Utah · Saint George

Desert Willows Memory Care.

Care Facility48 bedsDementia-trained staff(435) 628-2262
Peer rank
Top 44% of Utah memory care
See full peer rank →
Facility · Saint George
A 48-bed Care Facility with 11 citations on file.
Licensed beds
48
Last inspection
Jan 2026
Last citation
Jan 2026
Operated by
Snapshot

A medium home, reviewed on public record.

Peer Comparison

Compared to 29 Utah facilities with a similar number of beds.

Care · 36-month window. Higher percentile = better performance on inspection record. Source: Utah Dept. of Health & Human Services · Division of Licensing and Background Checks.

Severity rank
25th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
43rd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DLBC inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Desert Willows Memory Care has 11 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

Where are you in the process? (optional)

Save for comparison:
Full Inspection Record

Every inspection visit, verbatim.

16 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

16
reports on file
11
total deficiencies
2026-01-14
Annual Compliance Visit
Serious · 1 finding
SeriousR380-600-7(16)(a)-(e)
Verbatim citation text · R380-600-7(16)(a)-(e)

The provider was out of compliance with R380-600-7(16)(b) by not ensuring any allegation of an incident of abuse of a client is reported to Adult Protective Services (APS) and law enforcement within 24 hours. During the investigation inspection, the evidence substantiated that the provider was made aware of abuse allegations. The provider was made aware of the allegations on December 13, 2026 and reported to law enforcement on December 16, 2026. The provider did not submit a report to APS.

2025-09-10
Annual Compliance Visit
No findings
2025-06-02
Annual Compliance Visit
No findings
2025-03-10
Annual Compliance Visit
No findings
2025-01-30
Annual Compliance Visit
Standard · 2 findings

Plain-language summary

During this annual inspection, the facility was found out of compliance with two documentation requirements that had been cited repeatedly in previous inspections from September through December 2024. Six resident admission agreements lacked the required notice that the state department can examine resident records, and six resident files were missing the required written description of resident legal rights including information about filing complaints with the state long-term ombudsman or advocacy groups regarding abuse, neglect, or misappropriation of property. These documentation deficiencies remain unresolved despite multiple prior citations.

StandardR432-270-11(8)(a)-(g)
Verbatim citation text · R432-270-11(8)(a)-(g)

The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024, 11/25/2024 and 12/19/2024 inspections.

StandardR432-270-10(2)(a)-(b)
Verbatim citation text · R432-270-10(2)(a)-(b)

The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024, 11/25/2024, and 12/19/2024 inspections.

Read raw inspector notes

[R432-270-11(8)(a)-(g)] The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024, 11/25/2024 and 12/19/2024 inspections. [R432-270-10(2)(a)-(b)] The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024, 11/25/2024, and 12/19/2024 inspections.

2024-12-19
Annual Compliance Visit
Standard · 2 findings

Plain-language summary

During this annual inspection, the facility was found to be out of compliance with requirements to provide residents with written descriptions of their legal rights at admission, including information about filing complaints with the state long-term ombudsman regarding abuse, neglect, or misappropriation of property; six resident files lacked this required documentation. The facility was also found to be out of compliance with the requirement that resident admission agreements include notice that the Department of Health and Human Services has authority to examine resident records for compliance with licensing requirements; six resident agreements were missing this notice. Both of these noncompliance issues had been previously cited during inspections on September 25, 2024 and November 25, 2024.

StandardR432-270-10(2)(a)-(b)
Verbatim citation text · R432-270-10(2)(a)-(b)

The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections.

StandardR432-270-11(8)(a)-(g)
Verbatim citation text · R432-270-11(8)(a)-(g)

The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections.

Read raw inspector notes

[R432-270-10(2)(a)-(b)] The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections. [R432-270-11(8)(a)-(g)] The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections.

2024-11-25
Annual Compliance Visit
No findings
2024-09-25
Annual Compliance Visit
No findings
2024-07-11
Annual Compliance Visit
No findings
2024-06-10
Annual Compliance Visit
No findings
2024-05-06
Annual Compliance Visit
No findings
2024-04-16
Annual Compliance Visit
No findings
2024-04-01
Annual Compliance Visit
No findings
2024-02-27
Annual Compliance Visit
No findings
2024-01-25
Annual Compliance Visit
Serious · 3 findings
SeriousR432-270-9(1)(a)-(e)
Verbatim citation text · R432-270-9(1)(a)-(e)

The provider was out of compliance with this rule by not ensuring that qualified direct-care personnel were on the premises 24 hours a day to meet residents needs as determined by the resident's assessment and service plans. During the inspection, the provider did not ensure that qualified direct- are staff were on premises 24 hours a day to meet the needs of the residents.

