Skilled nursing facility · CMS certification number 465190

Advanced Health Care of St. George

St George, Utah · Medicare

Certified beds, as filed in Care Compare: 100

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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,916,596	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,340,405	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,576,191	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,162,751	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$586,560	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,710	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$577,850	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$577,850 (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
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,250	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	9,323	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	2,487	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,810	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	424	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	172	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	596	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	19.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435653, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,903,627	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,273,621	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,630,006	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,362,763	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$732,757	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,900	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$726,857	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$726,857 (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 2023
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,533	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	506	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	20.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391627, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,259,819	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,927,445	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,332,374	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,722,758	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,390,384	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$433,466	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$956,918	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$956,918 (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 2022
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,543	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	408	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	20.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358362, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,933,639	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,501,929	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,431,710	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,855,695	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$423,985	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,466	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$412,519	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$412,519 (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 2021
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,494	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	417	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	25.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367874, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,661,969	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,489,750	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,172,219	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,964,163	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,791,944	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,032,203	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$759,741	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$759,741 (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 2020
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,413	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	386	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	26.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291072, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,612,421	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,517,199	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,095,222	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,468,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$373,349	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,929	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$362,420	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$362,420 (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 2019
Figure	As filed	Where it comes from
Total facility beds, all components	52	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,602	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	525	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254352, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 13 June 2018 to 31 December 2018 — a reporting period of 201 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,799,036	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,237,787	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,561,249	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,985,067	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,423,818	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,225	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,421,593	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,421,593 (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 2018
Figure	As filed	Where it comes from
Total facility beds, all components	52	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,619	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1224065, read from the public cost report file SNF10FY2018.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 manager	Role	Type	Ownership percentage	Association
NEW AHC HOLDINGS, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2021
THE GAIL MILLER GST TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	72%	since 01/01/2024
LHMSH LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
NEW AHC HOLDINGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/10/2025
PETERSON, JOSHUA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
SWIGERT, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
OXNAM, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
PETERSON, JOSHUA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/02/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC OF ST. GEORGE LLC (enrollment ID O20171020000649).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NEW AHC HOLDINGS, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
KAREN GAIL MILLER IRREV TR FBO ZANE MILLER	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE GAIL MILLER GST TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	72.3	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5.1	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JASON C SWIGERT	Individual	ADP OF THE SNF	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.	5/1/2025	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.
JOSHUA PETERSON	Individual	ADP OF THE SNF	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.	5/1/2025	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.
LHMSH LLC	Organization	ADP OF THE SNF	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.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
NEW AHC HOLDINGS, LLC	Organization	ADP OF THE SNF	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.	6/10/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
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.	Organization	ADP OF THE SNF	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.	6/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
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.	Organization	ADP OF THE SNF	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.	6/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
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.	Organization	ADP OF THE SNF	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.	1/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
NATHAN C OXNAM	Individual	CORPORATE OFFICER	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.	1/1/2024	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.
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014	Organization	INDIRECT OWNERSHIP INTEREST	3.8	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019	Organization	INDIRECT OWNERSHIP INTEREST	2.5	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JOSHUA PETERSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	4/2/2024	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

1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON C SWIGERT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON C SWIGERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2024: BRIGHAM L CHURCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: BRIGHAM L CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA PETERSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JASON C SWIGERT appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv

Recent changes on this record

1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON C SWIGERT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOSHUA PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON C SWIGERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 August 2024: BRIGHAM L CHURCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: BRIGHAM L CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA PETERSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JASON C SWIGERT appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
10 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
29 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
9 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	15 May 2025	15 May 2025	4	4
2	29 June 2023	29 June 2023	4	1
3	29 September 2021	29 September 2021	0	1

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

Deficiencies cited

8 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
15 May 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	20 June 2025
15 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	20 June 2025
15 May 2025	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	No	Deficient, Provider has date of correction	20 June 2025
15 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	20 June 2025
29 June 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	25 July 2023
29 June 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	25 July 2023
29 June 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	25 July 2023
29 June 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	25 July 2023

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

Field	As filed
Provider Type	Medicare
Ownership Type	For profit - Limited Liability company
Legal Business Name	AHC OF ST. GEORGE LLC
Date First Approved to Provide Medicare and Medicaid Services	2018-06-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Washington
Telephone Number	4355222100
Chain Name	ADVANCED HEALTH CARE
Chain ID	11
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	100
Average Number of Residents per Day	43.4
Overall Rating	5
Health Inspection Rating	4
QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

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One email a day naming what moved on Advanced Health Care of St. George: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Advanced Health Care of St. George

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.

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