Millard County Care and RehabilitationCMS ratings, inspections and fines
- Address
- 150 South White Sage Avenue, Delta, UT 84624
- CCN
- 465157
- Ownership type
- Government, county
- Certified beds
- 60
- Chain
- None in the CMS record
- Residents per day
- 50
- 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 Millard County Care and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 30 Apr 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Utah is 7. CMS lists 1 fine of $19,656 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 | Utah median | US average (CMS) |
|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.8 |
| Staffing rating | 5 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 30 Apr 2026 | 10 | 7 |
| Cycle 2 | 7 Feb 2024 | 19 | 6 |
| Cycle 3 | No date | 8 | 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 | 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): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | 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 | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 19 Jun 2026 |
| 30 Apr 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 19 Jun 2026 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 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 | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 24 Mar 2024 |
| 7 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 | Standard survey | 24 Mar 2024 |
| 7 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 | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0775 | Keep complete, dated laboratory records in the resident's record. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0840 | 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. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Mar 2024 |
| 7 Feb 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 24 Mar 2024 |
Survey cycle 3: 8 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 |
|---|---|---|---|---|---|
| 5 May 2022 | 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. | E | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Jun 2022 |
| 5 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 May 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 |
|---|---|---|---|
| 7 Feb 2024 | Fine | $19,656 |
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 | 3.60 | 3.70 | 4.07 |
| Registered nurses (RN) | 0.86 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.27 | 0.48 | |
| Nurse aides | 2.46 | 2.35 | |
| All nurse staff, weekends | 3.52 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- 36.8%
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- 11.1%
- 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 | 17.4% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.7% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 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 | 12.7% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 34.6% | 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, county
- Legal business name
- Millard County Care & Rehabilitation Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Traditions Health Care, Inc. | Direct ownership interest | 1 Jan 2008 | |
| Traditions Health Care, Inc. | Indirect ownership interest | 1 Jan 2008 | |
| Millard County Care & Rehabilitation Inc | Operational/managerial control | 1 Mar 2008 | |
| Traditions Health Care, Inc. | Operational/managerial control | 1 Jan 2008 | |
| Traditions Health Care, Inc. | Adp of the snf | 13 Mar 2026 |
The site shows organisations only. It does not show the names of persons.
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 Millard County Care and Rehabilitation (CCN 465157). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/millard-county-care-and-rehabilitation-delta-ut-465157/
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 Millard County Care and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a standard survey and a complaint investigation. It gave 10 citations. The standard survey before the last one was on 7 Feb 2024.
- Who operates Millard County Care and Rehabilitation?
- The CMS record gives the ownership type as government, county. CMS lists no chain for the home. The CMS ownership file names Millard County Care & Rehabilitation Inc and Traditions Health Care, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Millard County Care and Rehabilitation 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.