South Davis Specialty Care

Name: South Davis Specialty Care
Address: 481 South 400 East, Bountiful, UT, 84010, US
Telephone: 8012952361

481 South 400 East, Bountiful, UT 84010 · Davis County · 95 certified beds · avg 54 residents/day · certified since Aug 17, 2017

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.64

Nurse hours/resident/day (adjusted)

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Dec 6, 2021 · F-0684

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: Jan 11, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (9)

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
Dec 11, 2025	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 11, 2025	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 11, 2025	D · Potential for harm, one-off	The facility did not keep complete, dated laboratory records in residents' files.
Dec 11, 2025	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.
Nov 8, 2023	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. · from a complaint
Dec 6, 2021	▲ 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.
Dec 6, 2021	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 6, 2021	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.
Dec 6, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2021	4	1	G ▲
2023	1	0	E
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)	3.64	3.87	3.95	top 42% in Utah; bottom 44% in the U.S.
Registered Nurse hours	1.68	1.17	0.69	top 14% in Utah; top 3% in the U.S.
Weekend total nurse staffing	3.24	3.39	3.50	top 37% in Utah; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	2.95	0.88	0.48	top 2% in Utah; top 1% in the U.S.
Total nursing staff turnover (%)	52.0	50.7	45.8	bottom 48% in Utah; bottom 32% in the U.S.
RN turnover (%)	36.7	40.6	42.9	top 45% 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 7.93, RN 3.67, weekend 7.07. Staffing rating: 4/5.

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

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Milestone Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/22/2024
Burnam, Soon	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/22/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	03/22/2024
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	03/22/2024
Farnsworth, Stephen	Individual	Corporate Director	NOT APPLICABLE	03/22/2024
Fletcher, Jeff	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2024
Fletcher, Jeff	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Fletcher, Jeff	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Martinez, Mark	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2024
Martinez, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Martinez, Mark	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Millcreek Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/22/2024
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/10/2025
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	03/22/2024
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	03/22/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
"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?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Monument Healthcare Stonecreek	0.9 mi	Bountiful, UT	★★★★☆	4/5
Monument Healthcare Bountiful	1.9 mi	Bountiful, UT	★★★☆☆	2/5
Midtown Manor	8.5 mi	Salt Lake City, UT	★☆☆☆☆	2/5
City Creek Post Acute	8.6 mi	Salt Lake City, UT	★★★☆☆	3/5
Maple Ridge Rehabilitation and Nursing	8.6 mi	Salt Lake City, UT	★☆☆☆☆	2/5	abuse
William E Christofferson Salt Lake Veterans Home	9.2 mi	Salt Lake City, UT	★★★★★	4/5
Pine Creek Rehabilitation and Nursing	9.3 mi	Salt Lake City, UT	★★★☆☆	2/5	abuse
St Joseph Villa	10.8 mi	Salt Lake City, UT	★★★☆☆	3/5
Monument Healthcare South Salt Lake	11.6 mi	Salt Lake City, UT	★☆☆☆☆	1/5	SFF
Meadow Brook Rehabilitation and Nursing	11.9 mi	Salt Lake City, UT	★★☆☆☆	1/5	abuse
Millcreek Rehabilitation and Nursing	12.1 mi	Salt Lake City, UT	★★☆☆☆	1/5	abuse
Alpine Meadow Rehabilitation and Nursing	12.2 mi	West Valley City, UT	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Bountiful →

Facility data as of CMS processing date 2026-08-01. CCN 465187.

The Care File

Visit checklist — South Davis Specialty Care

481 South 400 East, Bountiful, UT 84010 · 8012952361

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Dec 6, 2021 (F-0684, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
☐ "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?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 465187 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)