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Elder Care Record

Spring Creek Healthcare CenterCMS ratings, inspections and fines

Address
4600 South Highland Drive, Salt Lake City, UT 84117
CCN
465049
Ownership type
For-profit, limited liability company
Certified beds
92
Chain
Cascades Healthcare
Residents per day
79
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating4 of 5
Care 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 Spring Creek Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 3 Feb 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Utah is 7. CMS lists 1 fine of $53,472 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.

CMS star ratings of Spring Creek Healthcare Center, with medians
Rating (1 to 5 stars)This homeSalt Lake County medianUtah medianUS average (CMS)
Overall rating23.03.03.0
Health inspection rating22.03.02.8
Staffing rating23.03.02.9
Quality measure rating45.05.03.6

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.

Health citations of Spring Creek Healthcare Center in the last three survey cycles
Survey cycleStandard surveyCitationsUtah median
Cycle 1 (latest)3 Feb 2025127
Cycle 211 Jan 2024146
Cycle 3No date727

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.

Scope and severity of the 98 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyL0
Actual harm that is not immediate jeopardyI0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 12 citations

Standard survey of this cycle: .

Health citations of Spring Creek Healthcare Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
3 Feb 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey27 Mar 2025
3 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey27 Mar 2025
3 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey27 Mar 2025
3 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey27 Mar 2025
3 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey27 Mar 2025
3 Feb 2025F0693Ensure 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.DStandard survey27 Mar 2025
3 Feb 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey27 Mar 2025
3 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey27 Mar 2025
3 Feb 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey27 Mar 2025
3 Feb 2025F0758Implement 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.EStandard survey27 Mar 2025
3 Feb 2025F0761Ensure 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.DStandard survey27 Mar 2025
3 Feb 2025F0880Provide and implement an infection prevention and control program.EStandard survey27 Mar 2025

Survey cycle 2: 14 citations

Standard survey of this cycle: .

Health citations of Spring Creek Healthcare Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey12 Feb 2024
11 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation12 Feb 2024
11 Jan 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey12 Feb 2024
11 Jan 2024F0761Ensure 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.DStandard survey12 Feb 2024
11 Jan 2024F0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.DStandard survey12 Feb 2024
11 Jan 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard survey12 Feb 2024
11 Jan 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey12 Feb 2024
11 Jan 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey12 Feb 2024
11 Jan 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey12 Feb 2024
11 Jan 2024F0811Ensure 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.DStandard survey12 Feb 2024
11 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Feb 2024
11 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey12 Feb 2024
11 Jan 2024F0880Provide and implement an infection prevention and control program.FStandard survey12 Feb 2024
11 Jan 2024F0881Implement a program that monitors antibiotic use.EStandard survey12 Feb 2024

Survey cycle 3: 72 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Spring Creek Healthcare Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Feb 2024
13 Apr 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey23 Jun 2022
13 Apr 2022F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey23 Jun 2022
13 Apr 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey23 Jun 2022
13 Apr 2022F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey23 Jun 2022
13 Apr 2022F0567Honor the resident's right to manage his or her financial affairs.EStandard survey23 Jun 2022
13 Apr 2022F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey23 Jun 2022
13 Apr 2022F0578Honor 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.DStandard survey23 Jun 2022
13 Apr 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard survey23 Jun 2022
13 Apr 2022F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey23 Jun 2022
13 Apr 2022F0584Honor 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.EStandard survey23 Jun 2022
13 Apr 2022F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey23 Jun 2022
13 Apr 2022F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KStandard survey23 Jun 2022
13 Apr 2022F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.EStandard survey23 Jun 2022
13 Apr 2022F0608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.EStandard survey23 Jun 2022
13 Apr 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KStandard survey23 Jun 2022
13 Apr 2022F0610Respond appropriately to all alleged violations.KStandard survey23 Jun 2022
13 Apr 2022F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey23 Jun 2022
13 Apr 2022F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.GStandard survey23 Jun 2022
13 Apr 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey23 Jun 2022
13 Apr 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey23 Jun 2022
13 Apr 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey23 Jun 2022
13 Apr 2022F0660Plan the resident's discharge to meet the resident's goals and needs.EStandard survey23 Jun 2022
13 Apr 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey23 Jun 2022
13 Apr 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KStandard survey23 Jun 2022
13 Apr 2022F0685Assist a resident in gaining access to vision and hearing services.DStandard survey23 Jun 2022
13 Apr 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard survey23 Jun 2022
13 Apr 2022F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard survey23 Jun 2022
13 Apr 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard survey23 Jun 2022
13 Apr 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Jun 2022
13 Apr 2022F0692Provide enough food/fluids to maintain a resident's health.HStandard survey23 Jun 2022
13 Apr 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 Jun 2022
13 Apr 2022F0697Provide safe, appropriate pain management for a resident who requires such services.HStandard survey23 Jun 2022
13 Apr 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey23 Jun 2022
13 Apr 2022F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.GStandard survey23 Jun 2022
13 Apr 2022F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.HStandard survey23 Jun 2022
13 Apr 2022F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.HStandard survey23 Jun 2022
13 Apr 2022F0727Have 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.FStandard survey23 Jun 2022
13 Apr 2022F0732Post nurse staffing information every day.DStandard survey23 Jun 2022
13 Apr 2022F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JStandard survey23 Jun 2022
13 Apr 2022F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.HStandard survey23 Jun 2022
13 Apr 2022F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.GStandard survey23 Jun 2022
13 Apr 2022F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.HStandard survey23 Jun 2022
13 Apr 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey23 Jun 2022
13 Apr 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey23 Jun 2022
13 Apr 2022F0760Ensure that residents are free from significant medication errors.DStandard survey23 Jun 2022
13 Apr 2022F0761Ensure 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.EStandard survey23 Jun 2022
13 Apr 2022F0770Provide timely, quality laboratory services/tests to meet the needs of residents.GStandard survey23 Jun 2022
13 Apr 2022F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey23 Jun 2022
13 Apr 2022F0775Keep complete, dated laboratory records in the resident's record.DStandard survey23 Jun 2022
13 Apr 2022F0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.DStandard survey23 Jun 2022
13 Apr 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey23 Jun 2022
13 Apr 2022F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey23 Jun 2022
13 Apr 2022F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.HStandard survey23 Jun 2022
13 Apr 2022F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.HStandard survey23 Jun 2022
13 Apr 2022F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey23 Jun 2022
13 Apr 2022F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.HStandard survey23 Jun 2022
13 Apr 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey23 Jun 2022
13 Apr 2022F0865Have a plan that describes the process for conducting QAPI and QAA activities.HStandard survey23 Jun 2022
13 Apr 2022F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.HStandard survey23 Jun 2022
13 Apr 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyHStandard survey23 Jun 2022
13 Apr 2022F0880Provide and implement an infection prevention and control program.FStandard survey23 Jun 2022
13 Apr 2022F0881Implement a program that monitors antibiotic use.DStandard survey23 Jun 2022
13 Apr 2022F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey23 Jun 2022
13 Apr 2022F0886Perform COVID19 testing on residents and staff.EStandard survey23 Jun 2022
13 Apr 2022F0887Educate 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.EStandard survey23 Jun 2022
13 Apr 2022F0888Ensure staff are vaccinated for COVID-19EStandard survey23 Jun 2022
13 Apr 2022F0908Keep all essential equipment working safely.FStandard survey23 Jun 2022
13 Apr 2022F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey23 Jun 2022
13 Apr 2022F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey23 Jun 2022
13 Apr 2022F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard survey23 Jun 2022
13 Apr 2022F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey23 Jun 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.

