Stonehenge of Richfield
125 East 600 North, Richfield, UT 84701 · Sevier County · 30 certified beds · avg 28 residents/day · certified since Jul 21, 2010
Part of chain: STONEHENGE OF UTAH (5 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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)
▲ Actual harm, one-off · Sep 2, 2021 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Oct 22, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 29, 2025 | E · Potential for harm, repeated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 29, 2025 | E · Potential for harm, repeated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| May 29, 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. |
| May 29, 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. |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 29, 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. |
| May 29, 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. |
| May 29, 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. |
| Sep 2, 2021 | ▲ G · Actual 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. |
| Sep 2, 2021 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Sep 2, 2021 | 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 2, 2021 | 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. |
| Sep 2, 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. |
| Sep 2, 2021 | 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. |
| Sep 2, 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. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Sep 2, 2021 | 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. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Sep 2, 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. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 13 | 1 | G ▲ |
| 2025 | 8 | 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) | 2.97 | 3.87 | 3.95 | bottom 13% in Utah; bottom 13% in the U.S. |
| Registered Nurse hours | 1.30 | 1.17 | 0.69 | top 26% in Utah; top 7% in the U.S. |
| Weekend total nurse staffing | 2.57 | 3.39 | 3.50 | bottom 10% in Utah; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.92 | 0.88 | 0.48 | top 33% in Utah; top 8% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 50.7 | 45.8 | top 13% in Utah; top 26% 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 3.07, RN 1.34, weekend 2.66. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Archstone Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2025 |
| Cichos, Tyson | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/11/2017 |
| Cloward, Wyatt | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/11/2017 |
| Gillespie, Deborah | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Howells, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Juluson, Tyler | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Kane County Human Resource Special Service District | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Loveless, Kurt | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Robison, Cory | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/25/2021 |
| Robison, Cory | Individual | 5% or Greater Indirect Ownership Interest | 47% | 10/25/2021 |
| Spencer, Jesse | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/15/2010 |
| Archstone Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Archstone Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/24/2025 |
| Cichos, Tyson | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2017 |
| Cichos, Tyson | Individual | ADP of the SNF | NOT APPLICABLE | 12/11/2017 |
| Cloward, Wyatt | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2017 |
| Cloward, Wyatt | Individual | ADP of the SNF | NOT APPLICABLE | 12/11/2017 |
| Gillespie, Deborah | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/25/2021 |
| Gillespie, Deborah | Individual | ADP of the SNF | NOT APPLICABLE | 10/25/2021 |
| Howells, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 12/20/1992 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "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?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "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?"
- "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 | 0.4 mi | Richfield, UT | ★★★★☆ | 4/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465173.