Meadow Brook Rehabilitation and NursingCMS ratings, inspections and fines
- Address
- 433 East 2700 South, Salt Lake City, UT 84115
- CCN
- 465158
- Ownership type
- Government, hospital district
- Certified beds
- 41
- Chain
- Cascades Healthcare
- Residents per day
- 27
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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 Meadow Brook Rehabilitation and Nursing an overall rating of 2 of 5 stars. The last standard survey was on 20 Nov 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Utah is 7. CMS lists 1 fine of $31,331 for this home in its penalties file. CMS also lists 1 payment denial.
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 | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 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) | 20 Nov 2025 | 12 | 7 |
| Cycle 2 | 22 Feb 2024 | 43 | 6 |
| Cycle 3 | No date | 4 | 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 | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0584 | 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. | E | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Dec 2025 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 5 Dec 2025 |
| 20 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0775 | Keep complete, dated laboratory records in the resident's record. | E | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 15 Dec 2025 |
| 20 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 15 Dec 2025 |
| 20 Nov 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 | 15 Dec 2025 |
| 20 Nov 2025 | F0887 | 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. | E | Complaint investigation | 15 Dec 2025 |
Survey cycle 2: 43 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Dec 2024 |
| 22 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0578 | 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. | G | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0584 | 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. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | G | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0726 | 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. | J | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | 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. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | 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. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | 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. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Complaint investigation | 19 Apr 2024 |
| 22 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 19 Apr 2024 |
Survey cycle 3: 4 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 |
|---|---|---|---|---|---|
| 25 May 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 Jul 2022 |
| 25 May 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 15 Jul 2022 |
| 25 May 2022 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 15 Jul 2022 |
| 25 May 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Jul 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 22 Feb 2024 | Fine | $31,331 | |
| 22 Feb 2024 | Payment denial | 6 |
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 | 3.81 | 3.70 | 4.07 |
| Registered nurses (RN) | 1.44 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.40 | 0.48 | |
| Nurse aides | 1.97 | 2.35 | |
| All nurse staff, weekends | 3.10 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- 77.8%
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 2
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 | 18.2% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 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 | 1.8% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.5% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.7% | 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
- Government, hospital district
- Legal business name
- Beaver Valley Hospital
- Chain
- Cascades Healthcare (19 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascades Healthcare LLC | Operational/managerial control | 1 Jan 2023 | |
| Cascades Healthcare LLC | Adp of the snf | 17 Apr 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 | |
|---|---|---|---|---|---|---|
| Monument Healthcare South Salt LakeSpecial Focus candidate | Salt Lake City | 1 of 5 | 20 | $36,546 | 19 Jun 2025 | |
| Little Cottonwood Rehabilitation and Nursing | South Salt Lake | 5 of 5 | 5 | $0 | 9 Oct 2025 | |
| St Joseph Villa | Salt Lake City | 3 of 5 | 5 | $0 | 16 Jul 2024 | |
| Millcreek Rehabilitation and Nursing | Salt Lake City | 2 of 5 | 15 | $25,441 | 31 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 | |
| Mt. Olympus Rehabilitation Center | Salt Lake City | 2 of 5 | 17 | $149,703 | 9 May 2024 | |
| Monument Healthcare Millcreek | Salt Lake City | 4 of 5 | 10 | $0 | 20 Nov 2025 | |
| Alpine Meadow Rehabilitation and Nursing | West Valley City | 3 of 5 | 6 | $15,025 | 22 Apr 2026 | |
| Highland Care Center | Holladay | 5 of 5 | 5 | $0 | 11 Jun 2024 | |
| Pine Creek Rehabilitation and Nursing | Salt Lake City | 3 of 5 | 6 | $56,121 | 9 Oct 2025 | |
| Maple Ridge Rehabilitation and Nursing | Salt Lake City | 1 of 5 | 24 | $11,887 | 2 Jun 2025 |
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 Meadow Brook Rehabilitation and Nursing (CCN 465158). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/meadow-brook-rehabilitation-and-nursing-salt-lake-city-ut-465158/
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 Meadow Brook Rehabilitation and Nursing last inspected?
- The latest inspection with a citation in the CMS record was on 20 Nov 2025. It was a standard survey and a complaint investigation. It gave 12 citations. The standard survey before the last one was on 22 Feb 2024.
- Who operates Meadow Brook Rehabilitation and Nursing?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Cascades Healthcare. The CMS ownership file names Cascades Healthcare LLC for operational or managerial control. This site does not show the names of persons.
- Is Meadow Brook Rehabilitation and Nursing 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.