All states › Utah › Ferron › San Rafael Health and Rehabilitation
455 West Mill Road Ferron, UT 84523 · Emery County
CMS certification number 465085 · See this home on Medicare Care Compare
Is San Rafael Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for San Rafael Health and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Utah average of 3.5.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.18 hours per resident per day at San Rafael Health and Rehabilitation, above the Utah median of 3.68 (US median: 3.72). About 1.62 of those hours are from registered nurses. On weekends it falls to 3.31 hours, 21% below its all-week average. Ask how weekends are staffed. 50% of nursing staff left within a year (Utah median 50.6%).
About this nursing home
Paying for care at San Rafael Health and Rehabilitation: Medicare and Medicaid
San Rafael Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Utah's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 15, 2024 and found 6 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 27 citations at San Rafael Health and Rehabilitation across 3 inspection dates, 8 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 15, 2024 (complaint inspection). The most common areas cited were pharmacy service (5) and quality of life and care (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, November 15, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
November 15, 2024 · 14 citations · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
JRespond appropriately to all alleged violations.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 15, 2023 · 3 citations
EHonor 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.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
June 17, 2021 · 10 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EImplement 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
CHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
Questions to ask on a tour of San Rafael Health and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on November 15, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 15, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $29,347 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 15, 2024 | Fine | $25,929 |
| Feb 6, 2024 | Fine | $3,418 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.