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Meadow Brook Rehab: Abuse Protection Failures - UT

Healthcare Facility
Meadow Brook Rehabilitation And Nursing
Salt Lake City, UT  ·  2/5 stars

The citation fell under F0600, the federal tag that governs abuse of nursing home residents. Inspectors classified the harm level as minimal or potential for actual harm, the lower end of the federal scale. That classification can obscure what the underlying conduct looks like in practice.

Verbal abuse, under federal standards, is a form of mental abuse. It includes any communication — spoken words, gestures, or sounds — directed at residents or made within their hearing. It does not matter whether the resident can fully understand what is being said. It does not matter whether they can speak for themselves or push back. A resident with advanced dementia who cannot process the words being used against her is still considered a victim of verbal abuse if those words are meant to mock or intimidate. The law recognizes that the intent and the act are themselves harmful, regardless of whether the target fully comprehends what is happening to them.

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The specific conduct that triggered the citation at Meadow Brook was not described in granular detail in the publicly available inspection record. What the record does say is that the violation involved harassment, mocking, insulting, ridiculing, yelling, or hovering over a resident with the intent to intimidate — the categories inspectors use to define the violation — and that a few residents were affected.

A few residents. That phrase appears in inspection reports as a technical designation, meaning more than one but fewer than a handful. Behind it are actual people. People who live at 433 East 2700 South because they need help — with mobility, with memory, with recovering from a surgery or a stroke or a fall. People who did not choose to be in a position where a staff member could stand over them and use their voice as a weapon.

Nursing homes are, for many residents, the last place they will live. That reality makes the power imbalance between staff and residents acute in a way that is hard to overstate. Residents who are mocked or yelled at often have no practical way to leave the situation. They may not be able to walk away. They may not be able to call a family member in the moment. They may not be believed when they report it, or they may fear retaliation if they do. Some may not remember it happened by the time a family member visits.

That vulnerability is precisely why federal inspectors treat verbal abuse as a serious regulatory matter even when the assigned harm level sits at the lower end of the scale.

The complaint-driven nature of this inspection matters. Inspectors did not arrive at Meadow Brook as part of a routine annual survey. Someone — a resident, a family member, a staff member, a visitor — made a complaint. That complaint was serious enough to prompt a visit. The inspection confirmed the complaint had merit.

Complaint inspections are different from standard surveys in a meaningful way. They are targeted. Inspectors come in with a specific allegation and look for evidence that it is true or false. When they find a deficiency on a complaint inspection, it means the underlying concern that drove someone to pick up the phone and report a problem was substantiated.

Meadow Brook Rehabilitation and Nursing operates at a single location on the south side of Salt Lake City. The facility's inspection history, including any prior violations and the full scope of its federal ratings, is publicly available through the Centers for Medicare and Medicaid Services. This citation will become part of that record.

The inspection report does not name the staff member or members involved. It does not describe a specific incident in the way a police report might — no room number, no time of day, no verbatim account of what was said. What it records is a finding: the conduct occurred, it met the federal definition of verbal abuse, and it affected residents of this facility.

Plans of correction for violations like this one typically involve retraining, policy review, and monitoring. The inspection report notes that information about Meadow Brook's plan to correct the deficiency is available through the facility or the state survey agency. Whether those corrective steps reach the people who were on the receiving end of the abuse — whether anyone sat with those residents and acknowledged what happened to them — the inspection record does not say.

What the record leaves behind is the outline of something that should not have happened in a place where people go to be cared for. Someone was mocked. Someone was yelled at. Someone was made to feel small, or afraid, or humiliated, in a building where they depend on the people around them for the most basic functions of daily life. The harm level was marked minimal. The experience, for the person on the receiving end, was something else entirely.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Meadow Brook Rehabilitation and Nursing from 2025-11-20 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: August 5, 2026  ·  Our methodology

Quick Answer

Meadow Brook Rehabilitation and Nursing in Salt Lake City, UT was cited for abuse-related violations during a health inspection on November 20, 2025.

The citation fell under F0600, the federal tag that governs abuse of nursing home residents.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Meadow Brook Rehabilitation and Nursing?
The citation fell under F0600, the federal tag that governs abuse of nursing home residents.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Salt Lake City, UT, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Meadow Brook Rehabilitation and Nursing or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 465158.
Has this facility had violations before?
To check Meadow Brook Rehabilitation and Nursing's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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