Starfile / Utah

Meadow Brook Rehabilitation and Nursing

433 East 2700 South, Salt Lake City, UT 84115 · CCN 465158

Abuse icon

Inspection history vs Utah & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$31,331

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

CASCADES HEALTHCARE

Facilities in chain

20

Chain avg overall

2.00 / 5

Inspection citations (59)2 immediate jeopardy6 actual harm

1. EF0584Honor 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.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-20 · Health · corrected 2025-12-05

   Potential for more than minimal harm

4. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

5. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

6. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

7. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

8. EF0775Keep complete, dated laboratory records in the resident's record.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

9. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-20 · Health · corrected 2025-12-15

   Potential for more than minimal harm

10. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-11-20 · Health · corrected 2025-12-15

    Potential for more than minimal harm

11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-20 · Health · corrected 2025-12-15

    Potential for more than minimal harm

12. EF0887Educate 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.2025-11-20 · Health · corrected 2025-12-15

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-24 · Health · corrected 2024-12-09

    Potential for more than minimal harm

14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

15. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

16. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

17. GF0578Honor 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.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

18. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

19. EF0584Honor 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.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

20. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

21. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

22. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

23. EF0610Respond appropriately to all alleged violations.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

24. GF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

25. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

27. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

28. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

29. DF0679Provide activities to meet all resident's needs.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

30. DF0687Provide appropriate foot care.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

31. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-22 · Health · corrected 2024-04-19

    Immediate jeopardy

32. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

33. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

34. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

35. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

36. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

37. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

38. JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-22 · Health · corrected 2024-04-19

    Immediate jeopardy

39. EF0728Ensure 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.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

40. GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

41. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

42. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

43. EF0758Implement 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.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

44. DF0760Ensure that residents are free from significant medication errors.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

45. EF0761Ensure 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.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

46. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

47. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

48. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

49. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-22 · Health · corrected 2024-04-19

    Actual harm

50. EF0880Provide and implement an infection prevention and control program.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

51. EF0881Implement a program that monitors antibiotic use.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

52. DF0908Keep all essential equipment working safely.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

53. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

54. EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

55. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-22 · Health · corrected 2024-04-19

    Potential for more than minimal harm

56. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-25 · Health · corrected 2022-07-15

    Potential for more than minimal harm

57. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-05-25 · Health · corrected 2022-07-15

    Potential for more than minimal harm

58. EF0610Respond appropriately to all alleged violations.2022-05-25 · Health · corrected 2022-07-15

    Potential for more than minimal harm

59. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-05-25 · Health · corrected 2022-07-15

    Potential for more than minimal harm

Ownership

Other facilities in Salt Lake City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.