Spring Creek Healthcare Center
4600 South Highland Drive · Salt Lake City, UT · 84117 · 8012721892
92 certified beds For profit - Limited Liability company Chain: Cascades Healthcare
Why this verdict
- 19 citations involved actual harm to residents.
- 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
7 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
68% 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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.00 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $53,472 |
Inspection citations (98 in the current record)
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Potential for harm · D February 3, 2025
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 March 27, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
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 March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Ensure 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.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 27, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 27, 2025 · Pharmacy Service
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Potential for harm · E February 3, 2025
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 March 27, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
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 March 27, 2025 · Pharmacy Service
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Potential for harm · E February 3, 2025
Provide and implement an infection prevention and control program.
Corrected March 27, 2025 · Infection Control
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Actual harm · G January 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · E January 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 12, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 12, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 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 February 12, 2024 · Pharmacy Service
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Potential for harm · D January 11, 2024
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Corrected February 12, 2024 · Administration
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Potential for harm · E January 11, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · E January 11, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · D January 11, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · D January 11, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · D January 11, 2024
Ensure 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.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · E January 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 12, 2024 · Nutrition and Dietary
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Potential for harm · E January 11, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 11, 2024
Provide and implement an infection prevention and control program.
Corrected February 12, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 11, 2024 | Fine | $53,472 |
| January 11, 2024 | Payment Denial | 17 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 465049 · certified since April 22, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.