Holladay Healthcare CenterCMS ratings, inspections and fines
- Address
- 4782 South Holladay Boulevard, Salt Lake City, UT 84117
- CCN
- 465109
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- The Ensign Group
- Residents per day
- 80
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Holladay Healthcare Center an overall rating of 3 of 5 stars. The last standard survey was on 24 Mar 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Utah is 7. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Salt Lake County median | Utah median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 35 homes in the county, 97 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Utah median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Mar 2025 | 11 | 7 |
| Cycle 2 | 8 Sep 2023 | 3 | 6 |
| Cycle 3 | No date | 11 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Mar 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 10 May 2025 |
| 24 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 May 2025 |
| 24 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Complaint investigation | 10 May 2025 |
| 24 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0761 | 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. | D | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 May 2025 |
| 24 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 May 2025 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Sep 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 9 Oct 2023 |
| 8 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Oct 2023 |
| 8 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Oct 2023 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 9 Oct 2023 |
| 8 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 9 Oct 2023 |
| 8 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Oct 2023 |
| 8 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Oct 2023 |
| 16 Dec 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0758 | 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. | D | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0811 | 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. | D | Standard survey | 7 Feb 2022 |
| 16 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Feb 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Utah median | Utah average (CMS) |
|---|---|---|---|
| All nurse staff | 3.59 | 3.70 | 4.07 |
| Registered nurses (RN) | 0.67 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.72 | 0.48 | |
| Nurse aides | 2.21 | 2.35 | |
| All nurse staff, weekends | 3.18 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- 43.8%
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- 25.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Utah median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.7% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.3% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | 10.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Beaver Valley Hospital
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Olympus Health, Inc. | Operational/managerial control | 1 May 2016 | |
| Caretrust GP LLC | Adp of the snf | 1 May 2016 | |
| Caretrust REIT Inc | Adp of the snf | 1 May 2016 | |
| Cottonwood Health Holdings LLC | Adp of the snf | 1 May 2016 | |
| Ctr Partnership LP | Adp of the snf | 1 May 2016 | |
| Ensign Services Inc | Adp of the snf | 1 May 2016 | |
| Olympus Health, Inc. | Adp of the snf | 16 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Salt Lake County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Spring Creek Healthcare Center | Salt Lake City | 2 of 5 | 12 | $53,472 | 3 Feb 2025 | |
| Highland Care Center | Holladay | 5 of 5 | 5 | $0 | 11 Jun 2024 | |
| Monument Healthcare Cottonwood Creek | Salt Lake City | 3 of 5 | 6 | $17,940 | 4 Apr 2024 | |
| Monument Healthcare Millcreek | Salt Lake City | 4 of 5 | 10 | $0 | 20 Nov 2025 | |
| Monument Healthcare Canyon Rim | Millcreek | 3 of 5 | 0 | $6,676 | 27 Jun 2024 | |
| Mt. Olympus Rehabilitation Center | Salt Lake City | 2 of 5 | 17 | $149,703 | 9 May 2024 | |
| Rocky Mountain Care - Cottage on Vine | Murray | 3 of 5 | 17 | $78,946 | 6 Mar 2025 | |
| Monument Healthcare Murray Creek | Millcreek | 2 of 5 | 16 | $81,468 | 28 Jun 2025 | |
| Paramount Health and Rehabilitation | Salt Lake City | 3 of 5 | 4 | $106,480 | 21 May 2026 | |
| Millcreek Rehabilitation and Nursing | Salt Lake City | 2 of 5 | 15 | $25,441 | 31 Mar 2025 | |
| Aspen Ridge Transitional Rehab | Murray | 5 of 5 | 0 | $0 | 26 Feb 2026 | |
| Aspen Ridge West Transitional Rehab | Murray | 5 of 5 | 6 | $0 | 14 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Holladay Healthcare Center (CCN 465109). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/holladay-healthcare-center-salt-lake-city-ut-465109/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Holladay Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Mar 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 8 Sep 2023.
- Who operates Holladay Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Olympus Health, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Holladay Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Utah as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.