Advanced Health Care of St. George
1934 East Riverside Drive, St George, UT 84790 · Washington County · 100 certified beds · avg 43 residents/day · certified since Jun 13, 2018
Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2025 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Utah avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.17 | 3.87 | 3.95 | top 23% in Utah; top 33% in the U.S. |
| Registered Nurse hours | 1.26 | 1.17 | 0.69 | top 28% in Utah; top 8% in the U.S. |
| Weekend total nurse staffing | 3.67 | 3.39 | 3.50 | top 22% in Utah; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.01 | 0.88 | 0.48 | top 24% in Utah; top 6% in the U.S. |
| Total nursing staff turnover (%) | 45.0 | 50.7 | 45.8 | top 34% in Utah; bottom 50% in the U.S. |
| RN turnover (%) | 36.8 | 40.6 | 42.9 | top 46% in Utah; top 41% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.73, RN 1.73, weekend 5.04. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| New Ahc Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2021 |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The G&H Miller Utah Trust Dated February 26, 2019 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The Gail Miller GST Trust | Organization | 5% or Greater Indirect Ownership Interest | 72% | 01/01/2024 |
| LHMSH LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| New Ahc Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/10/2025 |
| Oxnam, Nathan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Peterson, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/02/2024 |
| Peterson, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Swigert, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Coral Desert Rehabilitation and Care | 0.5 mi | St. George, UT | ★★★★☆ | 4/5 | |
| Bella Terra St George (black Rock Health and Rehab | 1.3 mi | St. George, UT | ★☆☆☆☆ | 1/5 | |
| St. George Rehabilitation | 1.3 mi | St. George, UT | ★★★★☆ | 3/5 | |
| Red Cliffs Health and Rehab | 1.8 mi | St George, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Seasons Healthcare and Rehabilitation | 2.7 mi | St. George, UT | ★★★☆☆ | 4/5 | |
| Southern Utah Veterans Home - Ivins | 9.1 mi | Ivins, UT | ★★★★★ | 3/5 | |
| Hurricane Health and Rehabilitation | 16.2 mi | Hurricane, UT | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465190.