MILLCREEK REHABILITATION AND NURSING, LLC

πŸ“ 3520 SOUTH HIGHLAND DRIVE, salt-lake-city, UT 84106 πŸ“ž 8014847638 πŸ›οΈ 61 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

72
Total Violations
6 years of data
$91,938
Total Fines
7 penalties
2
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 2 violations

Tag 0676 D Jun 15, 2023

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

βœ“ Corrected: Aug 4, 2023
Tag 0880 D Jun 15, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 4, 2023

2021 12 violations

Tag 0584 E Sep 30, 2021

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.

βœ“ Corrected: Nov 19, 2021
Tag 0636 E Sep 30, 2021

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

βœ“ Corrected: Dec 10, 2021
Tag 0638 E Sep 30, 2021

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

βœ“ Corrected: Dec 10, 2021
Tag 0676 E Sep 30, 2021

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

βœ“ Corrected: Nov 19, 2021
Tag 0689 D Sep 30, 2021

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

βœ“ Corrected: Dec 10, 2021
Tag 0759 E Sep 30, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 10, 2021
Tag 0760 D Sep 30, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 10, 2021
Tag 0805 D Sep 30, 2021

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

βœ“ Corrected: Dec 10, 2021
Tag 0812 E Sep 30, 2021

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

βœ“ Corrected: Nov 15, 2021
Tag 0825 D Sep 30, 2021

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

βœ“ Corrected: Dec 10, 2021
Tag 0840 D Sep 30, 2021

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.

βœ“ Corrected: Dec 10, 2021
Tag 0880 E Sep 30, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 18, 2021

2020 1 violations

Tag 0689 D Oct 28, 2020

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

βœ“ Corrected: Dec 18, 2020

2019 41 violations

Tag 0622 G Nov 7, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Dec 20, 2019
Tag 0624 G Nov 7, 2019

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: Dec 20, 2019
Tag 0660 D Nov 7, 2019

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Dec 20, 2019
Tag 0550 E May 14, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 17, 2019
Tag 0561 D May 14, 2019

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

βœ“ Corrected: Jun 17, 2019
Tag 0578 D May 14, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jun 17, 2019
Tag 0580 D May 14, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 17, 2019
Tag 0583 E May 14, 2019

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jun 17, 2019
Tag 0584 E May 14, 2019

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.

βœ“ Corrected: Jun 17, 2019
Tag 0609 D May 14, 2019

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

βœ“ Corrected: Jun 17, 2019
Tag 0622 D May 14, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Jun 17, 2019
Tag 0655 D May 14, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jun 17, 2019
Tag 0656 E May 14, 2019

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

βœ“ Corrected: Jun 17, 2019
Tag 0677 D May 14, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 17, 2019
Tag 0684 G May 14, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 17, 2019
Tag 0686 D May 14, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 17, 2019
Tag 0689 K May 14, 2019

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

βœ“ Corrected: Jun 17, 2019
Tag 0697 G May 14, 2019

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jun 17, 2019
Tag 0698 D May 14, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jun 17, 2019
Tag 0732 C May 14, 2019

Post nurse staffing information every day.

βœ“ Corrected: Jun 17, 2019

2018 10 violations

Tag 0550 D Aug 15, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 1, 2018
Tag 0622 D Aug 15, 2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Nov 1, 2018
Tag 0623 D Aug 15, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Nov 1, 2018
Tag 0689 D Aug 15, 2018

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

βœ“ Corrected: Nov 1, 2018
Tag 0692 D Aug 15, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 1, 2018
Tag 0755 D Aug 15, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 1, 2018
Tag 0759 D Aug 15, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 1, 2018
Tag 0801 D Aug 15, 2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Nov 12, 2018
Tag 0810 D Aug 15, 2018

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Nov 1, 2018
Tag 0812 D Aug 15, 2018

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

βœ“ Corrected: Nov 1, 2018

2017 6 violations

Tag 0808 D Dec 26, 2017

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Jan 25, 2018
Tag 0242 E Jul 31, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Aug 20, 2017
Tag 0364 E Jul 31, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

βœ“ Corrected: Aug 20, 2017
Tag 0253 E May 10, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jul 10, 2017
Tag 0309 E May 10, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 19, 2017
Tag 0441 E May 10, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 19, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 4 penalties totaling $14,750

$5,000
Fine
September 30, 2021
$3,250
Fine
September 30, 2021
$6,500
Fine
May 6, 2021
$0
Payment Denial
May 6, 2021
Average: $3,688 | Range: $0 - $6,500

2019 3 penalties totaling $77,188

$19,247
Fine
November 7, 2019
$19,246
Fine
November 7, 2019
$38,695
Fine
May 14, 2019
Average: $25,729 | Range: $19,246 - $38,695

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 15, 2023
0.00

Health

September 30, 2021
0.00

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Ownership Information

Government - City
Independent (Not part of a chain)
465185
465185
8014847638
Salt Lake

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual