Millcreek Rehabilitation and Nursing LLC — Nursing Home in Salt Lake City, UT

3520 South Highland Drive, Salt Lake City, UT, 84106 | 8014847638

CMS Five-Star Rating

★★☆☆☆ 2/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds61
Average Residents/Day58.0
CMS Certification Number465185

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 2.34 HPRD
RN Staffing 0.73 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection March 31, 2025
Total Deficiencies 13 3 Severe

Millcreek Rehabilitation and Nursing LLC had 13 health inspection deficiencies on its most recent inspection (March 31, 2025), including 3 classified as severe.

Inspection Findings — March 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. (Level D)
    Corrected — April 11, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level E)
    Corrected — April 11, 2025
  • Provide timely, quality laboratory services/tests to meet the needs of residents. (Level D)
    Corrected — April 11, 2025
  • Keep complete, dated laboratory records in the resident's record. (Level E)
    Corrected — April 11, 2025
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Level D)
    Corrected — April 11, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level E)
    Corrected — April 11, 2025
  • Provide and implement an infection prevention and control program. (Level E)
    Corrected — April 11, 2025
  • Put firmly secured handrails on each side of hallways. (Level E)
    Corrected — April 11, 2025
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Level D)
    Corrected — April 11, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Level G)
    Corrected — April 11, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Level E)
    Corrected — April 11, 2025
  • Respond appropriately to all alleged violations. (Level J)
    Corrected — April 11, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level J)
    Corrected — April 11, 2025
CareQED Analysis

Millcreek Rehabilitation and Nursing LLC is a 61-bed nursing home in Salt Lake City, Utah. It holds a 2-star CMS overall rating. Total nurse staffing is 2.3 hours per resident day, below the Utah average of 4. Its most recent inspection, in March 2025, cited 13 deficiencies, 3 of them severe. CMS has flagged this facility with an abuse icon.

The facts show serious quality and safety concerns—with low staffing, multiple recent deficiencies including several severe citations and an abuse flag—so no clear strengths stand out. Ask the facility what specific actions they have taken to address the abuse-related finding and the severe deficiencies, including changes to policies, staff training, and oversight to protect residents.

Frequently Asked Questions

Is Millcreek Rehabilitation and Nursing LLC Medicare and Medicaid certified?

Millcreek Rehabilitation and Nursing LLC is Medicare certified and Medicaid certified according to CMS data.

What is Millcreek Rehabilitation and Nursing LLC's CMS star rating?

Millcreek Rehabilitation and Nursing LLC has an overall CMS rating of 2 out of 5 stars.

How is staffing at Millcreek Rehabilitation and Nursing LLC?

Millcreek Rehabilitation and Nursing LLC reports 2.33849 total nurse hours per resident day.

Has Millcreek Rehabilitation and Nursing LLC had health inspection deficiencies?

On its most recent inspection, Millcreek Rehabilitation and Nursing LLC had 13 total deficiencies, including 3 classified as severe.

How many beds does Millcreek Rehabilitation and Nursing LLC have?

Millcreek Rehabilitation and Nursing LLC has 61 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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