C78

Millard County Care and Rehabilitation

Grade C 78/100 composite score

Government - County

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Government - County

Total Fines

$19,656

Last Survey

N/A

150 South White Sage Avenue, Delta, UT 84624
4358642944

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.96h
LPN
0.35h
CNA
2.77h
Total
4.08h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CHRISTENSEN, JEFFERY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2024

MILLARD COUNTY CARE & REHABILITATION INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2008

TRADITIONS HEALTH CARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2008

CHRISTENSEN, JEFFERY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

DEARDEN, TONY

IndividualCORPORATE DIRECTORSince Mar 2008

JACKSON, LON

IndividualCORPORATE DIRECTORSince Mar 2008

STANDWORTH, REX

IndividualCORPORATE DIRECTORSince Mar 2008

WALKER, KATHY

IndividualCORPORATE DIRECTORSince Mar 2008

CHRISTENSEN, JEFFERY

IndividualCONTRACTED MANAGING EMPLOYEESince Mar 2020

CHRISTENSEN, JEFFERY

IndividualW-2 MANAGING EMPLOYEESince Mar 2024

Penalties & Fines (1)

$19,656total fines
DateTypeDescriptionAmount
Feb 7, 2024Fine$19,656

Health Inspection Deficiencies (31)

February 7, 2024Health19 deficiencies1 severe
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Mar 24, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 24, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Mar 24, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 24, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 24, 2024
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 24, 2024
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Mar 24, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 24, 2024
0758EMinimal harm, Pattern

Implement 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.

Pharmacy Service Deficiencies

Corrected Mar 24, 2024
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Mar 24, 2024
0773DMinimal harm, Isolated

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Administration Deficiencies

Corrected Mar 24, 2024
0775DMinimal harm, Isolated

Keep complete, dated laboratory records in the resident's record.

Administration Deficiencies

Corrected Mar 24, 2024
0779DMinimal harm, Isolated

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Administration Deficiencies

Corrected Mar 24, 2024
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Mar 24, 2024
0808DMinimal harm, Isolated

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Nutrition and Dietary Deficiencies

Corrected Mar 24, 2024
0840DMinimal harm, Isolated

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Administration Deficiencies

Corrected Mar 24, 2024
0849DMinimal harm, Isolated

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Administration Deficiencies

Corrected Mar 24, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 24, 2024
0882FMinimal harm, Widespread

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Mar 24, 2024
May 5, 2022Health8 deficiencies
0578EMinimal harm, Pattern

Honor 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.

Resident Rights Deficiencies

Corrected Jun 17, 2022
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 17, 2022
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 17, 2022
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jun 17, 2022
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 17, 2022
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 17, 2022
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jun 17, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 27, 2022
December 5, 2019Health4 deficiencies1 severe
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 31, 2020
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 2, 2020
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 2, 2020
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jan 31, 2020

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Frequently Asked Questions

What is the CareGrader rating for Millard County Care and Rehabilitation?

Millard County Care and Rehabilitation in Delta, Utah has a CareGrader grade of C (Average), with a composite score of 78 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Millard County Care and Rehabilitation?

Millard County Care and Rehabilitation has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Millard County Care and Rehabilitation have?

Millard County Care and Rehabilitation has 31 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Millard County Care and Rehabilitation been fined?

Yes. Millard County Care and Rehabilitation has $19,656 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Millard County Care and Rehabilitation have?

Millard County Care and Rehabilitation has 60 certified beds with approximately 50 current residents (83% occupancy). The facility is located at 150 South White Sage Avenue, Delta, Utah 84624. It is a government - county facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.