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South Ogden Post-Acute (cascades at South Ogden)

5540 South 1050 East, Ogden, UT 84405 · Weber County · (801) 479-8455

122 certified beds, about 84 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 465117 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 21, 2025, inspectors cited 6 health deficiencies (the Utah average is 8.8, the national average 9.2).

Of 35 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $68,891 in the last three years; the largest was $40,055, and the latest is dated September 16, 2024.

Nurses and nurse aides worked 3.71 hours per resident per day, against 4.09 across Utah and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

60.2% of nursing staff left within the year CMS measured (Utah average 50.7%).

CMS links it to Cascades Healthcare, an affiliated group of 19 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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
20D
10E
1F
Potential for minimal harm
0A
0B
0C
August 21, 2025Standard inspection · 6 citations
  1. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased 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. [...]
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased 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.
  3. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased 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.
  4. 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) September 23, 2025
    Inspectors wroteBased 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.
  5. D
    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, isolated · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased 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. [...]
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased 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.
March 20, 2025Standard inspection, Complaint inspection · 9 citations
  1. E
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased 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. [...]
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased 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. [...]
  3. 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) April 18, 2025
    Inspectors wroteBased 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.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased 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. [...]
  5. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on interview and record review, the facility did not ensure residents received the appropriate treatment and assistive devices to maintain vision and hearing abilities. Specifically, for 2 out of 38 sampled residents, a resident with impaired vision had a referral sent to the eye doctor in January and the resident had not see the eye doctor. In addition, a resident with vision and hearing concerns . Resident identifiers: 2 and 63.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 1 out of 38 sampled residents, a resident that was a high fall risk did not have interventions implemented to prevent future falls. Resident identifier: 81.
  7. 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) April 18, 2025
    Inspectors wroteBased on interview and record review, the facility did not ensure that the resident's drug regimen was free of unnecessary drugs without adequate monitoring. Specifically, for 1 out of 38 sampled residents, nursing staff administered blood pressure lowering medications to the resident when the resident's blood pressure was outside of the parameters specified by a physician's order. Resident identifier: 40. Findings Included: Resident 40 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included, but not limited to, essential primary hypertension, type 2 diabetes mellitus with hyperglycemia, mixed hyperlipidemia, and severe morbid obesity due to excess calories. Resident 40's medical record was reviewed on 3/17/25 through 3/20/25. [...]
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on interview and record review, the facility did not ensure the residents were free of any significant medication errors. Specifically, for 1 out of 38 sampled residents, a resident's physician order for oxycodone was transcribed to the wrong resident's Medication Administration Record (MAR) and that resident received five doses of the medication. Resident identifier: 60.
  9. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility did not provide or obtain outside resources for routine or emergency dental services to meet the needs of the resident. Specifically, for 1 out of 38 sampled residents, a resident was not provided dental services for missing teeth. Resident identifier: 2.
September 16, 2024Standard inspection, Complaint inspection · 11 citations
  1. G
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased 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.
  2. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, the dish machine was not meeting the required temperature to sanitize the dishes and there were no chemical strips in the kitchen to monitor the sanitizer in the dish machine or the sanitation buckets. Additionally, food items in the freezer and dry storage room were open to air.
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview and record review, for 4 of 45 residents, the facility did not ensure that residents who needed respiratory care were provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. Specifically, a resident did not have a physician order for the use of oxygen, and residents did not have properly labeled oxygen tubing. Resident identifiers: 6, 39, 51, and 69.
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation and interview, it was determined the facility did not ensure that all drugs and biologicals were stored and secured in locked compartments. Specifically, medication was left unattended in a medication cup on top of an unlocked medication cart within reach of other residents and a blue pill was observed to be on the floor during medication pass.
  5. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility did not provide food that was palatable, attractive, and at a safe and appetizing temperature. Specifically, for 9 out of 45 sampled resident, residents complained of food quality and a test tray not attractive or palatable. Resident identifiers: 8, 15, 28, 31, 34, 39, 47, 55 and 66.
