SNF
Advanced Health Care of St. George
CCN: 465190 · St George, UT 84790 · Washington County
Overview
- Address
- 1934 East Riverside Drive, St George, UT 84790
- Phone
- 4355222100
- Certified beds
- 100
- Avg daily residents
- 41 (41% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare
- Medicare/Medicaid since
- 2018-06-13
- Setting
- Urban
5 /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.
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 | 6.34 | 4.96 | 4.93 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.69 | 0.87 | 1.32 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.10 | 1.10 | 0.86 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.54 | 2.99 | 2.75 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.80 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.36 | — | — | — |
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)
5.43
hrs / resident / day
RN (weekend)
0.91
hrs / resident / day
Total nurse (adjusted, weekend)
4.22
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
38.9%
annual
RN turnover
31.6%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.76
higher acuity than avg
Case-Mix Index Ratio
1.28
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) | 2025-05-15 | 4 | 4 | 0 | 20 | 1 | 20 |
| Cycle 2/3 (prior) | 2023-06-29 | 4 | 4 | 0 | 16 | 1 | 16 |
Total weighted health score
19.0
lower is better
Deficiencies (8)
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).
8 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-15 | 2025-06-20 |
| 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. | E | 2025-05-15 | 2025-06-20 |
| 0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-05-15 | 2025-06-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-05-15 | 2025-06-20 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-06-29 | 2023-07-25 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-06-29 | 2023-07-25 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-06-29 | 2023-07-25 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-06-29 | 2023-07-25 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$4,194
| Date | Type | Fine amount |
|---|---|---|
| 2023-05-08 | Fine | $4,194 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Operating performance
Operating Margin
-11.1%
Total Margin
-10.9%
Occupancy Rate
57.7%
Cost per Resident Day
$152
Revenue & costs
Net Patient Revenue
$6.6M
Total Costs
$1.6M
Net Income
-$727K
Balance sheet
Total Assets
-$1.3M
Total Liabilities
$402K
Fund Balance
-$1.7M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ADVANCED HEALTH CARE
- Chain ID
11- Facilities in chain
- 26
- Legal business name
- AHC OF ST. GEORGE LLC
Chain-average star ratings (for peer context)
Overall
4.7
Health
4.1
Staffing
4.3
QM
4.8
Owner / manager organizations (7)
| Organization | Role | Association |
|---|---|---|
| NEW AHC HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| KAREN GAIL MILLER IRREV TR FBO ZANE MILLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2024 |
| THE GAIL MILLER GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2024 |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2024 |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2024 |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2024 |
Owner / manager individuals (2)
| Name | Role | Association |
|---|---|---|
| PETERSON, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | since 04/02/2024 |
| OXNAM, NATHAN | CORPORATE OFFICER | since 01/01/2024 |
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
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $152 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 84.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-726,857 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,630,006 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 57.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $-1,255,646 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,599,867 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,657,765 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $402,119 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -10.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.85807 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.75344 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.31645 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.92796 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.21960 | 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 | 40.8 | 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 | 1.10171 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.99420 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.86839 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.96430 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.37550 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 11 | Chain ID |
| Provider Information | Chain Name | ADVANCED HEALTH CARE | Chain Name |
| Provider Information | City/Town | St George | City/Town |
| Provider Information | CMS Certification Number (CCN) | 465190 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Washington | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2018-06-13 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.0888 | Latitude |
| Provider Information | Legal Business Name | AHC OF ST. GEORGE LLC | Legal Business Name |
| Provider Information | Location | 1934 East Riverside Drive,St George,UT,84790 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -113.55 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | 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 | 26 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.75863 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.27654 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | 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 | 1934 East Riverside Drive | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Advanced Health Care of St. George | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | 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 | 20 | 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 | 0 | 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 | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-15 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 20 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-06-29 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 16 | 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 | 16 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.90803 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 31.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.79595 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.10329 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.54031 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.36417 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.69266 | 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 | 6.33626 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | UT | State |
| Provider Information | Telephone Number | 4355222100 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 4194.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.42547 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 38.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 19.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 84790 | ZIP Code |