Bella Terra St George (Black Rock Health and Rehab
St. George, Utah · CCN 465152
20 surveys since 2009, 21 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 201
- Surveys
- 20
- Harm or worse
- 21
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 149
- Ownership
- For profit - Limited Liability company
- Chain
- BEAVER VALLEY HOSPITAL
- County
- Washington
- Medicare-certified since
- 2001
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 69 for-profit facilities in Utah.
Last survey on record
Jan 8, 2026
305 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.99 | 3.59 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 64.8% | 54.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $81,346 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.6% | K— | L— |
| Actual harm | G710.9% | H46.3% | I— |
| No harm, potential for more than minimal | D2945.3% | E2031.3% | F34.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6552×
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F7442×
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
In the surveyor’s words
From the most serious findings on record at Bella Terra St George (Black Rock Health and Rehab, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Nov 13, 2024
Based on interview and record review, it was determined for 7 out of 65 sampled residents that the facility did not ensure that each resident had the right to be free from abuse and neglect. Specifically, residents were not assessed for the capacity to consent to a sexual relationship. This was cited at an immediate jeopardy level, Another resident experienced unwanted sexual contact from another resident. In addition, a resident without capacity was able to leave the facility against medical advice and was charged with trespassing. The last 2 examples were cited at a harm level. […]
- Actual harm, patternF725Nov 13, 2024
Based on interview, observation and record review it was determined, for 7 of 65 sampled residents, that the facility did not have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment. […]
- Actual harm, patternF726Nov 13, 2024
Based on observation, interview and record review it was determined that the facility did not have sufficient nursing staff with the appropriate competencies and skills set to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, inadequate oversight by the Director of Nursing resulted in multiple system failures in resident care areas which placed residents at harm. Resident identifiers: 1, 3, 4, 5, 9, 10, 13, 15, 16, 20, 26, 27, 28, 29, 32, 34, 38, 45, 46, 49, 51, 52, 53, 55, 57, 61, 65, 120, 269, and 371. Findings included: 1. […]
- Actual harm, patternF835Nov 13, 2024
Based on observation, interview and record review it was determined, for 45 out of 65 sampled residents, that the facility was not administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, deficient practice identified during the survey regarding abuse was found to have occurred at an Immediate Jeopardy level. Additionally, deficient practice identified during the survey regarding involuntary seclusion, pressure ulcers, accident hazards, bowel and bladder incontinence, sufficient staffing, competent nursing staff, behavioral health services and sufficient dietary personnel were found to have occurred at a harm level. […]
- Actual harm, patternF867Nov 13, 2024
Based on interview, observation and record review, the facility did not ensure that policies were established and implemented to ensure that identified quality deficiencies were corrected. Specifically, multiple areas of immediate jeopardy and harm were identified. In addition, multiple areas of non compliance were cited on the previous survey and again during the current recertification survey. Resident identifiers: 1, 3, 4, 5, 6, 9,10, 13, 14, 15, 16, 18, 20, 22, 24, 26, 27, 28, 29, 30, 32, 34, 36, 38, 44, 45, 46, 49, 50, 51, 52, 53, 54, 55, 57, 60, 61, 65, 67, 120, 121, 269, 319, 371, and 419. Findings included: 1. […]
Read 30 findings in full →The most serious and the most recent: 30 of 201 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 8, 2026Standard2 findings
- Nov 13, 2024Standard and complaint56 findings · 11 harm
- Jun 28, 2023Standard6 findings · 1 harm
- Jan 26, 2023Complaint2 findings · 1 harm
- Mar 8, 2022Infection control2 findings
- Sep 16, 2021Standard and complaint36 findings · 1 harm
- Nov 3, 2020Infection control2 findings
- Nov 21, 2019Standard14 findings
Show the 12 earlier surveys
- Jun 25, 2019Complaint1 finding · 1 harm
- Oct 24, 2018Standard8 findings
- Jul 10, 2018Complaint1 finding
- Jun 13, 2018Complaint1 finding
- Jul 13, 2017Standard and complaint21 findings · 2 harm
- Feb 8, 2015Standard3 findings
- Dec 18, 2013—7 findings
- Apr 23, 2013—1 finding
- Oct 11, 2012—2 findings
- May 10, 2012—24 findings · 4 harm
- Jun 16, 2010—6 findings
- Jan 22, 2009—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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