Salt Lake County nursing home profile
St Joseph Villa
CMS public datasets and CMS inspection records. Measurements are attributed to source files. Nothing here is medical, legal or financial advice.
Where these numbers come from, and what they cannot tell you
Public CMS nursing home and provider datasets, CMS inspection records, and provider-family source captures. These are historical measurements and official-source excerpts, not medical advice, not quality recommendations, not proof of plan network status, and not a check on what any Medicare plan covers. Resting Sycamore is not Medicare.gov and is not endorsed by any government agency.
What does CMS report about St Joseph Villa at a glance?
The basics, current CMS ratings, and attributed flags in one place.
identity
St Joseph Villa
451 East Bishop Federal Lane, Salt Lake City, UT 84115 · 8014877557
221 certified beds · For profit - Corporation · Medicare and Medicaid certified
221 certified beds · For profit - Corporation · Medicare and Medicaid certified
CMS star ratings with state percentile
tick = UT median. Ratings are assigned by CMS.
signal chips
Abuse indicator NoSpecial Focus Facility NoSFF candidate list NoDays with no RN on site 0%Nursing turnover 31.2% vs UT 50.7%Fines, 3 yr $0trajectory and survey clock
8 QUARTER TREND
Not enough history in available CMS data snapshotCurrent CMS overall rating: 3
LAST INSPECTED
2024-07-162024-07-16. 743 days before the CMS release date.
Attribution. Adverse signals on this page are CMS-attributed measurements from public source snapshots, not Resting Sycamore conclusions.
What stands out in the CMS data for St Joseph Villa?
A short, field-derived read of the measures surfaced on this page.
Quick read
St Joseph Villa is a 221 bed For profit - Corporation nursing facility in Salt Lake City, UT. CMS recorded no fines and no payment denials for this facility in the last three years. Staff stability is better than most facilities in the state, with 31.2% total nursing turnover against a UT average of 50.7%. Weekend staffing ran about 16.2% below weekday staffing. 2 deficiencies cited at the 2024-07-16 inspection had also been cited at the previous inspection, which indicates the corrections did not hold. If you are considering this facility, the tour questions below were selected from these specific findings.
How does staffing look in the CMS payroll data?
Daily payroll data supports the staffing, weekend and temporary-staff measurements.
care minutes per resident per day, by role
Case-mix adjusted CMS values. Raw total nursing HPRD: 3.59.
weekend gap, derived from PBJ daily rows
Mon
3.71
Tue
3.79
Wed
3.85
Thu
3.79
Fri
3.68
Sat
3.19
Sun
3.11
Weekday 3.77 hrs · Weekend 3.15 hrs · 16.2% lower on weekends
stability and coverage
| Measure | Here | UT |
|---|---|---|
| Total nursing turnover | 31.2% | 50.7% |
| RN turnover | 18.2% | not benchmarked |
| Administrators departed, 12 mo | 0 | not benchmarked |
| Hours from temporary staff | 0% | 2.8% |
| Days with no RN on site | 0% | not benchmarked |
state staffing standard
UT standard shown for context: 2.5 direct-care HPRD · Utah R432-151-20 nursing staffing standard, 2.5 nursing hours per resident day with a licensed-nursing component, as referenced in the RSA facility standards baseline. CMS total nursing HPRD and the state direct-care standard are not identical calculations.
What did recent inspections cite, and is official narrative available?
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G 1
H
I
No harm, potential
D 2
E 2
F
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 5, then 5, then 4. Latest survey date: 2024-07-16.
Repeat citations
| Tag | Plain English | Previous | Latest | Sev |
|---|---|---|---|---|
| F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | prior cycle | latest cycle | D |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | prior cycle | latest cycle | G |
CMS data shows 2 repeat deficiency tags between the latest two cycles.
Recent citations
| Date | Tag | Category | Sev | Found how | Corrected |
|---|---|---|---|---|---|
| 2024-07-16 | F0686 | Quality of Life and Care Deficiencies | D | complaint | 2024-09-06 |
| 2024-07-16 | F0689 | Quality of Life and Care Deficiencies | G | complaint | 2023-10-23 |
| 2024-07-16 | F0790 | Quality of Life and Care Deficiencies | D | complaint | 2024-09-06 |
| 2024-07-16 | F0801 | Nutrition and Dietary Deficiencies | E | complaint | 2024-09-06 |
| 2024-07-16 | F0842 | Resident Assessment and Care Planning Deficiencies | E | complaint | 2024-09-06 |
Official CMS inspection narrative
F0686 · 2024-07-16 · severity D
Official inspection narrative not available for this citation.
