Millcreek Rehabilitation and Nursing

CMS abuse icon · CCN 465185 · BEAVER VALLEY HOSPITAL · Government - City/county · BEAVER VALLEY HOSPITAL chain · 61 certified beds · Salt Lake · UT


Millcreek Rehabilitation and Nursing is a 61-bed nursing home in Salt Lake City, Utah. CMS has certified it for Medicare and Medicaid since 2016-04-04. It averages 57.6 residents a day.

What harm was found in the violations cited at Millcreek Rehabilitation and Nursing?

CMS lists 29 health-inspection deficiencies for Millcreek Rehabilitation and Nursing since 2021-09-30, 15 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-07.

Survey dateTagDeficiencySeverity
2026-04-07F0609, F0689Timely 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.D
2025-03-31F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-03-31F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-03-31F0609, F0656, F0775, F0842, F0880, F0924Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Keep complete, dated laboratory records in the resident's record. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Put firmly secured handrails on each side of hallways.E
2025-03-31F0561, F0584, F0770, F0805Honor 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.D
2023-06-15F0676, F0880Ensure 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.D
2021-09-30F0584, F0636, F0638, F0676, F0759, F0812, F0880Honor 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2021-09-30F0689, F0760, F0805, F0825, F0840Ensure 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.D

Why was Millcreek Rehabilitation and Nursing fined?

DateTypeAmount
2025-03-31Fine$25,441

How is Millcreek Rehabilitation and Nursing staffed relative to the UT average?

MeasureThis facilityUT average
Total nurse staffing hours per resident per day2.245254.07030
Total nursing staff turnover (%)52.450.7
Average number of residents per day57.660.9

Who owns Millcreek Rehabilitation and Nursing, and what chain is it in?

Millcreek Rehabilitation and Nursing is registered with CMS as Government - City/county, operates under the legal business name BEAVER VALLEY HOSPITAL and belongs to the BEAVER VALLEY HOSPITAL chain.

RoleOwnerAssociation date
CORPORATE OFFICERLANGFORD, SCOTTsince 07/01/2017
OPERATIONAL/MANAGERIAL CONTROLCOTTONWOOD HEALTHCARE LLC, MILLCREEK REHABILITATION AND NURSING LLC, CLARK, BRENDAN, MYERS, WALTER, STUBBS, RACHAELsince 02/10/2016
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFMYERS, KATIE, SWAIN, HOLLY, SWAIN, JAREDsince 07/11/2025
ADP OF THE SNFCOTTONWOOD HEALTHCARE LLC, MILLCREEK REHABILITATION AND NURSING LLC, CLARK, BRENDAN, STUBBS, RACHAELsince 07/03/2025

Were you or a family member harmed at Millcreek Rehabilitation and Nursing?