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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeUtahMillcreek Rehabilitation and Nursing LLC

Millcreek Rehabilitation and Nursing LLC

3520 South Highland Drive, Salt Lake City, UT 841068014847638
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
5/5
Beds
61
certified
This facility has been flagged for abuse.
1 fine(s) totaling $25,441

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 61 certified beds with an average of 59.6 residents per day (98% occupancy)

• Last health inspection found 13 deficiencies (inspected Mar 31, 2025)

• Has been fined a total of $25,441 across 1 fine(s)

• Total nursing staff: 2.21 hours per resident per day

• Staff turnover rate: 51.2% (high)

• Part of the Beaver Valley Hospital chain (5 facilities)

Millcreek Rehabilitation and Nursing LLC is a 2-star Medicare and Medicaid certified nursing home in Salt Lake City, Utah with 61 certified beds. It has been operating since 2016. The facility scored below average compared to Utah facilities.

Beds
61
Avg Residents/Day
59.6
Ownership
Government - City/county
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 4, 2016
Sprinklers
Yes
Council
Resident
County
Salt Lake
Last Inspection
Mar 31, 2025
Deficiencies (Cycle 1)
13
Weighted Score
177.5
Infection Citations
0

Deficiency Citations (27)

F0584Potential for Harm

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.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0770Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0775Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Mar 31, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 15, 2023Corrected: NoCycle: 2
F0676Potential for Harm

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

Survey: Jun 15, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0636Potential for Harm

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

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0638Potential for Harm

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

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0676Potential for Harm

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

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0840Potential for Harm

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.

Survey: Sep 30, 2021Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 30, 2021Corrected: NoCycle: 3
Total Fines
$25,441
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 31, 2025
$25,441

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.36 hrs
National avg: 2.35 hrs
LPN0.07 hrs
National avg: 0.86 hrs
RN0.78 hrs
National avg: 0.68 hrs
Total Nursing2.21 hrs
National avg: 3.89 hrs
Weekend Total1.87 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
51.2%
RN Turnover
46.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - City/county
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
BEAVER VALLEY HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 1, 2015
COTTONWOOD HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 10, 2016
MILLCREEK REHABILITATION AND NURSING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 11, 2025
CLARK, BRENDANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 3, 2025
MYERS, WALTEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 4, 2016
STUBBS, RACHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 3, 2025
LANGFORD, SCOTTCORPORATE OFFICERIndividualN/AJul 1, 2017

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Frequently Asked Questions

What is the CMS rating for Millcreek Rehabilitation and Nursing LLC?▾
Millcreek Rehabilitation and Nursing LLC has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated below average.
Has Millcreek Rehabilitation and Nursing LLC had any health inspection violations?▾
Millcreek Rehabilitation and Nursing LLC had 13 deficiency citations in its most recent health inspection (Mar 31, 2025). The facility has been fined a total of $25,441 across 1 fine(s).
What are the staffing levels at Millcreek Rehabilitation and Nursing LLC?▾
Millcreek Rehabilitation and Nursing LLC provides 2.21 total nursing staff hours per resident per day, including 0.78 RN hours, 0.07 LPN hours, and 1.36 nurse aide hours. The total staff turnover rate is 51.2%.
How many beds does Millcreek Rehabilitation and Nursing LLC have?▾
Millcreek Rehabilitation and Nursing LLC has 61 certified beds with an average of 59.6 residents per day, resulting in approximately 98% occupancy. The facility is Government - City/county owned and is part of the Beaver Valley Hospital chain.
Are there other nursing homes near Millcreek Rehabilitation and Nursing LLC?▾
Yes, there are 15 other nursing homes in Salt Lake City, Utah with an average rating of 2.6/5. You can compare all facilities on the Salt Lake City nursing homes page.

Part of Beaver Valley Hospital

This chain operates 5 facilities. View all →