were found. [DATE]: Facility representative spoke with family who reported that she had done this…

  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 · Past Non-Compliance
• Actual harm · G2024-09-16 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 it was determined, for 1 of 45 sampled residents, that the facility did not ensure that each resident received the food and drink that accommodated the resident allergies, intolerances, and preferences. Specifically, a resident with food allergies to fish and shellfish was served a Krabbycake and needed Benadryl administered. Resident identifier: 66. Findings include: Resident 66 was admitted to the facility on [DATE] with diagnoses which included cerebral palsy, type 2 diabetes mellitus, anxiety disorder, hyperlipidemia, and adult failure to thrive. On 9/10/24 at 1:46 PM, an interview was conducted with resident 66. Resident 66 stated he was upset with the kitchen because they did not watch for his allergies to shellfish, which almost resulted in him having to go to the hospital. Resident 66 stated the incident happened about 2 months ago when he was served an entree that he thought what was prepared with chicken. Resident 66 stated that after he took a bite, his throat 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Specifically, for 1 out of 45 sampled residents, a resident who sustained a right humerus fracture was not offered a shoulder immobilizer daily as ordered to help mitigate pain. Resident identifier: 58. Findings Included: Resident 58 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which include displaced fracture of surgical neck of right humerus, type 2 diabetes mellitus, alcoholic cirrhosis of liver, chronic respiratory failure, infection and inflammatory reaction due to internal left knee prosthesis, pain, hemiplegia and hemiparesis, dysphagia, difficulty in walking, pain in left hip, muscle weakness, unsteadiness on feet, repeated falls, low back pain, essential hypertension, sleep related…

  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
• Actual harm · Gcited before2023-09-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 observation, interview and record review, it was determined, for 2 out of 33 sampled residents, that the facility did not ensure that each resident was free from abuse, neglect, and misappropriation of resident property. Specifically, a female resident reported that a male resident had grabbed her breast without her consent. The deficiency identified was determined to be at a HARM level. Resident identifiers: 43 and 50. Findings include: HARM 1. Resident 50 was admitted to the facility on [DATE] with diagnoses which included multiple sclerosis, cirrhosis of the liver, Parkinson's disease, anxiety, insomnia and major depressive disorder. On 9/11/23 at 8:34 AM, resident 50 stated, the man touched my breast, he pulled on it and it hurt. No staff were in the room with us. We were doing an activity. Resident 50 stated she feels safe and feels safe in the activity room. Resident 50 stated that the resident's name was [resident 43], the resident who touched her left breast. Resident 50 stated it happened a…

  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 · D2025-08-21 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 it was determined, for 1 of 43 sampled residents, the facility did not allow each resident the right to formulate an advance directive. Specifically, a resident did not have a Physician Order for Life Sustaining Treatment (POLST) form. Resident identifier: 76. Resident 76 was admitted to the facility on [DATE] with diagnoses which included moderate protein-calorie malnutrition, adult failure to thrive, and Alzheimer's disease.Resident 76's medical record was reviewed on 8/18/25 through 8/21/25.No orders related to a code status or a POLST form could be located in resident 76's medical records.On 8/19/25 at 10:46 AM, an interview was conducted with Registered Nurse (RN) 1, who stated that she was unable to locate any orders related to resident 76's code status. RN 1 stated that resident 76 was on hospice when she was admitted to the facility and that the hospice company could send a completed POLST form to the facility. RN 1 stated that if orders related to a code status were…

  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 · D2025-08-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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, it was determined the facility did not ensure residents who were continent of bladder received appropriate treatment and services to prevent urinary tract infections (UTI). Specifically, for 1 out of 43 sampled residents, a resident was not started on antibiotics for 11 days after complaining of continued dysuria. Resident identifier: 85. Findings included: Resident 85 was admitted to the facility on [DATE] with diagnoses which included chronic kidney disease stage 4, pulmonary hypertension, and chronic diastolic (congestive) heart failure.Resident 85's medical record was reviewed on 8/18/25 through 8/21/25.On 4/30/25 at 7:01 PM, a nurse's note documented, Resident complaining of continued burning with urination. Provider notified. New order to collect UA [urinalysis] with C&S [culture and sensitivity].On 4/30/25, a physician's order documented, UA C&S one time only for Follow up post UTI [urinary tract infection] for 3 days.On 5/2/25 at 5:13PM, a nurse's note documented,…

