What is St. Joseph Villa's Medicare star rating?

CMS rates St. Joseph Villa 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did St. Joseph Villa get at its last inspection?

5 health deficiencies at the standard inspection on July 16, 2024. The Utah average is 8.8.

Has St. Joseph Villa been fined?

CMS lists no fines in the last three years.

Does St. Joseph Villa 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 St. Joseph Villa?

CMS lists 17 owners and managers, and links the home to The Ensign Group. Legal business name: BEAVER VALLEY HOSPITAL.

St. Joseph Villa: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 16, 2024, inspectors cited 5 health deficiencies (the Utah average is 8.8, the national average 9.2).

Of 14 health citations since March 2020, 3 were rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.59 hours per resident per day, against 4.09 across Utah and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.

31.2% 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.

403/20

409/22

607/24

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 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 16, 2024Standard inspection, Complaint inspection · 6 citations

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on interview and record review, the facility did not ensure that 1 of 89 residents received adequate supervision and assistance devices to prevent accidents. Specifically, a resident was transferred with the help of one staff member using a sit to stand device. This was determined to have occurred at a harm level. However, based on the facility's investigation and corresponding correction, this was cited at past non-compliance. Resident identifier: 217.
E

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F801 · 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) September 6, 2024

Inspectors wroteBased on interview, the facility did to employ a clinically qualified full-time dietitian or another clinically qualified nutrition professional to serve as the director of nutrition services. Specifically, the facility did not employ a full time Registered Dietitian (RD) and the Dietary Manager (DM) did not meet the requirements to serve as the director of food and nutrition services.
E

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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024

Inspectors wroteBased on interview and record review it was determined, for 52 of 89 sampled residents, that the facility did not keep confidential all information contained in the resident's records, regardless of the form or storage method of the records. Additionally, the facility did not maintain the medical records on each resident that were complete, accurately documented, and readily accessible. Specifically, residents' names were included in a different residents medical records, and a resident's medical records from the hospital were not included in the residents electronic medical records at the facility. Resident identifiers: 2, 3, 4, 6, 8, 13, 16, 22, 23, 25, 26, 28, 29, 36, 45, 55, 63, 66, 68, 69, 70, 71, 81, 85, 88, 89, 91, 93, 100, 103, 105, 109, 111, 112, 113, 117, 119, 137, 138, 139, 141, 145, 217, 218, 219, 220, 221, 222, 223, 224, 225 and 363. Findings Included: 1. [...]
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · 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) September 6, 2024

Inspectors wroteBased on interview and record review, it was found that the facility failed to ensure that a resident received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 89 sampled residents. Specifically, a resident with a pressure injury was not provided dressing changes for 12 days. Resident identifier: 129.
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 · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024

Inspectors wroteBased on observation, interview and record review it was determined, for 1 of 89 sampled residents, that the facility did not provide or obtain outside resources for routine and emergency dental services to meet the needs of the residents. Specifically, a resident was not provided dental services after requesting to see one. Resident identifier: 38.
D

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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024

Inspectors wroteBased on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. [...]

September 1, 2022Standard inspection · 4 citations

G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 17, 2022

Inspectors wroteBased on observation, interview and record review it was determined, for 1 of 42 sampled residents, that the facility did not ensure that a resident with pressure ulcers (PU) received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, the resident developed multiple areas of new pressure ulcers after admission to the facility. The deficient practice identified was found to have occurred at a harm level. Resident identifier: 83.
G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observation, interview, and record review it was determined, for 1 of 42 sampled residents, that the facility did not provide adequate supervision and assistance devices to prevent accidents. Specifically, a dependent resident sustained a fall from a Hoyer lift after a one person physical assist which resulted in a head lacertion and a tibial fracture. Resident identifier: 44.
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) October 17, 2022

Inspectors wroteBased on observation, record review, and interview it was determined, for 1 of 42 sampled residents, that the facility did not ensure that the resident's right to self-administer medications was evaluated by the interdisciplinary team and was determined to be clinically appropriate. Specifically, a resident self administered their medications without an evaluation to determine if it was safe for the resident to exercise that right. Resident identifier: 77.
D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2022

Inspectors wroteBased on observation, interview, and record review, it was determined, the facility did not ensure that when the use of restraints was indicated, the facility used the least restrictive alternative for the least amount of time. Specifically, for 1 out of 42 sampled residents, a resident with a seatbelt was unable to release it. Staff were not observed to release the restraint and reposition the resident for over 3 hours. Resident identifier: 12.

March 4, 2020Standard inspection · 4 citations

E

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2020

Inspectors wroteBased on observation and interview it was determined that the facility did not ensure that the resident's medical records were secured and confidential. Specifically, observations were made of computer screens left unattended and displaying resident personal information. In addition, residents were observed in the area with the unattended computer screens.
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) March 29, 2020

Inspectors wroteBased on observation, interview, and record review it was determined that the facility did not ensure that the drugs were label according to accepted professional principles and stored in a locked compartment. Specifically, medications were found in resident's rooms, and medication carts were not kept secured.
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) March 29, 2020

Inspectors wroteBased on observation, interview and record review it was determined that the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, there were cracked tiles in the dishmachine area that had pooling water, there was pealing paint above the food preparation area, and there were soiled areas behind the equipment.
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) March 29, 2020

Inspectors wroteBased on observation and interview the facility did not establish and 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 were observed to cross contamination while serving residents in the dining room. In addition, hygiene products in shared bathrooms were not labeled. Resident identifiers:

Fire safety inspections

1 fire safety citation on file: 1 on March 4, 2020.

