Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Coral Desert Rehabilitation And Care during CMS and state inspections, most recent first.
A resident with intact cognition was found with a medication supplement on their bedside table without a physician's order or assessment for self-administration. The resident, who is legally blind, did not request to self-administer, and the supplement was brought by their daughter. Facility staff confirmed that the required assessment and physician's order were not completed.
A resident prescribed Hydroxyzine for sleep was not monitored for sleep hours, as required. Despite the medication being administered, there were no physician's orders or documentation in the MAR regarding the resident's sleep duration. Interviews with an LPN and the DON confirmed the lack of documentation, highlighting a failure in the facility's monitoring process.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that the interdisciplinary team determined whether it was clinically appropriate for a resident to self-administer medications. Specifically, Resident 108, who had a BIMS score indicating intact cognition, was found with a bottle of AREDS 2 eye vitamin and mineral supplement on their bedside table. However, there were no physician's orders for this supplement, nor was there an assessment indicating that the resident was safe to self-administer medications. The resident, who is legally blind, stated that they had not requested to self-administer medications and that the supplement was brought by their daughter because the facility did not have it available. Interviews with facility staff, including an LPN and the DON, revealed that there was a process in place for assessing residents who wished to self-administer medications, which included completing an assessment form and obtaining a physician's order. However, this process was not followed for Resident 108, as there was no documentation or physician's order for the self-administration of the AREDS supplement. The LPN confirmed that no residents on her hall were self-administering medications, and the DON reiterated the need for a physician's order and care plan for self-administration, which was not present in this case.
Failure to Monitor Resident's Sleep Hours for Hypnotic Medication
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs and adequately monitored. Specifically, a resident who was prescribed Hydroxyzine HCL as a hypnotic did not have their sleep hours monitored as required. The resident, who had diagnoses including a displaced midcervical fracture of the right femur, depression, and chronic kidney disease, was admitted to the facility and prescribed Hydroxyzine to aid sleep. However, there were no physician's orders for staff to monitor the amount of sleep the resident obtained each night. Upon review of the Medication Administration Record (MAR) and Treatment Administration Record for November 2024, it was found that there was no documentation of the resident's sleep hours. Interviews with an LPN and the Director of Nursing confirmed that the resident's sleep hours should have been documented in the MAR. The LPN verified with her manager that the hours of sleep should be recorded, and upon reviewing the MAR, confirmed the absence of such documentation. The Director of Nursing also acknowledged that the sleep hours should have been documented, indicating a lapse in the facility's monitoring process.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near St. George
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Advanced Health Care Of St. George | 0.5 mi | — | 0 | 0 |
| Bella Terra St George | 0.8 mi | — | 4 | 0 |
| St. George Rehabilitation | 0.9 mi | — | 0 | 0 |
| Red Cliffs Health And Rehab | 1.3 mi | — | 0 | 0 |
| Seasons Healthcare And Rehabilitation | 2.5 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.