Federal Nursing-Home Survey Record
Millcreek Rehabilitation and Nursing
Does Millcreek Rehabilitation and Nursing have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Millcreek Rehabilitation and Nursing (CCN 465185), in Salt Lake City, UT, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related).
In its current inspection cycle, CMS cited the facility for 15 deficiencies. CMS rates each one for how widespread and how serious it is on a scale from A to L; the most serious here is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $25,441 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own.
The Federal Record
CMS displays its federal abuse icon on this facility's official record.
Below is this facility's federal survey record as on file with CMS.
Federal abuse icon on file
CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$25,441
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
Overall CMS star rating
This facility: 2 · CMS state average: 3.3
Both figures as published by CMS.
Deficiency timeline
"Current cycle" is CMS's most recent inspection cycle; it can span several survey dates and is listed by scope/severity (most severe first), not chronologically. Older cycles are shown as historical.
Respond appropriately to all alleged violations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Keep complete, dated laboratory records in the resident's record.
Put firmly secured handrails on each side of hallways.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
14 citations from earlier inspection cycles — historical (expand)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide and implement an infection prevention and control program.
Ensure medication error rates are not 5 percent or greater.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Assure that each resident’s assessment is updated at least once every 3 months.
Provide and implement an infection prevention and control program.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Provide or get specialized rehabilitative services as required for a resident.
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.
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Federal record
Millcreek Rehabilitation and Nursing — Federal Record
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