StandardR432-270-8(1)(a)-(p)
Verbatim citation text · R432-270-8(1)(a)-(p)

The provider was out of compliance with this rule by not ensuring the administrator: was on the premises enough hours in the business day, and at other times as necessary, to manage and administer the facility; review at least quarterly every injury, accident, and incident to a resident or employee and document appropriate corrective action; maintain a log indicating any significant change in a resident's condition and the facilities action or response; complete an investigation when there was reason to believe a resident had been subjected to abuse, neglect, or exploitation in accordance with Section 62A-3-305, and document appropriate action if the alleged violation was verified and by not conducting and documenting regular inspections of the facility to ensure it was safe from potential hazards. During the inspection, it was discovered that a resident accessed the kitchen through unlocked doors, became trapped in the facility's commercial kitchen freezer and later expired.

ModerateR432-270-15(3)(a)-(c)
Verbatim citation text · R432-270-15(3)(a)-(c)

The provider was out of compliance with this rule by not having a current contract with a registered nurse to provide or supervise nursing services to include: nursing assessment on each resident; general health monitoring of each resident; routine nursing tasks, including those that may be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701. During the inspection, the provider was not able to provide a current contract with a registered nurse to provide and delegate nursing assessment, medication administration delegation, for residents who could not self-medicate or self-direct medication, and general health monitoring of each resident.

2024-01-25
Complaint Investigation
Serious · 3 findings

Plain-language summary

During a routine inspection, the facility was found out of compliance with multiple regulations, including failure to ensure qualified staff were present 24 hours daily to meet residents' needs, failure to conduct required administrative oversight and incident investigations, and lack of a current contract with a registered nurse for required nursing services. A resident accessed an unlocked kitchen, became trapped in the commercial freezer, and died. The facility also failed to conduct regular safety inspections to identify and correct hazards.

SeriousR432-270-9(1)(a)-(e)
Verbatim citation text · R432-270-9(1)(a)-(e)

The provider was out of compliance with this rule by not ensuring that qualified direct-care personnel were on the premises 24 hours a day to meet residents needs as determined by the resident's assessment and service plans. During the inspection, the provider did not ensure that qualified direct- are staff were on premises 24 hours a day to meet the needs of the residents.

StandardR432-270-8(1)(a)-(p)
Verbatim citation text · R432-270-8(1)(a)-(p)

The provider was out of compliance with this rule by not ensuring the administrator: was on the premises enough hours in the business day, and at other times as necessary, to manage and administer the facility; review at least quarterly every injury, accident, and incident to a resident or employee and document appropriate corrective action; maintain a log indicating any significant change in a resident's condition and the facilities action or response; complete an investigation when there was reason to believe a resident had been subjected to abuse, neglect, or exploitation in accordance with Section 62A-3-305, and document appropriate action if the alleged violation was verified and by not conducting and documenting regular inspections of the facility to ensure it was safe from potential hazards. During the inspection, it was discovered that a resident accessed the kitchen through unlocked doors, became trapped in the facility's commercial kitchen freezer and later expired.

ModerateR432-270-15(3)(a)-(c)
Verbatim citation text · R432-270-15(3)(a)-(c)

The provider was out of compliance with this rule by not having a current contract with a registered nurse to provide or supervise nursing services to include: nursing assessment on each resident; general health monitoring of each resident; routine nursing tasks, including those that may be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701. During the inspection, the provider was not able to provide a current contract with a registered nurse to provide and delegate nursing assessment, medication administration delegation, for residents who could not self-medicate or self-direct medication, and general health monitoring of each resident.

Read raw inspector notes

[R432-270-9(1)(a)-(e)] The provider was out of compliance with this rule by not ensuring that qualified direct-care personnel were on the premises 24 hours a day to meet residents needs as determined by the resident's assessment and service plans. During the inspection, the provider did not ensure that qualified direct- are staff were on premises 24 hours a day to meet the needs of the residents. [R432-270-8(1)(a)-(p)] The provider was out of compliance with this rule by not ensuring the administrator: was on the premises enough hours in the business day, and at other times as necessary, to manage and administer the facility; review at least quarterly every injury, accident, and incident to a resident or employee and document appropriate corrective action; maintain a log indicating any significant change in a resident's condition and the facilities action or response; complete an investigation when there was reason to believe a resident had been subjected to abuse, neglect, or exploitation in accordance with Section 62A-3-305, and document appropriate action if the alleged violation was verified and by not conducting and documenting regular inspections of the facility to ensure it was safe from potential hazards. During the inspection, it was discovered that a resident accessed the kitchen through unlocked doors, became trapped in the facility's commercial kitchen freezer and later expired. [R432-270-15(3)(a)-(c)] The provider was out of compliance with this rule by not having a current contract with a registered nurse to provide or supervise nursing services to include: nursing assessment on each resident; general health monitoring of each resident; routine nursing tasks, including those that may be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701. During the inspection, the provider was not able to provide a current contract with a registered nurse to provide and delegate nursing assessment, medication administration delegation, for residents who could not self-medicate or self-direct medication, and general health monitoring of each resident.

Family reviews

No reviews yet — be the first to share your experience

Related in this city

Other memory care options nearby.

Is this listing wrong? Report an issue →
Reports help us maintain accurate facility information. Your report will be reviewed within 1-2 business days.
Editorial Independence

The memory care site on the family's side: StarlynnCare receives no referral commissions, lead fees, or paid placement from facilities.