  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 · D2025-08-21 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 did not obtain laboratory (lab) services only when ordered by a physician; physician assistant; nurse practitioner, or clinical nurse specialist. Specifically, for 1 out of 43 sampled residents, a resident had a Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), erythrocyte sedimentation rate (ESR), and C-Reactive Protein (CRP) collected prior to the date the physician's order stated. Resident identifier: 7.Findings included:Resident 7 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included metabolic encephalopathy, paranoid schizophrenia, acute kidney failure, and acquired absence of left leg below knee.Review of resident 7's records was completed on 8/18/25 through 8/21/25.On 7/26/2025 at 10:10 PM, a Nurses Note revealed new orders per house provider were entered. Due to highly elevated ESR and CRP and patient biting hands, internal inflammation may be the cause, steroid to be started on 7/28/25 (Monday).…

  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 · D2025-08-21 · tag F0775 — isolated
  Keep complete, dated laboratory records in the resident's record.
  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 it was determined for 2 out of 43 sampled residents, that the facility did not file in the resident's clinical record laboratory reports that were dated and contained the name and address of the testing laboratory. Specifically, two residents laboratory results were not located in the electronic medical record. Resident identifiers: 5 and 85.Findings included:1. Resident 5 was admitted to the facility on [DATE] with diagnoses which included, obstructive and reflex uropathy, acute kidney failure, and type 2 diabetes.Resident 5's medical record was reviewed 8/18/25 through 8/21/25.A review of resident 5's medical record revealed: a. A physician's order dated 6/23/25 documented, Urinalysis with culture and sensitivity. one time only for Hematuria and increased urine sediments. for 1 day only.There was no urine culture and sensitivity laboratory results located in resident 5's medical record. b. A physician's order dated 8/8/25 documented, UA [urinalysis] with reflex to culture…