Penalties of Spring Creek Healthcare Center in the CMS penalties file
DateTypeFineDays without payment
11 Jan 2024Fine$53,472
11 Jan 2024Payment denial17

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.

Nurse staffing hours per resident per day at Spring Creek Healthcare Center
StaffThis homeUtah medianUtah average (CMS)
All nurse staff3.493.704.07
Registered nurses (RN)0.971.001.25
Licensed practical nurses (LPN)0.320.48
Nurse aides2.202.35
All nurse staff, weekends3.133.203.56
Nurse staff turnover in a year
76.8%
Nurse staff turnover, Utah median
50.9%
RN turnover in a year
80.0%
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.

Quality measures of Spring Creek Healthcare Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeUtah medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.4%10.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.3%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.7%0.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.3%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.8%3.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.1%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
Cascades Healthcare (19 homes in the CMS chain file)
Organisations in the CMS ownership record of Spring Creek Healthcare Center
OrganisationRole in the CMS recordInterestSince
Beaver Valley HospitalDirect ownership interest18 Sep 2018
Beaver Valley HospitalOperational/managerial control18 Sep 2018
Cascades Healthcare LLCOperational/managerial control1 Jan 2023
Cascades Healthcare LLCAdp of the snf15 Apr 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Salt Lake County

The 12 nearest other nursing homes in Salt Lake County, Utah
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Highland Care CenterHolladay55$011 Jun 2024
Monument Healthcare Cottonwood CreekSalt Lake City36$17,9404 Apr 2024
Holladay Healthcare CenterSalt Lake City311$024 Mar 2025
Monument Healthcare MillcreekSalt Lake City410$020 Nov 2025
Monument Healthcare Murray CreekMillcreek216$81,46828 Jun 2025
Mt. Olympus Rehabilitation CenterSalt Lake City217$149,7039 May 2024
Rocky Mountain Care - Cottage on VineMurray317$78,9466 Mar 2025
Paramount Health and RehabilitationSalt Lake City34$106,48021 May 2026
Monument Healthcare Canyon RimMillcreek30$6,67627 Jun 2024
Millcreek Rehabilitation and NursingSalt Lake City215$25,44131 Mar 2025
Aspen Ridge Transitional RehabMurray50$026 Feb 2026
Aspen Ridge West Transitional RehabMurray56$014 Jan 2026

All 35 nursing homes in Salt Lake County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Spring Creek Healthcare Center (CCN 465049). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/spring-creek-healthcare-center-salt-lake-city-ut-465049/

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 Spring Creek Healthcare Center last inspected?
The latest inspection with a citation in the CMS record was on 3 Feb 2025. It was a standard survey. It gave 12 citations. The standard survey before the last one was on 11 Jan 2024.
Who operates Spring Creek Healthcare Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cascades Healthcare. The CMS ownership file names Beaver Valley Hospital and Cascades Healthcare LLC for operational or managerial control. This site does not show the names of persons.
Is Spring Creek 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.