  6. 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) October 22, 2024
    Inspectors wroteBased on observation, interview and record review it was determined, for 14 out of 45 sampled residents, the facility failed to 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, hand hygiene was not performed between residents who were being assisted with eating or performed after delivering lunch trays between multiple resident rooms. In addition, after a staff member tested positive for COVID-19 and source control was not implemented. Resident identifiers: 3, 7, 9, 17, 22, 33, 35, 47, 51, 58, 62, 67, 68 and 124.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview and record review it was determined, for 1 of 45 sampled residents, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice. Specifically, a resident was complaining that food was getting caught in a tooth that had been extracted. There was no monitoring documented after the resident had the tooth extraction. Resident identifier: 50.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview and record review it was determined, for 1 of 45 sampled residents, that the facility did not ensure that each resident received adequate supervision and assistive devices to prevent accidents. Specifically, a resident that was assessed as requiring supervision while smoking was observed to be smoking unsupervised. Resident identifier: 50.
  9. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined, for 1 of 45 sampled resident, the facility did not ensure that a resident who was fed by enteral means received the appropriate treatment. Specifically, a resident's tube feeding was not infusing at the prescribed infusion rate. Resident identifier: 51.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview and record review, for 1 of 45 sampled residents, the facility did not ensure that residents were free from significant medication errors. Specifically, an order for Furosemide 40 mg (milligrams) was not discontinued when the physician reduced the dose to 20 mg, resulting the resident receiving 60 mg on two separate days. Resident identifier: 39.
  11. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 22, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined, for 1 of 45 sampled resident, that the facility did not ensure each resident received and the facility provided food prepared in a form designed to meet individual needs. Specifically, a resident was observed to be coughing after drinking liquids during two different meal times. Resident identifier:
March 21, 2024Complaint inspection · 6 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased 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]: [...]
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased 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: [...]
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wrote3. Resident 21 was admitted to the facility initially on 8/2/19, and re-admitted on [DATE] with diagnoses that included type 2 diabetes with neuropathy, morbid obesity, dementia with behavioral disturbance, and depressive disorder. Resident 21's medical record was reviewed between 3/11/24 and 3/21/24. A quarterly MDS assessment dated [DATE], revealed resident 21 had a BIMS score of 8, indicating moderate cognitive impairment. Resident 21's care plan focus area, initiated on 2/16/24, revealed, [resident's name redacted] has expressed a need for physical intimacy, such as kissing other residents. He has a dx [diagnosis] of dementia and does not have the capacity to consent to physical intimacy. The goal was, Residents psychosocial need for physical touch/intimacy will be met safely through review date. [...]
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility did not provide necessary services to maintain good nutrition for a resident who was unable to carry out activities of daily living. Specifically, for 1 out of 45 sampled residents, a resident that required assistance with eating waited 35 minutes to get assistance by staff after the meal was served to the resident. Resident identifier: 29.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview and record review, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice. Specifically, for 1 out of 45 sampled residents, a resident was admitted to the facility on hospice and was not assessed upon admission, provided the appropriate medications, and was not transferred until the following day to the memory care unit after family requested. Resident identifier: 119.
  6. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents goals, and preferences. Specifically, for 1 out of 45 sampled residents, a resident that required continuous oxygen therapy was observed without their oxygen nasal cannula on and out of reach. Staff were observed to not apply the oxygen nasal cannula for the resident. Resident identifier: 59.
September 18, 2023Complaint inspection · 3 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased 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.
  2. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and record review, it was identified that the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, to the State Survey Agency. Specifically, an entity report for 3 separate allegations of abuse were not submitted to the State Survey Agency within 2 hours after the allegations were identified. Resident identifiers: 11, 43, and 52.
  3. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wrote2. Resident 43 was admitted to the facility on [DATE] with diagnoses which consisted of intracranial injury with loss of consciousness, hemiplegia, Alzheimer's disease, osteoarthritis, major depressive disorder, insomnia, benign prostatic hypertrophy, and history of malignant neoplasm of the skin. Resident 43's medical record was reviewed 9/11/23 through 9/18/23. On 8/23/23, the Quarterly Minimum Data Set (MDS) Assessment documented a BIMS score of 00, which would indicate a severe cognitive impairment. The assessment documented that resident 43 was an extensive 1 person assist for bed mobility, transfer, locomotion on and off the unit, dressing, toilet use, and personal hygiene. Review of the resident 43's progress notes revealed the following: a. [...]

