Meadow Brook Rehabilitation and Nursing
433 East 2700 South · Salt Lake City, UT · 84115 · 8014872248
41 certified beds Government - Hospital district Chain: Cascades Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 1 · $31,331 |
Inspection citations (59 in the current record)
-
Potential for harm · E November 20, 2025
Honor 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.
Corrected December 15, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 20, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 15, 2025 · Resident Rights
-
Potential for harm · D November 20, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 15, 2025 · Quality of Life and Care
-
Potential for harm · D November 20, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected December 15, 2025 · Administration
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Potential for harm · D November 20, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected December 15, 2025 · Administration
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Potential for harm · E November 20, 2025
Keep complete, dated laboratory records in the resident's record.
Corrected December 15, 2025 · Administration
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Potential for harm · E November 20, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 15, 2025 · Nutrition and Dietary
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Potential for harm · D November 20, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 15, 2025 · Nutrition and Dietary
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Potential for harm · F November 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 15, 2025 · Nutrition and Dietary
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Potential for harm · D November 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 20, 2025 · found via complaint
Educate 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.
Corrected December 15, 2025 · Infection Control
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Potential for harm · D October 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 9, 2024 · Quality of Life and Care
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Immediate jeopardy · J February 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J February 22, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 19, 2024 · Nursing and Physician Services
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Actual harm · G February 22, 2024 · found via complaint
Honor 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.
Corrected April 19, 2024 · Resident Rights
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Actual harm · G February 22, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected April 19, 2024 · Resident Rights
-
Actual harm · G February 22, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 19, 2024 · Quality of Life and Care
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Actual harm · G February 22, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 19, 2024 · Quality of Life and Care
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Actual harm · G February 22, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 19, 2024 · Quality of Life and Care
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Actual harm · H February 22, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 19, 2024 · Administration
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Potential for harm · D February 22, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D February 22, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · E February 22, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D February 22, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 19, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 22, 2024 | Fine | $31,331 |
| February 22, 2024 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465158 · certified since May 17, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.