Millcreek Rehabilitation And Nursing Llc has received an F grade based on CMS data, with a score of 37/100 — placing it among the lowest-rated nursing facilities in Utah. Families considering this Salt Lake City facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Millcreek Rehabilitation And Nursing Llc, with 2.21 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 27 deficiencies at Millcreek Rehabilitation And Nursing Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: respond appropriately to all alleged violations..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.21 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.78 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.07 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.36 | 2.4 | Below Average |
| Weekend Total Nursing | 1.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.57 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0610 Severity JRespond appropriately to all alleged violations.Mar 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Mar 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Mar 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0775 Severity EKeep complete, dated laboratory records in the resident's record.Mar 30, 2025 · Administration 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 | 1.6% | 4.5% | Better |
| Falls with major injury | 0.4% | 3.0% | Better |
| On antipsychotic medication | 11.7% | 14.5% | Better |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 3.6% | 14.0% | Better |
| Excessive weight loss | 2.2% | 7.5% | Better |
| New/worsened incontinence | 15.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $25,441
How This Grade Was Calculated
This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Utah
- D
- FMt. Olympus Rehabilitation CenterSalt Lake City
- C
- CMonument Healthcare Pioneer TrailBrigham City
- FSpring Creek Healthcare CenterSalt Lake City