George E. Wahlen Ogden Veterans Home
1102 North 1200 West, Ogden, UT 84404 · Weber County · 120 certified beds · avg 113 residents/day · certified since Feb 3, 2010
Part of chain: AVALON HEALTH CARE (16 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 28, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 28, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 28, 2025 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 7, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 4, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Feb 28, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 28, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 28, 2025 | 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. · from a complaint |
| Aug 7, 2024 | ▲ G · Actual 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. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 7, 2024 | 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. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 9 | 1 | G ▲ |
| 2025 | 3 | 2 | J ▲ |
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)
1 fine totaling $12,363.
| Date | Type | Amount / length |
|---|---|---|
| Feb 28, 2025 | Fine | $12,363 |
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) | 6.02 | 3.87 | 3.95 | top 7% in Utah; top 4% in the U.S. |
| Registered Nurse hours | 1.79 | 1.17 | 0.69 | top 12% in Utah; top 3% in the U.S. |
| Weekend total nurse staffing | 5.31 | 3.39 | 3.50 | top 8% in Utah; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.98 | 0.88 | 0.48 | top 29% in Utah; top 6% in the U.S. |
| Total nursing staff turnover (%) | 26.7 | 50.7 | 45.8 | top 4% in Utah; top 9% in the U.S. |
| RN turnover (%) | 14.3 | 40.6 | 42.9 | top 6% in Utah; top 7% 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 5.05, RN 1.50, weekend 4.46. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avalon VA Management LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/31/2019 |
| Avalon Veterans Services, L.L.C. | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/18/2018 |
| Aston, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2013 |
| Aston, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 06/28/2021 |
| Avalon Health Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/09/2009 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/09/2009 |
| Avalon Health Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/03/2010 |
| Avalon Health Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Bird, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/15/2025 |
| Bird, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
| Borisevich, Maria | Individual | Corporate Officer | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2024 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/05/2007 |
| Dangerfield, David | Individual | Corporate Director | NOT APPLICABLE | 04/05/2007 |
| Hash, Alan | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2017 |
| Hash, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2017 |
| Hash, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2017 |
| Kirton, Byron | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/27/2024 |
| Kirton, Byron | Individual | Corporate Director | NOT APPLICABLE | 08/27/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Lomond Peak Nursing and Rehabilitation, LLC | 2.1 mi | Ogden, UT | ★★★☆☆ | 2/5 | |
| Harrison Pointe Healthcare and Rehabilitation | 6.1 mi | Ogden, UT | ★★★★☆ | 3/5 | |
| Crestwood Rehabilitation and Nursing | 6.4 mi | Ogden, UT | ★★☆☆☆ | 1/5 | |
| Stonehenge of Ogden | 6.9 mi | Washington Terrace, UT | ★★★★★ | 4/5 | |
| Mt Ogden Health and Rehabilitation Center | 7.9 mi | Washington Terrace, UT | ★★★★★ | 4/5 | |
| The Terrace Transitional | 7.9 mi | Ogden, UT | ★★★☆☆ | 2/5 | |
| Heritage Park Healthcare and Rehabilitation | 8.2 mi | Roy, UT | ★★★☆☆ | 2/5 | abuse |
| South Ogden Post-Acute (cascades at South Ogden) | 8.5 mi | Ogden, UT | ★★☆☆☆ | 2/5 | |
| Mountain View Health Services | 9.1 mi | Ogden, UT | —/5 | SFF | |
| Pine View Transitional Rehab | 9.4 mi | South Ogden, UT | ★★★★★ | 5/5 | |
| Rocky Mountain Care- Clearfield | 12.7 mi | Clearfield, UT | ★★☆☆☆ | 1/5 | |
| Thatcher Brook Rehabilitation & Care Center | 13.4 mi | Clearfield, UT | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 465172.