Coral Desert Rehabilitation and Care
1490 East Foremaster Drive, St. George, UT 84790 · Washington County · 60 certified beds · avg 52 residents/day · certified since Feb 3, 2005
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (13)
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 |
|---|---|---|
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 15, 2022 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 15, 2022 | 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. |
| Dec 15, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 15, 2022 | E · Potential for harm, repeated | 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. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 15, 2022 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 0 | E |
| 2024 | 2 | 0 | D |
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) | 0.00 | 3.87 | 3.95 | — |
| Registered Nurse hours | 0.00 | 1.17 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.39 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.88 | 0.48 | — |
| Total nursing staff turnover (%) | 47.1 | 50.7 | 45.8 | top 41% in Utah; bottom 44% in the U.S. |
| RN turnover (%) | 15.4 | 40.6 | 42.9 | top 8% in Utah; top 9% 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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Milestone Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/30/2013 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2013 |
| Coral Desert Properties, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2015 |
| Cosgrave, Cory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/07/2023 |
| Cosgrave, Cory | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/07/2023 |
| Cosgrave, Cory | Individual | ADP of the SNF | NOT APPLICABLE | 06/07/2023 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2015 |
| Farnsworth, Stephen | Individual | Corporate Director | NOT APPLICABLE | 04/01/2015 |
| Hoopes, Tyler | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2015 |
| Hoopes, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Hoopes, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2015 |
| Hoopes, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2015 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Nursa INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2015 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/14/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Advanced Health Care of St. George | 0.5 mi | St George, UT | ★★★★★ | 4/5 | |
| Bella Terra St George (black Rock Health and Rehab | 0.8 mi | St. George, UT | ★☆☆☆☆ | 1/5 | |
| St. George Rehabilitation | 0.9 mi | St. George, UT | ★★★★☆ | 3/5 | |
| Red Cliffs Health and Rehab | 1.3 mi | St George, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Seasons Healthcare and Rehabilitation | 2.5 mi | St. George, UT | ★★★☆☆ | 4/5 | |
| Southern Utah Veterans Home - Ivins | 8.8 mi | Ivins, UT | ★★★★★ | 3/5 | |
| Hurricane Health and Rehabilitation | 16.0 mi | Hurricane, UT | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 465160.