Fire safety inspections

10 fire safety citations on file: 4 on August 21, 2025, 3 on March 20, 2025, 3 on September 16, 2024.

Every fire safety citation10 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 21, 2025 · Corrected (the home has a date of correction)
  2. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 21, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 21, 2025 · Corrected (the home has a date of correction)
  4. E
    Conduct testing and exercise requirements.
    E 39 · August 21, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 20, 2025 · Corrected (the home has a date of correction)
  6. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 20, 2025 · Corrected (the home has a date of correction)
  7. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 20, 2025 · Corrected (the home has a date of correction)
  8. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · September 16, 2024 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 16, 2024 · Corrected (the home has a date of correction)
  10. D
    Have simulated fire drills held at unexpected times.
    K 712 · September 16, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 16, 2024Fine $12,035
September 16, 2024Payment Denial 4 days from October 18, 2024
March 21, 2024Fine $16,801
September 18, 2023Fine $40,055
September 18, 2023Payment Denial 1 days from November 8, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.714.093.86
Registered nurses1.051.250.69
All nursing staff on weekends3.343.583.42
Nurse aides2.35
Licensed practical nurses0.31
Nursing staff turnover (share who left in a year)60.2%50.7%45.8%
Registered nurse turnover48.4%40.6%42.9%
Administrators who left0

CMS expects 4.09 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 3.86 on weekdays and 3.34 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.71 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.711.053.863.34 0.8%0 of 9084
Oct to Dec 20253.341.003.473.02 0.6%0 of 9292
Jul to Sep 20253.451.043.613.05 1.0%0 of 9293
Apr to Jun 20253.301.143.442.96 0.6%0 of 9193
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. If you work here, your report helps start one.

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.

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For South Ogden Post-Acute (cascades at South Ogden). No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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 whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.511.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.21.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.92.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.00.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.915.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.43.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.914.215.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for South Ogden Post-Acute (cascades at South Ogden)'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.8% this home

No different from the national rate

US median of homes 51.5% · Utah: 40 better, 0 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 33 eligible stays.

Potentially preventable readmissions

11.2% this home

No different from the national rate

US median of homes 10.7% · Utah: 3 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 56 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Utah: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 20 eligible stays.

Self-care and mobility at discharge

43.3% this home

Median of homes: Utah63.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.

Falls with major injury

0.0% this home

Median of homes: Utah0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 43 residents counted.

New or worsened pressure ulcers

2.9% this home

Median of homes: Utah1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 43 residents counted.

Medication list given at discharge

95.5% this home

Median of homes: Utah100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 22 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BEAVER VALLEY HOSPITAL. CMS links this home to Cascades Healthcare, a group of 19 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
McSpadden, DarinManaging control - governing bodyIndividual01/01/2023
Langford, ScottCorporate officerIndividual09/18/2018
McSpadden, DarinCorporate officerIndividual09/18/2018
Fullmer, ChadOperational/managerial controlIndividual01/01/2023
McSpadden, DarinOperational/managerial controlIndividual09/18/2018
Beaver Valley HospitalAdp of the SNFOrganization08/29/2025
Cascades Healthcare LLCAdp of the SNFOrganization07/28/2025
Fullmer, ChadAdp of the SNFIndividual01/01/2023
McSpadden, DarinAdp of the SNFIndividual01/01/2023

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on August 21, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on August 21, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on March 21, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 20, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Utah average of 3.58.

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Common questions

What is South Ogden Post-Acute (cascades at South Ogden)'s Medicare star rating?
CMS rates South Ogden Post-Acute (cascades at South Ogden) 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did South Ogden Post-Acute (cascades at South Ogden) get at its last inspection?
6 health deficiencies at the standard inspection on August 21, 2025. The Utah average is 8.8.
Has South Ogden Post-Acute (cascades at South Ogden) been fined?
Yes. CMS lists 3 fines totaling $68,891 in the last three years.
Does South Ogden Post-Acute (cascades at South Ogden) 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 South Ogden Post-Acute (cascades at South Ogden)?
CMS lists 9 owners and managers, and links the home to Cascades Healthcare. Legal business name: BEAVER VALLEY HOSPITAL.

Sources

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