  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 · Dcited before2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, it was determined that the facility did not store, prepare, distribute, and serve food in accordance with professionals standards for food safety. Specifically, there were observations of numerous flies making contact with food preparation surfaces and utensils in the kitchen, observations of kitchen staff not properly wearing hairnets, observations of staff not washing their hands after leaving the kitchen and returning, and observations of dirty ceiling tiles above food preparation areas of the kitchen. Findings Included:On 8/20/25 at 11:37 AM, an observation was made of the facility kitchen while lunch was being plated and served. There were multiple flies in the kitchen. The flies were landing on hotel pans and food preparation tables. The ceiling above the tray line area of the kitchen was dirty. On 8/20/25 at 11:44 AM, Dietary Aide (DA) 1 was observed to be wearing a hairnet. The hairnet only covered the bun on the back of her head, and not the face framing pieces of her hair. DA 1 was observed to touch her hair, then touch a resident's meal…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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, it was determined for 1 of 43 sampled residents, the facility failed to maintain medical records on each resident that was complete, accurately documented, readily accessible, and systematically organized. Specifically, a resident had no documentation regarding an incident. Resident identifier: 36.Findings included:Resident 36 was admitted to the facility on [DATE] with diagnoses which included hemiplegia and hemiparesis following cerebral infarction, heart failure, and chronic respiratory failure.Resident 36's medical record was reviewed on 8/18/25 through 8/21/25.On 8/19/25 at 8:12 AM, resident 36 stated that her eyebrows were singed when a staff member was assisting her in lighting her cigarette.An email from Licensed Practical Nurse (LPN) 1 was time stamped at 8/20/25 at 12:39 PM. LPN 1 stated that on 8/5/25 at approximately 6:30 PM she assisted resident 36 with lighting a cigarette with a lighter. LPN 1 stated that as resident 36 leaned in to light the cigarette a few…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-20 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Specifically, surveyors observed two meals that were served late, multiple residents complained of late meals during the initial pool, and there were grievances filed by residents about late meals. Resident identifier: 2 and 44. Findings Included: The posted facility meal times posted outside of the main dining room were as follows: Breakfast: 7:30 to 8:30 AM Lunch: 11:30 AM to 12:30 PM Dinner: 4:30 to 5:30 PM The facility serves residents who eat in their rooms first and then serves residents who choose to eat in the dining room after. On 3/17/25, an observation was made of the breakfast meal service at the facility. The facility did not finish serving residents in the dining room until 8:52 AM. The last breakfast tray for the Colonial hall was not served until 8:48 AM. On 3/18/25, an observation was made of the dinner meal service at the facility. The facility did not begin plating and loading meal trays…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-20 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not ensure that each resident received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature. Specifically, surveyors sampled a test tray and found it to not be palatable, there were concerns about the palatability of the food served at the facility identified during the initial pool interviews, and there were grievances filed by residents about the food served at the facility. Resident identifiers: 2, 26, 40, 63, and 72. Findings Included: On 3/17/25 at 10:41 AM, an interview was conducted with resident 2. Resident 2 stated that most of the time the food served at the facility tasted bad. On 3/17/25 at 11:01 AM, an interview was conducted with resident 40. Resident 40 stated that sometimes the food was not so bad, but other times it was so bad he would rather not eat. Resident 40 stated that the food served at the facility was worse on the weekends. On 3/17/25 at 11:08 AM, an interview was conducted with resident 63. Resident 63 stated the food was normally good but…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 observation, interview, and record review, the facility did not maintain an infection prevention and control program to prevent the development and transmission of communicable diseases. Specifically, for 1 out of 38 sampled residents, a resident's feeding tube was observed to be on the floor and not capped while not in use. Additionally, facility staff did not wear Personal Protective Equipment (PPE) while providing high contact care on Enhanced Barrier Precautions (EBP). Resident identifier: 238. Findings included: Resident 238 was admitted to the facility on [DATE] with diagnoses which included, encephalopathy, acute kidney failure, and adult failure to thrive. On 3/17/25 at 8:47 AM, an observation was made of resident 238's room. There was an EBP sign posted on the door. On 3/18/25 at 10:36 AM, an observation was made of Certified Nursing Assistant (CNA) 1 coming out of resident 238's room with a used brief in a disposable trash bag. On 3/18/25 at 10:57 AM, an observation was made of resident 238.…

  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 · D2025-03-20 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 did not ensure that the resident assessment accurately reflected the residents' status. Specifically, for 2 out of 38 sampled residents, the facility indicated on the resident assessment that the residents did not have a serious mental illness despite the residents' Preadmission Screening and Resident Review (PASRR) level II assessments that documented the residents had a serious mental illness. Resident identifiers: 45 and 68. Findings Included: 1. Resident 45 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including, but not limited to, paranoid schizophrenia, generalized anxiety disorder, post-traumatic stress disorder, and major depressive disorder recurrent moderate. Resident 45's medical record was reviewed on 3/17/25 through 3/20/25. Resident 45's admission Minimum Data Set (MDS) assessment dated [DATE], was reviewed. The response to Question A1500 on the assessment, which stated, Is the resident currently considered by 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.

  Resident Assessment and Care Planning 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

$68,891 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $12,035 — penalty dated 2024-09-16
• $16,801 — penalty dated 2024-03-21
• $40,055 — penalty dated 2023-09-18
• Medicare payment denial — starting 2024-10-18 for 4 days
• Medicare payment denial — starting 2023-11-08 for 1 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CASCADES HEALTHCARE — 19 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $392K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in UT