Millard County Care and Rehabilitation
150 South White Sage Avenue, Delta, UT 84624 · CCN 465157
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Government - County
- Certified beds
- 60
- Avg residents/day
- 50.5
- Phone
- 4358642944
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 | 2024-02-07 | 19 | 9.1 | 9.5 | +9.9 worse |
| 2 | 2022-05-05 | 8 | 8.4 | 9.8 | -0.4 better |
| 3 | 2019-12-05 | 4 | 10.3 | 9.3 | -6.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Administration | 5 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.55 | 91.5% |
| RN staffing (reported) | 0.84 | 94.7% |
| Total nurse staffing (adjusted) | 4.08 | — |
Fines & penalties
- Total fines
- $19,656
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (31)2 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-07 · Health · corrected 2024-03-24
Actual harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- 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.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- 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.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0775Keep complete, dated laboratory records in the resident's record.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0840Employ 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.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-02-07 · Health · corrected 2024-03-24
Potential for more than minimal harm
- EF0578Honor 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.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-05-05 · Health · corrected 2022-06-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-05-05 · Health · corrected 2022-05-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-12-05 · Health · corrected 2020-01-31
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-12-05 · Health · corrected 2020-03-02
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-12-05 · Health · corrected 2020-03-02
Actual harm
- 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.2019-12-05 · Health · corrected 2020-01-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHRISTENSEN, JEFFERY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-03-20 |
| MILLARD COUNTY CARE & REHABILITATION INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-03-01 |
| TRADITIONS HEALTH CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-03-01 |
| CHRISTENSEN, JEFFERY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-27 |
| DEARDEN, TONY | Individual | CORPORATE DIRECTOR | — | 2008-03-01 |
| JACKSON, LON | Individual | CORPORATE DIRECTOR | — | 2008-03-01 |
| STANDWORTH, REX | Individual | CORPORATE DIRECTOR | — | 2008-03-01 |
| WALKER, KATHY | Individual | CORPORATE DIRECTOR | — | 2008-03-01 |
| CHRISTENSEN, JEFFERY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2020-03-20 |
| CHRISTENSEN, JEFFERY | Individual | W-2 MANAGING EMPLOYEE | — | 2024-03-20 |
Other facilities in Delta
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.