Nursing homeActive
Spring Creek Healthcare Center
4600 South Highland Drive, Salt Lake City, UT 84117801272189292 certified beds · 79 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
98
● 0● 72● 26
Penalties · 3 yrs
$53,472
1 fine · 1 action
Last survey
2025-02-03
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Utah Department of Health and Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-02-03 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2024-01-11 | Standard | 0141 | CMS-2567 (Care Compare) | — |
| 2022-04-13 | Standard | 04625 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Utah Department of Health and Human Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F622
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F693
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F694
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 465049-20250203-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-12Record 465049-20240111-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F692
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F761
F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F779
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F801
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F805
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F806
F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F811
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 465049-20240111-F881
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F609
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F644
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F686
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F692
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F697
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity GHarm
Staffing
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F710
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity HHarm
Staffing
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F725
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity HHarm
Staffing
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F726
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-06-23Record 465049-20220413-F740
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity HHarm
Care planningStaffing
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F741
F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F742
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F745
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity GHarm
Records
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F770
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity HHarm
Records
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F835
F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.Scope/severity HHarm
Records
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F837
F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.Scope/severity HHarm
Staffing
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F841
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity HHarm
Records
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F865
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity HHarm
Records
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity HHarm
Records
Pattern; actual harm that is not immediate jeopardy.Corrected 2022-06-23Record 465049-20220413-F868
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F558
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F561
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F565
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F567
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F568
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F584
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F585
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F606
F608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F608
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F622
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F656
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F660
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F677
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F685
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F698
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F727
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F760
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F761
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F773
F775Keep complete, dated laboratory records in the resident's record.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F775
F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F779
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F804
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F825
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F882
F886Perform COVID19 testing on residents and staff.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F886
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F887
F888Ensure staff are vaccinated for COVID-19Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F888
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F908
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F919
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F921
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F943
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-23Record 465049-20220413-F947
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-01-11 | Civil money penalty | $53,472 | CMS · Penalties |
| 2024-01-11 | Denial of payment for new admissions Payment denial for 17 days, from 2024-02-16 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.97
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day3.49
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours3.13
Facility
Utah
National
Utah 3.56 · National 3.42
Total nursing staff turnover77%
Facility
Utah
National
Utah 51% · National 46%
Registered nurse turnover80%
Facility
Utah
National
Utah 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Utah | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.8% | 3.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.7% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 24.1% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.4% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 3.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.2% | 25.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Baird, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beaver Valley Hospital Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascades Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fullmer, Chad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Taylor, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baird, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Barney, Janett Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Beaver Valley Hospital Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brown, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cascades Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fullmer, Chad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Langford, Scott Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Langford, Scott Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcspadden, Darin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oakden, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Robinson, Matthew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Val Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taylor, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Craig Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Cascades Healthcare — 19 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Utah.
No county cost figures on file for Salt Lake.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Highland Care Center Holladay | 0.6 mi | 2024-06-11 | 070 |
| Monument Healthcare Cottonwood Creek Salt Lake City | 1.1 mi | 2024-04-04 | 051 |
| Holladay Healthcare Center Salt Lake City | 1.1 mi | 2025-03-24 | 0180 |
| Monument Healthcare Millcreek Salt Lake City | 1.1 mi | 2026-01-21 | 0160 |
| Mt. Olympus Rehabilitation Center Salt Lake City | 2.2 mi | 2026-06-29 | 0152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |