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Skilled nursing facility · CMS certification number 465187

South Davis Specialty Care

Bountiful, Utah · Medicare and Medicaid

Certified beds, as filed in Care Compare: 95

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 May 2024 to 31 December 2024 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$14,754,790CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,334,596CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,420,194CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,636,747CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$216,553CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$56,605CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$159,948CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$159,948 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components23,275CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,088CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,555CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,686CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components11,329CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges30CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges38CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days777.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1426403, read from the public cost report file SNF10FY2024.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
MILESTONE HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 03/22/2024
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/22/2024
FLETCHER, JEFFADP OF THE SNFIndividualNOT APPLICABLEsince 07/10/2025
MARTINEZ, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 07/10/2025
MILLCREEK HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/22/2024
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 03/22/2024
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/22/2024
FARNSWORTH, STEPHENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/22/2024
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/22/2024
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2011
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/10/2025
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/22/2024
FLETCHER, JEFFMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2024
MARTINEZ, MARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2024
FLETCHER, JEFFOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2024
MARTINEZ, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HOLBROOK HEALTHCARE LLC (enrollment ID O20240606000577).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MILESTONE HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1003/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
ENSIGN SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFF FLETCHERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/10/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK L MARTINEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/10/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLCREEK HEALTH HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
STEPHEN W FARNSWORTHIndividualCORPORATE DIRECTOR03/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAD KEETCHIndividualCORPORATE OFFICER03/1/2011
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAMIndividualCORPORATE OFFICER03/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFF FLETCHERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK L MARTINEZIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAMIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFF FLETCHERIndividualOPERATIONAL/MANAGERIAL CONTROL1005/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK L MARTINEZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 December 202511 December 202540
28 November 20238 November 202313
36 December 20216 December 202143

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

9 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 December 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction9 January 2026
11 December 2025HealthF 0775Administration DeficienciesKeep complete, dated laboratory records in the resident's record.DNoDeficient, Provider has date of correction9 January 2026
11 December 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction9 January 2026
11 December 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction9 January 2026
8 November 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction15 December 2023
6 December 2021HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction11 January 2022
6 December 2021HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GNoDeficient, Provider has date of correction11 January 2022
6 December 2021HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction11 January 2022
6 December 2021HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction11 January 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameHOLBROOK HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2017-08-17
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishDavis
Telephone Number8012952361
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds95
Average Number of Residents per Day53.5
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on South Davis Specialty Care: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: JEFF FLETCHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for South Davis Specialty Care

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Utah at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 465187.