Starfile / Utah

Spring Creek Healthcare Center

4600 South Highland Drive, Salt Lake City, UT 84117 · CCN 465049

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

$53,472

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 (99)7 immediate jeopardy20 actual harm

1. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

2. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

4. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

5. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

6. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

7. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

9. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-03 · Health · corrected 2025-03-27

   Potential for more than minimal harm

10. 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.2025-02-03 · Health · corrected 2025-03-27

    Potential for more than minimal harm

11. 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.2025-02-03 · Health · corrected 2025-03-27

    Potential for more than minimal harm

12. EF0880Provide and implement an infection prevention and control program.2025-02-03 · Health · corrected 2025-03-27

    Potential for more than minimal harm

13. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

14. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-11 · Health · corrected 2024-02-12

    Actual harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

16. DF0692Provide enough food/fluids to maintain a resident's health.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

17. 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.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

18. DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

19. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

20. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

21. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

22. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

23. 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.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

24. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

25. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

26. FF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

27. EF0881Implement a program that monitors antibiotic use.2024-01-11 · Health · corrected 2024-02-12

    Potential for more than minimal harm

28. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-13 · Health · corrected 2023-04-04

    Actual harm

29. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

30. DF0558Reasonably accommodate the needs and preferences of each resident.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

31. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

32. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

33. EF0567Honor the resident's right to manage his or her financial affairs.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

34. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

35. 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.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

36. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

37. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

38. 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.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

39. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

40. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

41. EF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

42. EF0608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

43. KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

44. KF0610Respond appropriately to all alleged violations.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

45. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

46. GF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

47. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

48. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

49. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

50. EF0660Plan the resident's discharge to meet the resident's goals and needs.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

51. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

52. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

53. DF0685Assist a resident in gaining access to vision and hearing services.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

54. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

55. GF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

56. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

57. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

58. HF0692Provide enough food/fluids to maintain a resident's health.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

59. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

60. HF0697Provide safe, appropriate pain management for a resident who requires such services.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

61. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

62. GF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

63. HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

64. HF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

65. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

66. DF0732Post nurse staffing information every day.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

67. JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-04-13 · Health · corrected 2022-06-23

    Immediate jeopardy

68. HF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

69. GF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

70. HF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

71. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

72. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

73. DF0760Ensure that residents are free from significant medication errors.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

74. 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.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

75. GF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

76. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

77. DF0775Keep complete, dated laboratory records in the resident's record.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

78. DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

79. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

80. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

81. HF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

82. HF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

83. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

84. HF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

85. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

86. HF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

87. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-04-13 · Health · corrected 2022-06-23

    Actual harm

88. HF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-04-13 · Health · corrected 2022-06-23

    Actual harm

89. FF0880Provide and implement an infection prevention and control program.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

90. DF0881Implement a program that monitors antibiotic use.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

91. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

92. EF0886Perform COVID19 testing on residents and staff.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

93. 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.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

94. EF0888Ensure staff are vaccinated for COVID-192022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

95. FF0908Keep all essential equipment working safely.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

96. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

97. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

98. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-04-13 · Health · corrected 2022-06-23

    Potential for more than minimal harm

99. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-04-13 · Health · corrected 2022-06-23

    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.