C

Millard County Care and Rehabilitation

150 South White Sage Avenue, Delta, UT 84624
Score: 55 / 100

Millard County Care And Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 55/100. Located in Delta, Utah, the facility meets baseline standards across most quality metrics.

Staffing at Millard County Care And Rehabilitation is near the national average, with 3.55 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 31 deficiencies at Millard County Care And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.55 3.8 Average
Registered Nurses (RN) 0.84 0.7 Above Average
Licensed Practical Nurses (LPN) 0.31 0.7 Below Average
Certified Nursing Assistants (CNA) 2.40 2.4 Average
Weekend Total Nursing 3.51 3.8 Average
Weekend RN Hours 0.64 0.7 Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Feb 6, 2024
Most Recent Inspection
🟠 31 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Feb 6, 2024 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Feb 6, 2024 · Infection Control Deficiencies
  • Tag 0882 Severity F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    Feb 6, 2024 · Infection Control Deficiencies
  • Tag 0756 Severity E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo
    Feb 6, 2024 · Pharmacy Service Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Feb 6, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.7% 4.5% Worse
Falls with major injury 5.2% 3.0% Worse
On antipsychotic medication 31.7% 14.5% Worse
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 14.4% 14.0% Average
Excessive weight loss 14.4% 7.5% Worse
New/worsened incontinence 35.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $19,656

How This Grade Was Calculated

This facility's grade of C is based on a score of 55 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - County
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 6, 2024
Deficiencies (Cycle 1)
19