Nursing homeActive

St Joseph Villa

451 East Bishop Federal Lane, Salt Lake City, UT 841158014877557221 certified beds · 172 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
14
0113
Penalties · 3 yrs
none on file
Last survey
2024-07-16
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
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
DateKindDeficienciesOfficial recordArchived PDF
2024-07-16Standard051CMS-2567 (Care Compare)
2022-09-01Standard022CMS-2567 (Care Compare)
2020-03-04Standard040CMS-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.

2024-07-16Standard survey · 6 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-23Record 465095-20240716-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 465095-20240716-F609
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 465095-20240716-F686
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 465095-20240716-F790
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 465095-20240716-F801
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 465095-20240716-F842
2022-09-01Standard survey · 4 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-10-17Record 465095-20220901-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-09-01Record 465095-20220901-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-17Record 465095-20220901-F554
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-17Record 465095-20220901-F604
2020-03-04Standard survey · 4 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-03-29Record 465095-20200304-F583
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-03-29Record 465095-20200304-F761
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 2020-03-29Record 465095-20200304-F812
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 2020-03-29Record 465095-20200304-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.02
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day3.59
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours3.15
Facility
Utah
National
Utah 3.56 · National 3.42
Total nursing staff turnover31%
Facility
Utah
National
Utah 51% · National 46%
Registered nurse turnover18%
Facility
Utah
National
Utah 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityUtahNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.8%3.9%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.8%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
13.2%14.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.3%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
22.4%11.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.3%3.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.9%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)
EntityRoleInterestSinceRegistry
Albrechtsen, Brad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gangotena-Bernard, Fatima
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Successor Healthcare LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Albrechtsen, Brad
Individual
ADP OF THE SNFNOT APPLICABLE
Albrechtsen, Brad
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Caretrust Gp LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Caretrust Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ctr Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Davidson, Craig
Individual
CORPORATE OFFICERNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Gangotena-Bernard, Fatima
Individual
ADP OF THE SNFNOT APPLICABLE
Gangotena-Bernard, Fatima
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Mission Ccrc LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Moss, Tyler
Individual
CORPORATE OFFICERNOT APPLICABLE
Successor Healthcare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

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 Salt Lake.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Monument Healthcare South Salt Lake
Salt Lake City
0.8 mi2025-06-190254
Meadow Brook Rehabilitation and Nursing
Salt Lake City
1.1 mi2025-11-200478
Little Cottonwood Rehabilitation and Nursing
South Salt Lake
1.8 mi2025-10-09140
Maple Ridge Rehabilitation and Nursing
Salt Lake City
2.2 mi2026-06-040253
Millcreek Rehabilitation and Nursing
Salt Lake City
2.0 mi2026-04-070123
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01