Mission at Community Living Rehabilitation Center
10 West 400 South, Centerfield, UT 84622 · Sanpete County · 46 certified beds · avg 42 residents/day · certified since Dec 20, 2010
Part of chain: MISSION HEALTH SERVICES (7 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (20)
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 |
|---|---|---|
| Jun 25, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 25, 2025 | 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. · from a complaint |
| Jun 25, 2025 | D · Potential for harm, 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 |
| Jun 25, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 25, 2025 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. · from a complaint |
| Jun 25, 2025 | 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 |
| Jun 25, 2025 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint |
| Sep 12, 2023 | F · Potential for harm, facility-wide | 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. |
| Sep 12, 2023 | E · Potential for harm, repeated | 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 |
| Sep 12, 2023 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Sep 12, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Sep 12, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Sep 12, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 12, 2023 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Sep 12, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Sep 12, 2023 | 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. |
| Feb 24, 2022 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Feb 24, 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. |
| Feb 24, 2022 | 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. |
| Feb 24, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2023 | 9 | 0 | F |
| 2025 | 7 | 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) | 3.08 | 3.87 | 3.95 | bottom 18% in Utah; bottom 16% in the U.S. |
| Registered Nurse hours | 0.73 | 1.17 | 0.69 | bottom 17% in Utah; top 34% in the U.S. |
| Weekend total nurse staffing | 2.70 | 3.39 | 3.50 | bottom 18% in Utah; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.88 | 0.48 | bottom 11% in Utah; top 36% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 50.7 | 45.8 | top 23% in Utah; top 36% in the U.S. |
| RN turnover (%) | 0.0 | 40.6 | 42.9 | top 1% in Utah; top 1% 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 2.94, RN 0.69, weekend 2.58. Staffing rating: 3/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bartholomew, Brenda | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2021 |
| Blackham, Brady | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Blackham, Brady | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Care Transitions INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/06/2025 |
| Gunnison Valley Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Keele, Eddie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Mission Health Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2014 |
| Mission Health Services | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Murray, Brian | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2014 |
| Piquet, Shaeleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/25/2023 |
| Piquet, Shaeleen | Individual | ADP of the SNF | NOT APPLICABLE | 09/25/2023 |
| Squire, Nikelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Squire, Nikelle | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Wootton, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Wootton, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Zimbelman, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2026 |
| Zimbelman, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "How often does each resident's doctor visit and review their care in person?"
- "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 |
|---|---|---|---|---|---|
| Mission at Richfield Nursing and Rehabilitation | 27.1 mi | Richfield, UT | ★★★★☆ | 4/5 | |
| Stonehenge of Richfield | 27.5 mi | Richfield, UT | ★★★★☆ | 3/5 | |
| San Rafael Health and Rehabilitation | 36.5 mi | Ferron, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 465175.