William E Christofferson Salt Lake Veterans Home
700 South Foothill Drive, Salt Lake City, UT 84113 · Salt Lake County · 81 certified beds · avg 73 residents/day · certified since Sep 21, 2000
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: ★★★★☆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 · Nov 12, 2025 · F-0805 · triggered by a complaint
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.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
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 16, 2025 (Past Non-Compliance)
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 |
|---|---|---|
| Mar 19, 2026 | 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. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
| Nov 12, 2025 | ▲ G · Actual 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. · from a complaint |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 28, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 28, 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. |
| Feb 28, 2024 | 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 28, 2024 | D · Potential for harm, one-off | 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. |
| Jun 9, 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. |
| Jun 9, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 9, 2022 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2024 | 5 | 0 | D |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 3 | 0 | F |
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)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Nov 12, 2025 | Fine | $8,278 |
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) | 5.68 | 3.87 | 3.95 | top 10% in Utah; top 6% in the U.S. |
| Registered Nurse hours | 1.99 | 1.17 | 0.69 | top 8% in Utah; top 2% in the U.S. |
| Weekend total nurse staffing | 5.14 | 3.39 | 3.50 | top 9% in Utah; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.30 | 0.88 | 0.48 | top 17% in Utah; top 3% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 50.7 | 45.8 | top 19% in Utah; top 32% in the U.S. |
| RN turnover (%) | 29.0 | 40.6 | 42.9 | top 31% in Utah; top 28% 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 4.38, RN 1.53, weekend 3.96. 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: —/5
Who owns this facility
For profit - Limited Liability company
| 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 | 12/01/2003 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Avalon Health Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2008 |
| Avalon Health Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
| 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 |
| Braegger, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2025 |
| Braegger, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2025 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2008 |
| Dangerfield, David | Individual | Corporate Director | NOT APPLICABLE | 11/01/2008 |
| 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 |
| Hueftle, Kristin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Hueftle, Kristin | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Kirton, Byron | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/27/2024 |
| Kirton, Byron | Individual | Corporate Director | NOT APPLICABLE | 08/27/2024 |
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 handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| City Creek Post Acute | 1.6 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Maple Ridge Rehabilitation and Nursing | 2.1 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | abuse |
| St Joseph Villa | 3.2 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Millcreek Rehabilitation and Nursing | 3.2 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
| Monument Healthcare South Salt Lake | 3.7 mi | Salt Lake City, UT | ★☆☆☆☆ | 1/5 | SFF |
| Mt. Olympus Rehabilitation Center | 3.8 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | |
| Meadow Brook Rehabilitation and Nursing | 3.9 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
| Monument Healthcare Canyon Rim | 3.9 mi | Millcreek, UT | ★★★☆☆ | 3/5 | |
| Pine Creek Rehabilitation and Nursing | 4.2 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | abuse |
| Little Cottonwood Rehabilitation and Nursing | 4.7 mi | South Salt Lake, UT | ★★★★★ | 5/5 | |
| Midtown Manor | 4.8 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | |
| Monument Healthcare Murray Creek | 5.1 mi | Millcreek, UT | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 465150.