The Terrace Transitional

400 East 5350 South · Ogden, UT · 84405 · 8014799855

120 certified beds For profit - Corporation Chain: The Ensign Group

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 68
Federal penalties 15% 100
Trend 10% 42
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (26 in the current record)

  • Potential for harm · D October 8, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 27, 2024 · Quality of Life and Care

  • Potential for harm · D August 29, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · E August 29, 2024

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 23, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 29, 2024

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · D August 29, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · D August 29, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 23, 2024 · Resident Rights

  • Potential for harm · D August 29, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · E August 29, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected October 23, 2024 · Nursing and Physician Services

  • Potential for harm · D August 29, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · D August 29, 2024 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · D August 29, 2024 · found via complaint

    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.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · E August 29, 2024 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected October 23, 2024 · Administration

  • Potential for harm · E August 29, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected October 23, 2024 · Nutrition and Dietary

  • Potential for harm · E August 29, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 23, 2024 · Infection Control

  • Potential for harm · D August 29, 2024 · found via complaint

    Implement a program that monitors antibiotic use.

    Corrected October 23, 2024 · Infection Control

  • Potential for harm · E August 29, 2024 · found via complaint

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected October 23, 2024 · Nutrition and Dietary

  • Potential for harm · E December 15, 2022

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 20, 2023 · Resident Rights

  • Potential for harm · D December 15, 2022

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected February 20, 2023 · Quality of Life and Care

  • Potential for harm · D December 15, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 20, 2023 · Quality of Life and Care

  • Potential for harm · D December 15, 2022

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected February 20, 2023 · Quality of Life and Care

  • Potential for harm · E December 15, 2022

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 20, 2023 · Nutrition and Dietary

  • Potential for harm · E December 15, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 20, 2023 · Nutrition and Dietary

  • Potential for harm · E May 6, 2021

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 17, 2021 · Quality of Life and Care

  • Potential for harm · D May 6, 2021

    Provide or obtain dental services for each resident.

    Corrected June 17, 2021 · Quality of Life and Care

  • Potential for harm · D May 6, 2021

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected June 17, 2021 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465115 · certified since October 9, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.