Every fire safety citation1 citation

D
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · March 4, 2020 · Corrected (the home has a date of correction)

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.

Measure	This home	Utah	United States
All nursing staff (RN, LPN and aides)	3.59	4.09	3.86
Registered nurses	1.02	1.25	0.69
All nursing staff on weekends	3.15	3.58	3.42
Nurse aides	2.22
Licensed practical nurses	0.34
Nursing staff turnover (share who left in a year)	31.2%	50.7%	45.8%
Registered nurse turnover	18.2%	40.6%	42.9%
Administrators who left	0

CMS expects 4.14 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 3.76 on weekdays and 3.15 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.59 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.59	1.02	3.76	3.15	0.0%	0 of 90	172
Oct to Dec 2025	3.91	0.97	4.09	3.45	0.0%	0 of 92	173
Jul to Sep 2025	3.85	0.90	4.02	3.39	0.0%	0 of 92	175
Apr to Jun 2025	3.67	0.84	3.86	3.19	0.0%	0 of 91	176
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Utah, Jan to Mar 2026	3.91	1.11	4.10	3.44	2.8%	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

Job	Median	Middle half	Employed
Utah, all employers
CNAs (nursing assistants)	$19.15	$17.81 to $21.32	12,260
LPNs and LVNs	$30.40	$25.71 to $35.86	1,680
Registered nurses	$40.67	$38.49 to $50.54	27,420
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

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.

Measure	This home	Utah	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	22.4	11.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.1	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.3	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.8	2.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.5	0.9	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	33.6	15.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.8	3.9	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	13.2	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	19.2	16.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.7	11.6	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.3	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.4	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for St. Joseph Villa's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (70.5% 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

70.5% this home

Better than 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. 226 eligible stays.

Potentially preventable readmissions

8.0% this home

Better than 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. 280 eligible stays.

Infections that led to a hospital stay

7.3% this home

No different from the national rate

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. 166 eligible stays.

Self-care and mobility at discharge

73.7% 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. 148 residents counted.

Falls with major injury

1.0% 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. 205 residents counted.

New or worsened pressure ulcers

3.8% 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. 205 residents counted.

Medication list given at discharge

100.0% 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 The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Since
Albrechtsen, Brad	Managing control - governing body	Individual	02/01/2011
Gangotena-Bernard, Fatima	Managing control - governing body	Individual	12/26/2024
Burnam, Soon	Corporate officer	Individual	02/01/2011
Davidson, Craig	Corporate officer	Individual	06/20/1990
Keetch, Chad	Corporate officer	Individual	03/01/2011
Moss, Tyler	Corporate officer	Individual	08/01/2015
Successor Healthcare LLC	Operational/managerial control	Organization	05/01/2016
Albrechtsen, Brad	Operational/managerial control	Individual	02/01/2011
Gangotena-Bernard, Fatima	Operational/managerial control	Individual	12/26/2024
Caretrust Gp LLC	Adp of the SNF	Organization	05/01/2016
Caretrust Reit Inc	Adp of the SNF	Organization	05/01/2016
Ctr Partnership LP	Adp of the SNF	Organization	05/01/2016
Ensign Services Inc	Adp of the SNF	Organization	12/08/2010
Mission CCRC LLC	Adp of the SNF	Organization	05/01/2016
Successor Healthcare LLC	Adp of the SNF	Organization	09/16/2025
Albrechtsen, Brad	Adp of the SNF	Individual	02/01/2011
Gangotena-Bernard, Fatima	Adp of the SNF	Individual	12/26/2024

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 16, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 16, 2024: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 16, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 1, 2022: "Allow residents to self-administer drugs if determined clinically appropriate."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Utah average of 3.58.

Other nursing homes nearby

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Little Cottonwood Rehabilitation and Nursing
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Millcreek Rehabilitation and Nursing
Salt Lake City, 2 mi · 2 of 5 stars · 29 citations
Maple Ridge Rehabilitation and Nursing
Salt Lake City, 2.2 mi · 1 of 5 stars · 29 citations
Pine Creek Rehabilitation and Nursing
Salt Lake City, 2.4 mi · 3 of 5 stars · 41 citations
City Creek Post Acute
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Monument Healthcare Murray Creek
Millcreek, 2.8 mi · 2 of 5 stars · 49 citations

Utah contacts for a concern about a nursing home

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

Inspections and complaints: Utah Department of Health and Human Services, Division of Licensing and Background Checks, Health Facilities Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Utah Long Term Care Ombudsman Program, Division of Aging and Adult Services, 801-538-3910. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Utah DLBC Find a Facility (licensing records and compliance history), where Utah publishes its own records on licensed homes.

Common questions

What is St. Joseph Villa's Medicare star rating?: CMS rates St. Joseph Villa 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. Joseph Villa get at its last inspection?: 5 health deficiencies at the standard inspection on July 16, 2024. The Utah average is 8.8.
Has St. Joseph Villa been fined?: CMS lists no fines in the last three years.
Does St. Joseph Villa 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 St. Joseph Villa?: CMS lists 17 owners and managers, and links the home to The Ensign Group. Legal business name: BEAVER VALLEY HOSPITAL.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.