Nursing homeActive
Four Corners Regional Care Center
818 North 400 West, Blanding, UT 845114356382251104 certified beds · 50 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
26
● 0● 24● 2
Penalties · 3 yrs
$68,471
1 fine · 1 action
Last survey
2025-01-09
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Utah Department of Health and Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-01-09 | Standard | 0131 | CMS-2567 (Care Compare) | — |
| 2023-03-15 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2021-06-17 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Utah Department of Health and Human Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity HHarm
Care planningFalls
Pattern; actual harm that is not immediate jeopardy.Corrected 2025-02-12Record 465057-20250109-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F610
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F692
F732Post nurse staffing information every day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F770
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 465057-20250109-F880
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-05-05Record 465057-20230315-F690
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 465057-20230315-F689
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 465057-20230315-F758
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 465057-20230315-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 465057-20230315-F883
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F677
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F689
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F712
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-01Record 465057-20210617-F758
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-09 | Civil money penalty | $68,471 | CMS · Penalties |
| 2025-01-09 | Denial of payment for new admissions Payment denial for 8 days, from 2025-02-13 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.35
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day2.91
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours2.56
Facility
Utah
National
Utah 3.56 · National 3.42
Total nursing staff turnover67%
Facility
Utah
National
Utah 51% · National 46%
Registered nurse turnover60%
Facility
Utah
National
Utah 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Utah | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.8% | 3.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.3% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 24.1% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.7% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 3.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.0% | 25.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cascades Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fullmer, Chad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jones, Lloyd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stokes, Samuel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barney, Janett Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cascades Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fullmer, Chad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fullmer, Chad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones, Lloyd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Langford, Scott Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Oakden, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Robinson, Matthew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Val Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stokes, Samuel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Craig Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Cascades Healthcare — 19 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Utah.
No county cost figures on file for San Juan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Vista Grande Rehabilitation And Healthcare Center Cortez | 51.6 mi | 2026-06-03 | 0162 |
| Canyonland Care Center Moab | 64.9 mi | 2025-11-05 | 0111 |
| Valley Rehabilitation And Healthcare Center, The Mancos | 68.2 mi | 2025-12-10 | 051 |
| Dr Guy Gorman Sr Care Home Chinle | 102.2 mi | 2025-07-25 | 0613 |
| Life Care Center of Farmington Farmington | 93.2 mi | 2026-06-03 | 0304 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |