Pine Creek Rehabilitation and Nursing

CMS abuse icon · Salt Lake · UT · For profit - Corporation · 34 certified beds · CCN 46A064


Pine Creek Rehabilitation and Nursing operates 34 certified beds in Salt Lake City, Utah. Its Medicare and Medicaid certification dates to 1991-12-01. It averages 28.9 residents a day.

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

CMS lists 41 health-inspection deficiencies for Pine Creek Rehabilitation and Nursing since 2023-03-02, 34 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 2025-10-09.

Survey dateTagDeficiencySeverity
2025-10-09F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F
2025-10-09F0628, F0757Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident’s drug regimen must be free from unnecessary drugs.E
2025-10-09F0602, F0609, F0840Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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
2024-10-03F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-10-03F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.G
2024-10-03F0550, F0600, F0609, F0610, F0622, F0761, F0770, F0842, F0887Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Respond appropriately to all alleged violations. / 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. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E
2024-10-03F0580, F0584, F0607, F0644, F0755, F0757, F0758, F0759, F0773, F0775, F0779, F0804, F0868, F0880, F0881, F0948Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Keep complete, dated laboratory records in the resident's record. / Keep signed and dated reports of x-rays and other diagnostic services in the residents record. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Ensure that paid feeding assistants have the training they need.D
2023-03-02F0584Honor 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.E
2023-03-02F0578, F0644, F0689, F0757, F0883, F0887Honor 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D

Why was Pine Creek Rehabilitation and Nursing fined?

DateTypeAmount
2024-10-03Fine$56,121

Has Pine Creek Rehabilitation and Nursing had payment denied by Medicare?

Payment denial startLength in days
2024-11-215

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

MeasureThis facilityUT average
Total nurse staffing hours per resident per day2.809204.07030
Total nursing staff turnover (%)80.050.7
Average number of residents per day28.960.9

Who owns Pine Creek Rehabilitation and Nursing?

Pine Creek Rehabilitation and Nursing is registered with CMS as For profit - Corporation.

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