Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Stonehenge of South Jordan
South Jordan, UT · 32 certified beds · Last Life Safety survey December 18, 2024
CMS Certification Number 465176 · first certified June 2011
Ownership
Operated by THE ENSIGN GROUP · For profit - Limited Liability company
- New ownershipOwnership changed November 1, 2025 (change of ownership)from STONEHENGE OF SOUTH JORDAN LLC
Position within UT
8 citations — more than 68% of the 97 certified nursing homes in UT. Compared within UT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: July 2026 to December 2026. This facility’s last Life Safety survey was December 2024. Facilities in UT are typically surveyed 19–24 months after the last one (median 21), measured over 88 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in UT, and nationally. Surveyors differ markedly between states, so the UT figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in UT | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 17, 2021 | 1 |
| March 30, 2023 | 5 |
| December 18, 2024 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2024-12-18 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2021-06-17 |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 1 | 2023-03-30 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2024-12-18 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-03-30 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-03-30 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2023-03-30 |
What the citations cover
- Smoke Deficiencies 3
- Miscellaneous Deficiencies 2
- Egress Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 18, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 3, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 3, 2025) |
March 30, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 19, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 19, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (May 19, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (May 19, 2023) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (May 19, 2023) |
June 17, 2021 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (July 28, 2021) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.