SNF

Four Corners Regional Care Center

CCN: 465057 · Blanding, UT 84511 · San Juan County

Overview

Address
818 North 400 West, Blanding, UT 84511
Phone
4356382251
Certified beds
104
Avg daily residents
48 (46% of beds filled)
Ownership
Government (county)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1977-05-17
Setting
Rural
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.33 3.42 3.76 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.43 0.60 0.48 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.84 0.76 0.95 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.06 2.06 2.33 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.27 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.99
hrs / resident / day
RN (weekend)
0.24
hrs / resident / day
Total nurse (adjusted, weekend)
3.38
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
51.1%
annual
RN turnover
75.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-09 14 14 1 124 1 124
Cycle 2/3 (prior) 2023-03-15 5 5 0 40 1 40
Total weighted health score
103.0
lower is better

Deficiencies (26)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

24 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2025-01-09 2025-02-12
0610 Respond appropriately to all alleged violations. E 2025-01-09 2025-02-12
0692 Provide enough food/fluids to maintain a resident's health. D 2025-01-09 2025-02-12
0732 Post nurse staffing information every day. F 2025-01-09 2025-02-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-01-09 2025-02-12
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-01-09 2025-02-12
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-01-09 2025-02-12
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2025-01-09 2025-02-12
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-01-09 2025-02-12
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2025-01-09 2025-02-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-01-09 2025-02-12
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-01-09 2025-02-12
0880 Provide and implement an infection prevention and control program. E 2025-01-09 2025-02-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. H 2025-01-09 2025-02-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-03-15 2023-05-05
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. G 2023-03-15 2023-05-05
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2023-03-15 2023-05-05
0880 Provide and implement an infection prevention and control program. E 2023-03-15 2023-05-05
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-03-15 2023-05-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2021-06-17 2021-08-01
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2021-06-17 2021-08-01
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2021-06-17 2021-08-01
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2021-06-17 2021-08-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2021-06-17 2021-08-01
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2021-06-17 2021-08-01
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2021-06-17 2021-08-01

Penalties (2)

Fines issued
1
last 3 years
Total fines
$68,471
Payment denials
1
Date Type Fine amount
2025-01-09 Fine $68,471
2025-01-09 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.3% Medicaid 86.6% Other 6.1%

Operating performance

Operating Margin
0.0%
Occupancy Rate
44.4%
Cost per Resident Day
$41

Revenue & costs

Net Patient Revenue
$6.0M
Total Costs
$692K

Balance sheet

Total Assets
$2.2M
Total Liabilities
$2.2M
Current Ratio
0.62

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CASCADES HEALTHCARE

Chain ID
117
Facilities in chain
20
Legal business name
BEAVER VALLEY HOSPITAL
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.7
Staffing
2.1
QM
4.1

Owner / manager organizations (3)

Organization Role Association
BEAVER VALLEY HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/01/2015
CASCADES AT FOUR CORNERS REHAB LLC OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
ASTER HOLDINGS, LLC 5% OR GREATER SECURITY INTEREST since 02/01/2015

Owner / manager individuals (3)

Name Role Association
FULLMER, CHAD OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
MCSPADDEN, DARIN OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
LANGFORD, SCOTT CORPORATE OFFICER since 07/01/2014

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 110 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $41 metrics.cost_per_resident_day
Cost Report Current Ratio 0.62 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 86.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.3% metrics.medicare_day_share
Cost Report Net Patient Revenue ($) $6,025,505 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 44.4% metrics.occupancy_rate
Cost Report Operating Margin (%) 0.0% metrics.operating_margin
Cost Report Total Assets ($) $2,245,147 metrics.total_assets
Cost Report Total Costs ($) $691,572 metrics.total_costs
Cost Report Total Liabilities ($) $2,245,147 metrics.total_liabilities
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.95229 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.32896 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.48228 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.76354 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.37679 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 48.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.75800 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.06007 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.59747 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.41554 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.01044 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 117 Chain ID
Provider Information Chain Name CASCADES HEALTHCARE Chain Name
Provider Information City/Town Blanding City/Town
Provider Information CMS Certification Number (CCN) 465057 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish San Juan County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1977-05-17 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 37.6369 Latitude
Provider Information Legal Business Name BEAVER VALLEY HOSPITAL Legal Business Name
Provider Information Location 818 North 400 West,Blanding,UT,84511 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -109.48 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 104 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.20997 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.87829 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Government - County Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 818 North 400 West Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Four Corners Regional Care Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 180 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 124 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 14 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-09 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 124 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-03-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 40 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 40 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 5 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.23639 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 75.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.26909 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.84244 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.06030 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00724 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42664 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.32939 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State UT State
Provider Information Telephone Number 4356382251 Telephone Number
Provider Information Total Amount of Fines in Dollars 68471.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.98726 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 51.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 103.000 Total Weighted Health Survey Score
Provider Information Urban N Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 84511 ZIP Code