Nursing home
Millcreek Rehabilitation and Nursing
3520 South Highland Drive, Salt Lake City, UT 84106 · Map
Government - City/county · Part of Beaver Valley Hospital (5 facilities) · 61 certified beds
Millcreek Rehabilitation and Nursing is a Medicare-certified nursing home in Salt Lake City, Utah. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.21 hours per resident per day, below the Utah average of 4.06. Its most recent inspection on Mar 31, 2025 cited 13 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $25,441In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Millcreek Rehabilitation and Nursing compares
This facility vs. the Utah and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Utah avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.21 | 4.06 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.78 | 1.19 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.36 | 2.37 | 2.34 | below avg |
| Nursing staff turnover | 51.2% | 51.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 13.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $25,441, 1 total penalty.
What inspectors found at Millcreek Rehabilitation and Nursing
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 31, 2025 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2025 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Mar 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Keep complete, dated laboratory records in the resident's record.
Administration Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Mar 31, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3520 South Highland Drive
Salt Lake City, UT 84106 - CMS certification #
- 465185
- Ownership
- Government - City/county
- Certified beds
- 61
- Avg residents/day
- 59.6
- Provider type
- Medicare and Medicaid
- First certified
- 2016-04-04
- Chain
- Beaver Valley Hospital (5 facilities)
- Setting
- Urban
Part of Beaver Valley Hospital
Beaver Valley Hospital operates 5 nursing facilities across the United States. View all Beaver Valley Hospital facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Millcreek Rehabilitation and Nursing using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- St Mark'S Hospital, Salt Lake City. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Mt. Olympus Rehabilitation Center, Salt Lake City. 1.3 miles away, straight line.
- Nearest home health agency office
- Cascade Springs Home Healthcare, Salt Lake City. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 84106 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- 462530 Fresenius Kidney Care Wasatch, Salt Lake City, 2.4 miles away, straight line (CMS rating 4 of 5 stars)
Davita Kolff Dialysis, Salt Lake City, 3.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
462320 Primary Children'S Dialysis Center, Salt Lake City, 3.7 miles away, straight line - Hospice
- 38 Medicare hospices tell CMS they serve ZIP code 84106.
Solstice Hospice And Palliative Care, LLC, office in Salt Lake City, 1.7 miles away, straight line
Quality Solace Services Hospice, office in Holladay, 2.0 miles away, straight line
True North Hospice, office in South Salt Lake, 2.2 miles away, straight line - Nearest geriatric medicine practice
- Charles Fehlauer, MD, Salt Lake City. 2.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding very low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Millcreek Rehabilitation and Nursing a good nursing home?
CMS gives Millcreek Rehabilitation and Nursing an overall rating of 2 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Millcreek Rehabilitation and Nursing staffed?
Millcreek Rehabilitation and Nursing reports 2.21 total nurse hours per resident per day, compared with the Utah average of 4.06.
Has Millcreek Rehabilitation and Nursing had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Millcreek Rehabilitation and Nursing have?
Millcreek Rehabilitation and Nursing is certified for 61 beds.