F0689 · 2024-07-16 · severity G
Official inspection narrative not available for this citation.
F0790 · 2024-07-16 · severity D
Official inspection narrative not available for this citation.
F0801 · 2024-07-16 · severity E
Official inspection narrative not available for this citation.
F0842 · 2024-07-16 · severity E
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
This section preserves official CMS inspection text matched to this facility from the current provider page source.
B6-INSP Inspections and official narratives P1 DIFF CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates. CMS scope and severity Isolated Pattern Widespread Immediate jeopardy J K L Actual harm G 1 H I No harm, potential D 2 E 2 F Minimal harm A B C Shaded cells were cited in the latest survey cycle. Down and right is more serious. Deficiency trend Health deficiencies by cycle: 5, then 5, then 4 . Latest survey date: 2024-07-16. Repeat citations Tag Plain English Previous Latest Sev F0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. prior cycle latest cycle D F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle G CMS data shows 2 repeat deficiency tags between the latest two cycles. Recent citations Date Tag Category Sev Found how Corrected 2024-07-16 F0686 Quality of Life and Care Deficiencies D complaint 2024-09-06 2024-07-16 F0689 Quality of Life and Care Deficiencies G complaint 2023-10-23 2024-07-16 F0790 Quality of Life and Care Deficiencies D complaint 2024-09-06 2024-07-16 F0801 Nutrition and Dietary Deficiencies E complaint 2024-09-06 2024-07-16 F0842 Resident Assessment and Care Planning Deficiencies E complaint 2024-09-06 Official CMS inspection narrative F0686 · 2024-07-16 · severity D Official inspection narrative not available for this citation. F0689 · 2024-07-16 · severity G Official inspection narrative not available for this citation. F0790 · 2024-07-16 · severity D Official inspection narrative not available for this citation. F0801 · 2024-07-16 · severity E Official inspection narrative not available for this citation. F0842 · 2024-07-16 · severity E Official inspection narrative not available for this citation. CMS Form 2567 inspection report text The inspection text below is attributed to CMS Form 2567 records when a matching official source is available. Inspection Report: 2024-07-16 This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection. Each 5 is a federal standard the facility failed to meet. Read the full inspection report Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection. Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
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Who does CMS report as owning or operating this facility?
Ownership data is shown as CMS-reported structure. Low-confidence chain claims are suppressed.
chain rollup, CMS-corroborated
This facility is one of 346 nursing homes in the CMS chain field for THE ENSIGN GROUP.
CHAIN AVG STARS
3.2CHAIN AVG TURNOVER
45%CHAIN FINES
$7,179,329BELOW 3 STARS
108ownership structure
| Owner | Type | Role | % | Since |
|---|---|---|---|---|
| ALBRECHTSEN, BRAD | individual | ADP OF THE SNF | not reported | — |
| CARETRUST GP LLC | organization | ADP OF THE SNF | not reported | — |
| CARETRUST REIT INC | reit | ADP OF THE SNF | not reported | — |
| CTR PARTNERSHIP LP | organization | ADP OF THE SNF | not reported | — |
| ENSIGN SERVICES INC | organization | ADP OF THE SNF | not reported | — |
| GANGOTENA-BERNARD, FATIMA | individual | ADP OF THE SNF | not reported | — |
| MISSION CCRC LLC | organization | ADP OF THE SNF | not reported | — |
| SUCCESSOR HEALTHCARE LLC | organization | ADP OF THE SNF | not reported | — |
| BURNAM, SOON | individual | CORPORATE OFFICER | not reported | — |
| DAVIDSON, CRAIG | individual | CORPORATE OFFICER | not reported | — |
Ownership change on record: none reported. Correlation claims are not made.
sibling facilities, internal linking
| Other homes, same owner | State | Stars | Turnover | Fines 3 yr |
|---|---|---|---|---|
| City Creek Post Acute | UT | 3 | Not reported | $0 |
| Copper Ridge Health Care | UT | 5 | 53.9% | $0 |
| Coral Desert Rehabilitation and Care | UT | 4 | 47.1% | $0 |
| Harrison Pointe Healthcare and Rehabilitation | UT | 4 | 61.8% | $0 |
| Holladay Healthcare Center | UT | 3 | 43.8% | $0 |
| Orem Rehabilitation and Nursing Center | UT | 3 | Not reported | $0 |
| Paramount Health and Rehabilitation | UT | 2 | 36% | $119,012 |
| Pointe Meadows Health and Rehabilitation | UT | 5 | 49.6% | $0 |
Ownership information is self-reported to CMS. Entity-resolution confidence for this page: high. No chain averages are emitted at low confidence.
