The Terrace Transitional

Name: The Terrace Transitional
Address: 400 East 5350 South, Ogden, UT, 84405, US
Telephone: 8014799855

400 East 5350 South, Ogden, UT 84405 · Weber County · 120 certified beds · avg 93 residents/day · certified since Oct 9, 1987

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

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · 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 (26)

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
Oct 8, 2024	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. · from a complaint
Aug 29, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Aug 29, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Aug 29, 2024	E · Potential for harm, repeated	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Aug 29, 2024	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
Aug 29, 2024	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
Aug 29, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Aug 29, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Aug 29, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Aug 29, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Aug 29, 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 29, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Aug 29, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Aug 29, 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 29, 2024	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint
Aug 29, 2024	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint
Dec 15, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 15, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 15, 2022	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 15, 2022	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.
Dec 15, 2022	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.
Dec 15, 2022	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 6, 2021	F · Potential for harm, facility-wide	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 6, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 6, 2021	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
May 6, 2021	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 14).

Year	Citations	Worst severity that year
2021	4	F
2022	6	E
2024	16	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)	3.53	3.87	3.95	bottom 47% in Utah; bottom 38% in the U.S.
Registered Nurse hours	0.85	1.17	0.69	bottom 30% in Utah; top 24% in the U.S.
Weekend total nurse staffing	3.06	3.39	3.50	bottom 42% in Utah; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.88	0.48	bottom 20% in Utah; top 28% in the U.S.
Total nursing staff turnover (%)	43.8	50.7	45.8	top 31% in Utah; top 47% in the U.S.
RN turnover (%)	12.5	40.6	42.9	top 5% in Utah; top 6% 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 3.34, RN 0.81, weekend 2.90. 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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Burch Creek Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2019
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	08/01/2019
Delahunty, Colin	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/2019
Delahunty, Colin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2019
Delahunty, Colin	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2019
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	05/14/2019
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Moss, Tyler	Individual	Corporate Officer	NOT APPLICABLE	08/01/2019
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2019
Stelter, Casey	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/2019
Stelter, Casey	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2019
Stelter, Casey	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2019
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2019
Waterfall Canyon Healthcare, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2019
Waterfall Canyon Healthcare, INC.	Organization	ADP of the SNF	NOT APPLICABLE	09/17/2025

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 specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"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
Mt Ogden Health and Rehabilitation Center	0.0 mi	Washington Terrace, UT	★★★★★	4/5
Stonehenge of Ogden	1.0 mi	Washington Terrace, UT	★★★★★	4/5
South Ogden Post-Acute (cascades at South Ogden)	1.1 mi	Ogden, UT	★★☆☆☆	2/5
Mountain View Health Services	1.7 mi	Ogden, UT		—/5	SFF
Pine View Transitional Rehab	1.9 mi	South Ogden, UT	★★★★★	5/5
Crestwood Rehabilitation and Nursing	2.3 mi	Ogden, UT	★★☆☆☆	1/5
Harrison Pointe Healthcare and Rehabilitation	2.6 mi	Ogden, UT	★★★★☆	3/5
Heritage Park Healthcare and Rehabilitation	4.2 mi	Roy, UT	★★★☆☆	2/5	abuse
Rocky Mountain Care- Clearfield	5.3 mi	Clearfield, UT	★★☆☆☆	1/5
Fairfield Village Rehabilitation	6.3 mi	Layton, UT	★★★☆☆	2/5
Thatcher Brook Rehabilitation & Care Center	6.4 mi	Clearfield, UT	★★★★★	3/5
Lomond Peak Nursing and Rehabilitation, LLC	7.3 mi	Ogden, UT	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Ogden →

Facility data as of CMS processing date 2026-08-01. CCN 465115.

The Care File

Visit checklist — The Terrace Transitional

400 East 5350 South, Ogden, UT 84405 · 8014799855

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

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 specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "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 465115 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)