St Joseph Villa
451 East Bishop Federal Lane, Salt Lake City, UT 84115
St Joseph Villa is a nursing home in Salt Lake City, Utah. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (801) 487-7557
- Last standard health inspection
- July 16, 2024 (2 years ago)
- Certified beds
- 221
- Residents per day, on average
- 168.8
- Ownership type
- For profit - Corporation
- Legal business name
- Beaver Valley Hospital
- Chain
- The Ensign Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Utah average (14 vs 26).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0781 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0923 from the fire safety inspection on July 16, 2024.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
6 citations
Health inspection on July 16, 2024
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
29 of 97 Utah homes (30%) got a citation at the actual harm level in 2024.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 23, 2023.
CMS has cited this home for F0689 2 times since 2022.
Citation F0801. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS lists it as corrected on September 6, 2024.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on September 6, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on September 6, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on September 6, 2024.
CMS has cited this home for F0686 2 times since 2022.
Citation F0790. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide routine and 24-hour emergency dental care for each resident.
CMS lists it as corrected on September 6, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
4 citations
Health inspection on September 1, 2022
CMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
17 of 97 Utah homes (18%) got a citation at the actual harm level in 2022.
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on October 17, 2022.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 1, 2022.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on October 17, 2022.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on October 17, 2022.
4 citations
Health inspection on March 4, 2020
CMS lists this as a standard inspection.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on March 29, 2020.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 29, 2020.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 29, 2020.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 29, 2020.
1 citation
Fire safety inspection on March 4, 2020
CMS lists this as a standard inspection.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on March 18, 2020.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SUCCESSOR HEALTHCARE LLCOperational/managerial control · not applicable · since 05/01/2016
- ALBRECHTSEN, BRADOperational/managerial control · not applicable · since 02/01/2011
- GANGOTENA-BERNARD, FATIMAOperational/managerial control · not applicable · since 12/26/2024
Questions
When was St Joseph Villa last inspected?
CMS lists July 16, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does St Joseph Villa have?
CMS lists 14 health citations since March 4, 2020. CMS also calls these deficiencies.
Has St Joseph Villa been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of St Joseph Villa?
Its CMS overall star rating is 3 of 5.
Is St Joseph Villa a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
Other nursing homes in Salt Lake City
- City Creek Post Acute
- Holladay Healthcare Center
- Maple Ridge Rehabilitation and Nursing
- Meadow Brook Rehabilitation and Nursing
- Midtown Manor
- Millcreek Rehabilitation and Nursing
- Monument Healthcare Cottonwood Creek
- Monument Healthcare Millcreek
- Monument Healthcare South Salt Lake
- Monument Healthcare Taylorsville