Holladay Healthcare Center
4782 South Holladay Boulevard, Salt Lake City, UT 84117 · CCN 465109
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 83.2
- Phone
- 8012777002
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 | 2025-03-24 | 11 | 9.1 | 9.5 | +1.9 worse |
| 2 | 2023-09-08 | 3 | 8.4 | 9.8 | -5.4 better |
| 3 | 2021-12-16 | 11 | 10.3 | 9.3 | +0.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.55 | 44.7% |
| RN staffing (reported) | 0.68 | 25.0% |
| Total nurse staffing (adjusted) | 3.37 | — |
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 (25)
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-24 · Health · corrected 2025-05-10
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.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-24 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-08 · Health · corrected 2023-10-09
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.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-09-08 · Health · corrected 2023-10-09
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.2023-09-08 · Health · corrected 2023-10-09
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- DF0758Implement 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.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- DF0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.2021-12-16 · Health · corrected 2022-02-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-12-16 · Health · corrected 2022-02-07
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 |
| OLYMPUS HEALTH, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BURNAM, SOON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| WALLACE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2007-02-01 |
| MOSS, TYLER | Individual | CORPORATE OFFICER | — | 2015-08-01 |
| WALLACE, MARK | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2016-05-01 |
Other facilities in Salt Lake City
| Name | Overall | Beds |
|---|---|---|
| William E Christofferson Salt Lake Veterans Home | ★★★★★ | 81 |
| City Creek Post Acute | ★★★★★ | 108 |
| Monument Healthcare Taylorsville | ★★★★☆ | 120 |
| Monument Healthcare Millcreek | ★★★★☆ | 120 |
| St Joseph Villa | ★★★☆☆ | 221 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.