Millcreek Rehabilitation and Nursing

Nursing home in Salt Lake City, UT

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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Public-record details

Address: 3520 South Highland Drive, Salt Lake City, UT 84106
Phone: (801) 484-7638
Listed under: Government-owned
Medicare CCN: 465185
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 2 of 5
Quality measures rating: 5 of 5
Certified beds: 61
Average residents per day: 58
Ownership: Government, city/county
Legal business name: Beaver Valley Hospital
Chain: Beaver Valley Hospital (5 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 4, 2016
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 465185. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 31, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 30, 2021 to Apr 7, 2026): 7 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Apr 7, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Apr 7, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	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. Resident Rights	D Potential for more than minimal harm, isolated
Mar 31, 2025	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration	D Potential for more than minimal harm, isolated
Mar 31, 2025	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Mar 31, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	E Potential for more than minimal harm, pattern
Mar 31, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Mar 31, 2025	Keep complete, dated laboratory records in the resident's record. Administration	E Potential for more than minimal harm, pattern
Mar 31, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Mar 31, 2025	Provide and implement an infection prevention and control program. Infection Control	E Potential for more than minimal harm, pattern
Mar 31, 2025	Put firmly secured handrails on each side of hallways. Environmental	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $25,441 in the last three years.

Mar 31, 2025

Fine: $25,441

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 2.25 hours
Registered nurse (RN) time per resident per day: 0.69 hours
Nurse aide time per resident per day: 1.39 hours
Total nurse staffing on weekends: 1.95 hours
Nursing staff turnover (yearly): 52%
RN turnover (yearly): 31%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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