Millcreek Rehabilitation and Nursing LLC
Grade D — 62/100 composite score
CMS Star Ratings
Certified Beds
61
Ownership
Government - City/county
Total Fines
$25,441
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
BEAVER VALLEY HOSPITAL
100%
COTTONWOOD HEALTHCARE LLC
MILLCREEK REHABILITATION AND NURSING LLC
CLARK, BRENDAN
MYERS, WALTER
STUBBS, RACHAEL
LANGFORD, SCOTT
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Mar 31, 2025 | Fine | — | $25,441 |
Health Inspection Deficiencies (27)
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.
Resident Rights Deficiencies
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
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
Administration Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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.
Resident Rights Deficiencies
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
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies
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
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Frequently Asked Questions
What is the CareGrader rating for Millcreek Rehabilitation and Nursing LLC?
Millcreek Rehabilitation and Nursing LLC in Salt Lake City, Utah has a CareGrader grade of D (Below Average), with a composite score of 61.8 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 Millcreek Rehabilitation and Nursing LLC?
Millcreek Rehabilitation and Nursing LLC has an overall CMS star rating of 2 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Millcreek Rehabilitation and Nursing LLC have?
Millcreek Rehabilitation and Nursing LLC has 27 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.
Has Millcreek Rehabilitation and Nursing LLC been fined?
Yes. Millcreek Rehabilitation and Nursing LLC has $25,441 in total fines from CMS enforcement actions across 1 penalty.
How many beds does Millcreek Rehabilitation and Nursing LLC have?
Millcreek Rehabilitation and Nursing LLC has 61 certified beds with approximately 59 current residents (97% occupancy). The facility is located at 3520 South Highland Drive, Salt Lake City, Utah 84106. It is a government - city/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.