City Creek Post Acute
City Creek Post Acute in Salt Lake City, UT — inspection on March 30, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
insisted on carrying food himself, saying that he did not want to be treated like a child. CNA 3 stated
his room, because it was dangerous for resident 3 to carry it himself. CNA 3 stated they were unable
did not search for a thermometer. CNA 3 stated after resident 3 sustained the burn, thermometers were available for use, a temperature log was used, and they were educated to not give residents food or drinks that had a temperature reading higher than 140 Fahrenheit (F). On 3/26/26 at 3:09 PM, an interview was conducted with Licensed Practical Nurse (LPN) 2. LPN 2 stated resident 3 utilized a motorized wheelchair, was very independent, and did not want staff to carry items for him. LPN 2 stated before resident 3 sustained the burn, thermometers were not available for use. LPN 2 stated they would heat food up in 30 second increments until it was adequately heated, and touched the dinnerware to determine if the temperature was safe to return to the resident. LPN 2 stated after resident 3 sustained the burn the microwaves were removed from the nutrition stations until staff received training on how to use the thermometers and knew to not return food to residents until it measured below 140 F. LPN 2 stated thermometers were available for use when the microwave was returned to the nutrition station. On 3/26/26 at 3:23 PM, an interview was conducted with the Director of Nursing (DON), who stated that before resident 3 sustained the burn, staff heated food according to package directions and determined if it was safe to return food based on touch.
The DON stated that when they were notified of the burn all microwaves and coffee pots were removed from the nutrition stations, resident 3 was provided wound care, and a 4-Step Action Plan was begun to ensure resident safety.
The DON stated that microwaves were returned on 3/10/26, after all staff had completed education and were trained on appropriate reheating of resident foods and thermometer use.
The DON stated that thermometers and coffee thermoses with pumps, instead of coffee brewers, were placed in nutrition stations when the microwaves were returned.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Salt Lake City, UT, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from City Creek Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.