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Coral Desert Rehabilitation and Care

1490 East Foremaster Drive, St. George, UT 84790 · Washington County · (435) 674-5195

60 certified beds, about 52 residents a day · For profit - Corporation · Medicare and Medicaid since 2005

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 465160 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 21, 2024, inspectors cited 2 health deficiencies (the Utah average is 8.8, the national average 9.2).

None of its 13 health citations since May 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.71 hours per resident per day, against 4.09 across Utah and 3.86 nationally. Registered nurses accounted for 1.30 of those hours.

47.1% of nursing staff left within the year CMS measured (Utah average 50.7%).

CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
4E
0F
Potential for minimal harm
0A
0B
0C
November 21, 2024Standard inspection · 2 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that the interdisciplinary team had determined that the resident's right to self administer medications was clinically appropriate. Specifically, for 1 out of 37 sampled residents, a resident had a medication stored on the bed side table and the resident had not been evaluated to determine if they were safe to self administer medications. Resident identifier: 108.
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on interview and record review, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs and was provided adequate monitoring of those drugs. Specifically, for 1 out of 37 sampled residents, a resident taking a medication used as a hypnotic was not monitored for the number of hours of sleep each night. Resident Identifier: 46.
December 15, 2022Standard inspection · 11 citations
  1. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation and interview, the facility did not ensure that medication error rates were not 5 percent or greater. Observations of 30 medication opportunities, on 12/14/22, revealed 2 medication errors which resulted in a 6.67% medication error rate. Specifically, for 1 out of 19 sampled residents, a resident received two expired medications. Resident identifier: 148.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation and interview, the facility did not ensure that drugs and biologicals used in the facility were labeled in accordance with accepted professional principles, included the accessory and cautionary instructions and the expiration date when applicable, and were stored in locked compartments. Specifically, observations were made of medications left unattended on top of the medication cart, the medication cart was left unlocked when unattended, and expired medications were administered. Resident identifiers: 9, 17, 100, and 148.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation and interview, the facility did not store, prepare, distribute, and serve food in accordance with professional standards of food service safety. Specifically, food items in the dry storage room, refrigerator, and freezer were open to air and food items in the refrigerator were past the use by date.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, staff did not use hand hygiene (HH) during medication pass, a medication was touched with an ungloved hand and placed back in the medication pack for future use, and medication was touched after no HH was used and administered to a resident. Resident identifier:
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident consistent with the resident's rights that includes measurable objectives and timeframe's to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. Specifically, for 3 out of 19 sampled residents, a resident who required one on one feeding assistance was not receiving that assistance, and two residents who required oxygen did not have the use of oxygen included in the comprehensive care plan. Resident identifiers: 91, 103, and 143.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility did not provide a resident who was unable to carry out activities of daily living the necessary services to maintain good grooming and personal hygiene. Specifically, for 1 out of 19 sampled residents, a resident was not provided one on one feeding assistance. Resident identifier: 143.
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that residents maintained acceptable parameters of nutritional status. Specifically, for 1 out of 19 sampled residents, a resident with weight loss did not receive timely and appropriate interventions. Resident identifier: 18.
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview and record review, the facility did not ensure that a resident who was fed by enteral means received the appropriate treatment and services to restore, if possible, oral eating skills and to prevent complications. Specifically, for 1 out of 19 sampled residents, a resident's tube feeding was not infusing at the prescribed infusion rate. Resident identifier: 17.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Specifically, for 2 out of 19 sampled residents, residents who required oxygen did not have a physician's order for oxygen. Resident identifiers: 91 and 103.
  10. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on interview and record review, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued; or any combinations of the reasons above. Specifically, for 1 out of 19 sampled residents, the facility administered a narcotic within two hours of an antianxiety medication which was outside of the physician ordered parameters. Resident identifier: 18.
  11. D
    Keep complete, dated laboratory records in the resident's record.
    F775 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on interview and record review, the facility did not file laboratory reports that were dated and contained the name and address of the testing laboratory in the residents' clinical record. Specifically, for 2 out of 19 sampled residents, results of laboratory (lab) tests were not in the residents medical record and were not readily accessible. Resident identifiers: 97 and 103.
May 6, 2021Standard inspection · 0 citations

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeUtahUnited States
All nursing staff (RN, LPN and aides)4.714.093.86
Registered nurses1.301.250.69
All nursing staff on weekends4.223.583.42
Nurse aides2.55
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)47.1%50.7%45.8%
Registered nurse turnover15.4%40.6%42.9%
Administrators who left0

CMS expects 5.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.91 on weekdays and 4.22 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.03 in April to June 2025 to 4.71 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.711.304.914.22 0.7%0 of 9052
Oct to Dec 20254.421.404.603.97 4.3%0 of 9253
Jul to Sep 20255.071.625.304.49 1.7%0 of 9245
Apr to Jun 20255.031.385.304.38 0.9%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Utah, Jan to Mar 20263.911.114.103.442.8%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Utah

JobMedianMiddle halfEmployed
Utah, all employers
CNAs (nursing assistants)$19.15$17.81 to $21.3212,260
LPNs and LVNs$30.40$25.71 to $35.861,680
Registered nurses$40.67$38.49 to $50.5427,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeUtahUS
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.02.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.00.91.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
19.93.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.014.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.616.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.211.612.0

Owners and operators

Legal business name: RED CLIFFS HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Milestone Healthcare LLC5% or greater direct ownership interestOrganization100%08/30/2013
Cosgrave, CoryManaging control - governing bodyIndividual06/07/2023
Hoopes, TylerManaging control - governing bodyIndividual04/01/2015
Farnsworth, StephenCorporate directorIndividual04/01/2015
Burnam, SoonCorporate officerIndividual08/30/2013
Hoopes, TylerCorporate officerIndividual01/01/2020
Keetch, ChadCorporate officerIndividual03/01/2011
Sato, AmiCorporate officerIndividual09/09/2024
Nursa IncOperational/managerial controlOrganization04/01/2015
Cosgrave, CoryOperational/managerial controlIndividual06/07/2023
Hoopes, TylerOperational/managerial controlIndividual04/01/2015
Port, BarryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/14/2025
Coral Desert Properties, LLCAdp of the SNFOrganization04/01/2015
Ensign Services IncAdp of the SNFOrganization04/01/2015
Cosgrave, CoryAdp of the SNFIndividual06/07/2023
Hoopes, TylerAdp of the SNFIndividual04/01/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on November 21, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 15, 2022: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 21, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 15, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Other nursing homes nearby

Utah contacts for a concern about a nursing home

These are the official offices in Utah. NursingHomeClear cannot take or act on complaints.

Common questions

What is Coral Desert Rehabilitation and Care's Medicare star rating?
CMS rates Coral Desert Rehabilitation and Care 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Coral Desert Rehabilitation and Care get at its last inspection?
2 health deficiencies at the standard inspection on November 21, 2024. The Utah average is 8.8.
Has Coral Desert Rehabilitation and Care been fined?
CMS lists no fines in the last three years.
Does Coral Desert Rehabilitation and Care accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Coral Desert Rehabilitation and Care?
CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: RED CLIFFS HEALTHCARE INC.

Sources

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