Southern Utah Veterans Home - Ivins
160 North 200 East, Ivins, UT 84738 · Washington County · 108 certified beds · avg 104 residents/day · certified since Aug 14, 2013
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: ★★★☆☆3/5 · 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 (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 |
|---|---|---|
| May 20, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 20, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| May 20, 2025 | 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. |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| May 20, 2025 | 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. · from a complaint |
| May 20, 2025 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| May 20, 2025 | 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 |
| May 20, 2025 | 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. · from a complaint |
| Jun 28, 2023 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2025 | 11 | 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) | 7.19 | 3.87 | 3.95 | top 3% in Utah; top 1% in the U.S. |
| Registered Nurse hours | 1.93 | 1.17 | 0.69 | top 9% in Utah; top 2% in the U.S. |
| Weekend total nurse staffing | 6.66 | 3.39 | 3.50 | top 3% in Utah; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.21 | 0.88 | 0.48 | top 18% in Utah; top 3% in the U.S. |
| Total nursing staff turnover (%) | 36.6 | 50.7 | 45.8 | top 16% in Utah; top 28% in the U.S. |
| RN turnover (%) | 32.6 | 40.6 | 42.9 | top 41% in Utah; top 33% 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 5.79, RN 1.55, weekend 5.36. 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
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avalon VA Management LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/17/2015 |
| Avalon Veterans Services, L.L.C. | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/18/2018 |
| Avalon Health Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/03/2010 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| 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 | 04/01/2025 |
| 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 |
| Brereton, Dean | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/23/2023 |
| Brereton, Dean | Individual | ADP of the SNF | NOT APPLICABLE | 02/23/2023 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/20/2012 |
| Dangerfield, David | Individual | Corporate Director | NOT APPLICABLE | 08/20/2012 |
| 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 |
| Kirton, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/20/2012 |
| Kirton, Charles | Individual | Corporate Director | NOT APPLICABLE | 09/04/2003 |
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 assess and manage residents' pain, especially for those who have trouble communicating?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "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 |
|---|---|---|---|---|---|
| Seasons Healthcare and Rehabilitation | 6.4 mi | St. George, UT | ★★★☆☆ | 4/5 | |
| St. George Rehabilitation | 8.0 mi | St. George, UT | ★★★★☆ | 3/5 | |
| Bella Terra St George (black Rock Health and Rehab | 8.0 mi | St. George, UT | ★☆☆☆☆ | 1/5 | |
| Red Cliffs Health and Rehab | 8.7 mi | St George, UT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Coral Desert Rehabilitation and Care | 8.8 mi | St. George, UT | ★★★★☆ | 4/5 | |
| Advanced Health Care of St. George | 9.1 mi | St George, UT | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465180.