Salt Lake County, Utah · Nursing home
Millcreek Rehabilitation and Nursing
2 of 5 overall from CMS
3520 South Highland Drive, Salt Lake City, UT 84106
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 2.25 hours Below the state average of 4.09
- Nursing staff who left in a year 52.4% Above the state average of 50.7%
- Health citations, last 3 inspection cycles 29 3 at the harm level or above
- Fines in 3 years $25,441 1 fine
- Certified beds in use 94.4% of 61 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Millcreek Rehabilitation and Nursing is a 61-bed nursing home in Salt Lake City, Utah (Salt Lake County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.25 nurse staffing hours per resident per day, below the Utah average of 4.09. CMS lists 1 fine totaling $25,441 in the past three years.
- Certified beds
- 61
- Residents per day (average)
- 57.6
- Certified since
- 2016 (10 yrs)
Government - City/county Participates in Medicare and MedicaidPart of Beaver Valley Hospital (5 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Millcreek Rehabilitation and Nursing
Chosen from this home's public data.
- CMS lists 1 fine totaling $25,441 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on Mar 31, 2025 plus complaint and infection-control inspections); the Utah average is 8.8. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 52.4%, above the Utah average of 50.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Utah average 3.3
- Health inspections 1 of 5 Utah average 2.8
- Staffing 2 of 5 Utah average 3.2
- Quality measures 5 of 5 Utah average 4.6
The vertical line marks the Utah average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.25 h Utah average 4.09
- Nurse aides 1.39 h Utah average 2.36
- Licensed practical nurses 0.16 h Utah average 0.48
- Registered nurses 0.69 h Utah average 1.25
- All staff, weekends 1.95 h Utah average 3.58
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Utah average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover52.4%
- Utah average50.7%
- Registered nurse turnover30.8%
- Utah average40.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Utah and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Utah | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.9% | 3.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.4% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.7% | 16.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.7% | 15.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% | 25.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.6% | 3.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.2% | 21.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.9% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.13 | 1.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.79 | 1.43 | 1.78 |
Short-stay residents
| Measure | This home | Utah | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% | 93.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 0.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 91.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 16.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 29 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 31, 2025: Respond appropriately to all alleged violations.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 31, 2025 | 15 | 8 |
| Jun 15, 2023 | 2 | 4 |
| Sep 30, 2021 | 12 | 4 |
Utah homes averaged 8.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (29)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance
-
JImmediate jeopardy, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 11, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2025)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 11, 2025)
Show 24 more
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Keep complete, dated laboratory records in the resident's record.
Administration · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Put firmly secured handrails on each side of hallways.
Environmental · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 4, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 4, 2023)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Nov 19, 2021)
-
EPotential for more than minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 10, 2021)
-
EPotential for more than minimal harm, pattern
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 10, 2021)
-
EPotential for more than minimal harm, pattern
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 19, 2021)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 10, 2021)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 15, 2021)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 18, 2021)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2021)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Dec 10, 2021)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 10, 2021)
-
DPotential for more than minimal harm, isolated
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2021)
-
DPotential for more than minimal harm, isolated
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.
Administration · Deficient, Provider has date of correction (Dec 10, 2021)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 31, 2025 | Fine | $25,441 |
Utah homes averaged 0.9 fines and $23,954 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Utah
- Size63 of 97 by certified beds
- Utah average residents per day61.1
- ChainBeaver Valley Hospital
- Chain average overall rating2.6 of 5
- Resident or family councilResident
- Homes in Salt Lake City16
- Homes in Salt Lake County35
Common questions
What is the CMS star rating for Millcreek Rehabilitation and Nursing?
Millcreek Rehabilitation and Nursing has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 5.
How many beds does Millcreek Rehabilitation and Nursing have?
Millcreek Rehabilitation and Nursing has 61 certified beds. It averages 57.6 residents per day, about 94.4% of its certified beds.
How much nursing care do residents get at Millcreek Rehabilitation and Nursing?
The home reports 2.25 hours of nurse staffing per resident per day, including 0.69 hours from registered nurses. The Utah average is 4.09 hours and 1.25 hours from registered nurses.
Has Millcreek Rehabilitation and Nursing been fined?
Yes. CMS lists 1 fine totaling $25,441 in the past three years.
Does Millcreek Rehabilitation and Nursing accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Mt. Olympus Rehabilitation Center 100beds 59.7%in use 3.63nurse hours a day
- 2 of 5 Meadow Brook Rehabilitation and Nursing 41beds 65.1%in use 3.81nurse hours a day
- 1 of 5 Monument Healthcare South Salt Lake 140beds 72.7%in use 3.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Salt Lake County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 465185. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.