What questions should you bring on a facility tour?
Use these as practical questions for a facility tour or follow-up call.
selected from this building's own data
| Because the data shows | Ask them |
|---|---|
| 2 deficiencies were cited at two or more inspections in a row | “What specifically changed after the last inspection, and may I see the plan of correction?” |
| Weekend staffing runs 16.2% below weekday staffing | “Who is on the floor on a Saturday night, and how many residents does each aide cover then?” |
| Falls with major injury are 3.8% against 2.5% statewide | “What is your fall prevention process, and how quickly are call bells answered on this unit?” |
| Pressure sore rate is 6.8% against 3.9% statewide | “How often are residents who cannot move on their own repositioned, and who checks that it happened?” |
| This facility is one of 346 run by the same owner group | “Who makes staffing and budget decisions for this building, the administrator here or the corporate office?” |
| Always worth asking on a facility tour | “How many residents is one aide responsible for on days, evenings and nights?” |
Download the printable checklistEmail me a copyAdd my own questions
Which nearby facilities are reasonable alternatives to compare?
This facility stays first, followed by nearby facilities in the current verified provider page set.
sortable, this facility pinned row 1
| Facility | Miles | Stars | RN min | Turnover | Went home | Readmit | Fines 3yr |
|---|---|---|---|---|---|---|---|
| St Joseph Villa (this one) | 0 | 3 | 57 | 31.2% | Not reported | — | $0 |
| Monument Healthcare South Salt Lake | 0.8 | 1 | 7 | 47.2% | Not reported | — | $36,546 |
| Meadow Brook Rehabilitation and Nursing | 1.1 | 2 | 85 | 77.8% | Not reported | — | $31,331 |
| Millcreek Rehabilitation and Nursing | 2 | 2 | 42 | 52.4% | Not reported | — | $25,441 |
| Maple Ridge Rehabilitation and Nursing | 2.2 | 1 | 37 | 72.4% | Not reported | — | $11,887 |
| Monument Healthcare Cottonwood Creek | 2.3 | 3 | 57 | Not reported | — | — | $17,940 |
| William E Christofferson Salt Lake Veterans Home | 3.2 | 5 | 119 | 38.5% | Not reported | — | $12,735 |
| Aspen Ridge West Transitional Rehab | 4.8 | 5 | 73 | 43.4% | Not reported | — | $0 |
| Aspen Ridge Transitional Rehab | 6.7 | 5 | 91 | 39.6% | Not reported | — | $0 |
Where did this provider data come from, and how can it be corrected?
every dataset, dated
| Dataset | Released | Cadence |
|---|---|---|
| Nursing Home Chain Performance Measures Jun 2026 | 2026-07-15 | periodic |
| Fire Safety Deficiencies | 2026-07-29 | monthly |
| SNF Cost Report 2023 | 2025-12-19 | annual |
| Health Deficiencies | 2026-07-29 | monthly |
| PBJ Daily Nurse Staffing Q1 2026 | 2026-07-29 | quarterly |
| Penalties | 2026-07-29 | monthly |
| Provider Information | 2026-07-29 | monthly |
| Medicare Claims Quality Measures | 2026-07-29 | quarterly |
| MDS Quality Measures | 2026-07-29 | quarterly |
| Ownership | 2026-07-29 | quarterly |
| SNF CHOW Q2 2026 | 2026-07-27 | quarterly |
| Special Focus Facility list + candidate list via Provider Information Special Focus Status field | 2026-07-29 | monthly |
| Survey Summary | 2026-07-29 | monthly |
Data source: CMS, releases as dated above.
methods and corrections
Percentiles are computed from CMS fields in the same source snapshot. Repeat citations are a self-join on CCN and F-tag across consecutive survey cycles. Chain grouping uses CMS chain fields and CMS ownership rows, biased to low confidence when uncertain. Ownership information is self-reported to CMS.
Not connected with or endorsed by the United States government or the federal Medicare program.
Not connected with or endorsed by the United States government or the federal Medicare program.
This form prepares a copy-ready correction request. Final intake, review, and page changes remain part of the approved human correction/removal process.
method questions
Where does this data come from? Data source: CMS public datasets, with release dates listed above.
How can a facility operator request a correction? Use this form to request a correction or removal.
What disclosures apply to this facility page?
required disclosures, verbatim
Not connected with or endorsed by the United States government or the federal Medicare program · Data source: CMS, with release dates · Ownership information is self-reported to CMS · Request a correction · Nothing here is medical, legal or financial advice