Pine Creek Rehabilitation and Nursing
876 West 700 South · Salt Lake City, UT · 84104 · 8013559649
34 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $56,121 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$56,121 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
79% 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: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 79% | median 45% |
| Fines (3-yr window) | 1 · $56,121 |
Inspection citations (41 in the current record)
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Potential for harm · E October 9, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 14, 2025 · Resident Rights
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Potential for harm · F October 9, 2025
Have 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.
Corrected November 14, 2025 · Nursing and Physician Services
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Potential for harm · E October 9, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 14, 2025 · Pharmacy Service
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Potential for harm · D October 9, 2025
Employ 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.
Corrected November 14, 2025 · Administration
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Potential for harm · D October 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J October 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 26, 2024 · Quality of Life and Care
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Immediate jeopardy · J October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 1, 2023 · Quality of Life and Care
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Actual harm · G October 3, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · E October 3, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D October 3, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D October 3, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 3, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 3, 2024
Respond appropriately to all alleged violations.
Corrected November 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 3, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D October 3, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · D October 3, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · D October 3, 2024
Implement 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.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · D October 3, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · E October 3, 2024
Ensure 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.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · E October 3, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 26, 2024 · Administration
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Potential for harm · D October 3, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected November 26, 2024 · Administration
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Potential for harm · D October 3, 2024
Keep complete, dated laboratory records in the resident's record.
Corrected November 26, 2024 · Administration
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Potential for harm · D October 3, 2024
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Corrected November 26, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 3, 2024 | Fine | $56,121 |
| October 3, 2024 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 46A064 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.