Stonehenge of Cedar City
333 West 1425 North · Cedar City, UT · 84721 · 4352671700
50 certified beds For profit - Corporation Chain: Stonehenge of Utah
Why this verdict
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Actual harm · G March 26, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 18, 2026 · Nursing and Physician Services
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Potential for harm · D March 26, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 18, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 18, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 18, 2026 · Nutrition and Dietary
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Potential for harm · D February 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 30, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 20, 2023 · Quality of Life and Care
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Potential for harm · D December 1, 2021
Keep residents' personal and medical records private and confidential.
Corrected January 28, 2022 · Resident Rights
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Potential for harm · D December 1, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2021
Ensure each resident receives an accurate assessment.
Corrected January 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 28, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2021
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 28, 2022 · Pharmacy Service
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Potential for harm · F December 1, 2021
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 28, 2022 · Infection Control
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Potential for harm · D December 1, 2021
Perform COVID19 testing on residents and staff.
Corrected January 28, 2022 · Infection Control
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Actual harm · G September 11, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 1, 2019 · Quality of Life and Care
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Actual harm · G September 11, 2019
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 1, 2019 · Quality of Life and Care
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Potential for harm · D September 11, 2019
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 1, 2019 · Resident Rights
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Potential for harm · D September 11, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 1, 2019 · Resident Rights
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Potential for harm · D September 11, 2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 1, 2019 · Resident Assessment and Care Planning
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Potential for harm · E September 11, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 1, 2019 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2019
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected October 31, 2019 · Nursing and Physician Services
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Potential for harm · D September 11, 2019
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 1, 2019 · Pharmacy Service
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Potential for harm · D September 11, 2019
Provide and implement an infection prevention and control program.
Corrected November 1, 2019 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465153 · certified since May 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.