Bella Terra St George (Black Rock Health and Rehab
Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Utah homes, so a star here does not mean what it means in another state.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 64 findings on record going back to 2023, 56 of them after someone filed a complaint. Of the 64, 58 are from the last three years.
The 12 serious findings here
No quality checks
The home did not run the required program for finding and fixing its own problems.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Involuntary seclusion
A resident was kept away from other residents, kept out of their own room, or confined to their room, against their will.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Bedsores
The home did not prevent or properly treat pressure sores.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Bladder and bowel care
A resident did not get proper help with continence care.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Not enough staff
The home did not have enough nursing staff to care for its residents.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Staff lacked skills
The home did not make sure its nurses and aides had the skills needed to care for its residents.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Behavioral health services not provided
The home did not arrange the specialist behavior and mental health services a resident needed.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Not enough kitchen staff
The home did not have enough kitchen and food service staff to prepare and serve residents’ meals.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on January 7, 2025.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on July 31, 2023.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything on record
92 of the 97 nursing homes in Utah have fewer findings of harm or immediate jeopardy on record than this one.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 465152.
Medicare’s provider file allows 50 characters for a home’s name, and this one reaches that limit, so the name above may be cut short of the full legal name.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.