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Nursing HomeMedicaid Investigative

Cedar Health and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

411 West 1325 North, Cedar City, UT 84721120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 59 Google reviews

5
4
3
2
1
Cedar Health and Rehabilitation Nursing Home in Cedar City, UT — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (10 vs median 7)

Bottom 25% in UT · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility offers a highly regarded therapy department and a clean environment, which many families appreciate for short-term recovery. However, due to serious, recurring reports of medication errors and slow response times to call lights, we strongly advise you to monitor your loved one's care closely and verify their medication administration logs during your visits.

Google Reviews

Google Reviews

59 reviews on Google
Cedar Health and Rehabilitation receives highly polarized feedback, with many reviewers praising the therapy department and staff friendliness, while others report severe concerns regarding neglect and medical errors. Families should be aware of a significant divide between those who describe a warm, family-like atmosphere and those who allege dangerous lapses in patient safety and communication. Prospective families are encouraged to conduct a thorough, in-person tour and ask pointed questions about staffing ratios and emergency response protocols.

Quality Themes

Tap a score for details
Food8.0Staff5.0Clean9.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptional physical therapy department
  • Warm, attentive nursing and care staff
  • Clean and well-maintained facility
  • Strong patient advocacy and coordination

Concerns

  • Neglect and slow response times to call lights (mentioned by 3 reviewers)
  • Medication management errors and delays (mentioned by 2 reviewers)
  • Understaffing issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(2)'21(1)'23(7)'25(8)'26(2)

Distribution · 57 analyzed

5
49
4
1
3
0
2
1
1
6
12 reviews posted between Aug 4, 2022Aug 6, 2022 · 11 were 5-star

How They Respond to Reviews

43%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the physical therapy department receives high praise; could you walk us through how your therapy team coordinates with the nursing staff to ensure a resident's progress is consistent throughout the day?
  • 2Given the importance of timely assistance, what is your current protocol for monitoring and responding to call lights, especially during shift changes or peak hours?
  • 3We understand that medication management is a critical part of care; what specific safety checks and double-verification systems do you have in place to prevent errors or delays in administering medications?
  • 4I see that you actively engage with families through your online reviews; how do you typically communicate with family members when a resident has a change in condition or a medical concern arises?
  • 5With a capacity of 120 residents, how do you ensure that each individual receives personalized attention and stays engaged in daily activities despite the size of the facility?
  • 6In light of your recent health inspection findings, what specific steps or quality improvement initiatives has the leadership team implemented to address those areas and enhance the overall resident experience?

Personalized based on this facility's data


Key Review Excerpts

Physical therapy worked with him everyday and was so patient and diligent with him. It didn’t take long for them to get him back to where he was and walking again.

Family member of resident · 2024★★★★★

They have an excellent therapy program that is provided 7 days/week for short-term rehab patients, which is very rare for a skilled nursing facility.

General observer/Professional · 2022★★★★★

My family member was sitting in a soaked diaper for hours and when I asked for help the staff was rude and dismissive.

Family member of resident · 2024
Source: 59 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.76hrs
92%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

7

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.5%
UT
14.6%
Iron
36.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
19.5%
UT
24.7%
Iron
22.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
UT
97.1%
Iron
88.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.0%
Worse than Avg
Here
12.0%
US
5.3%
UT
3.5%
Iron
8.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
15.3%
UT
16.8%
Iron
21.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.8%
Mixed vs Avgs
Here
13.8%
US
14.4%
UT
12.1%
Iron
19.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.1%
Better than Avg
Here
96.1%
US
81.8%
UT
93.8%
Iron
81.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.5%
Mixed vs Avgs
Here
80.5%
US
79.8%
UT
91.0%
Iron
80.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Mixed vs Avgs
Here
1.2%
US
1.6%
UT
0.8%
Iron
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (9.1)
3 complaint-triggered

Families have filed complaints that triggered inspections, resulting in 22 deficiencies across three surveys. The facility shows recurring problems with care planning (cited three times across all surveys), medication management (multiple pharmacy violations), and food safety/nutrition. While all deficiencies were reportedly corrected, the pattern of repeated issues in core care areas like medication oversight and individualized care planning suggests ongoing quality challenges that warrant careful consideration during your visit.

Jun 26, 2025Routine
7
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 26, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jul 13, 2023Routine
8
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0779Potential for harm · IsolatedCorrected

Administration Deficiencies

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Aug 19, 2021Routine
4
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cedar Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 250 of 328

Ownership & Management

Key personnel

Dart, GraysonManaging Control - Governing BodyEaton, SpencerManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorMoss, TylerOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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