City Creek Post Acute
165 South 1000 East, Salt Lake City, UT 84102 · CCN 465072
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 108
- Avg residents/day
- 68.6
- Phone
- 8013225521
Inspection history vs Utah & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Utah avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-01-29 | 2 | 9.1 | 9.5 | -7.1 better |
| 2 | 2022-05-04 | 13 | 8.4 | 9.8 | +4.6 worse |
| 3 | 2019-11-07 | 3 | 10.3 | 9.3 | -7.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.58 | 50.0% |
| RN staffing (reported) | 0.67 | 36.4% |
| Total nurse staffing (adjusted) | 3.88 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (18)2 actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-29 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-29 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0578Honor 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.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0584Honor 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.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-04 · Health · corrected 2022-07-03
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-04 · Health · corrected 2022-07-03
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0761Ensure 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.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- EF0886Perform COVID19 testing on residents and staff.2022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- EF0888Ensure staff are vaccinated for COVID-192022-05-04 · Health · corrected 2022-07-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-11-07 · Health · corrected 2019-12-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-11-07 · Health · corrected 2019-12-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-07 · Health · corrected 2019-12-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BEAVER VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-05-01 |
| AVENUES HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BURNAM, SOON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| ELLIS, KC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2016-05-01 |
| MOSS, TYLER | Individual | CORPORATE OFFICER | — | 2021-01-01 |
Other facilities in Salt Lake City
| Name | Overall | Beds |
|---|---|---|
| William E Christofferson Salt Lake Veterans Home | ★★★★★ | 81 |
| Monument Healthcare Taylorsville | ★★★★☆ | 120 |
| Monument Healthcare Millcreek | ★★★★☆ | 120 |
| St Joseph Villa | ★★★☆☆ | 221 |
| Holladay Healthcare Center | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.