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Nursing homeFAID #12372

Millcreek Rehabilitation and Nursing

3520 SOUTH HIGHLAND DRIVE, SALT LAKE CITY, UT, 84106

(801) 484-7638

61 licensed beds

CMS rates Millcreek Rehabilitation and Nursing 2 out of 5 overall. Federal inspectors issued 45 citations across 9 inspections in the last three years, with $25,441 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall1/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

3520 South Highland Drive

Salt Lake City, UT 84106

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Public record summary

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Bed capacity

CMS facility ID

465185

Care type

Nursing home

County

Salt Lake

Facility name

Millcreek Rehabilitation and Nursing

Street address

3520 SOUTH HIGHLAND DRIVE

City / state / ZIP

Salt Lake City, UT 84106

Phone

(801) 484-7638

About this facility — Millcreek Rehabilitation and Nursing

Millcreek Rehabilitation and Nursing is a Medicare/Medicaid-certified skilled nursing facility in Salt Lake City, Utah. It is licensed for 61 beds — below the median for skilled nursing facilities in Utah (90 beds).

It is one of 58 senior care facilities in Salt Lake City and 97 skilled nursing facilities across Utah. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Millcreek Rehabilitation and Nursing 45 times across 9 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $25,441 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Beaver Valley Hospital

Ownership type

Government - City/county

Registered owners & officers

Clark, Brendan

Operational control · Additional disclosable party — since 2025

Cottonwood Healthcare Llc

Operational control · Additional disclosable party — since 2016

Langford, Scott

Officer — since 2017

Millcreek Rehabilitation and Nursing Llc

Operational control · Additional disclosable party — since 2025

Myers, Katie

Owner of a disclosable party — since 2025

Myers, Walter

Operational control — since 2016

Stubbs, Rachael

Operational control · Additional disclosable party — since 2025

Swain, Holly

Owner of a disclosable party — since 2025

Swain, Jared

Owner of a disclosable party — since 2025

Regulatory standing

Licensed / certified since

2016-04-04

CMS overall rating

2 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

$25,441 total

Last standard inspection

2025-03-31

Nurse staffing

2.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$372 per day (≈ $11,310/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

0% Medicaid · 4% Medicare · 96% private/other

Occupancy

95% (fiscal year 2023)

Vs. state median

18% below the UT median of $456/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-07Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-04-08

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-03-31Health inspectionComplaint-triggered13 citations

F-0561

D · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-04-11

F-0584

D · No harm found

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.

Corrected 2025-04-11

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-11

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-11

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-04-11

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-11

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-11

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-04-11

F-0775

E · No harm found

Keep complete, dated laboratory records in the resident's record.

Corrected 2025-04-11

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-04-11

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-11

F-0924

E · No harm found

Put firmly secured handrails on each side of hallways.

Corrected 2025-04-11

6 earlier / fire-safety inspections (30 citations)

2023-06-15Health inspection2 citations

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-08-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-08-04

2021-09-30Health inspection12 citations

F-0584

E · No harm found

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.

Corrected 2021-11-19

F-0636

E · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2021-12-10

F-0638

E · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2021-12-10

F-0676

E · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2021-11-19

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-12-10

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-12-10

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2021-12-10

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2021-12-10

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-11-15

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2021-12-10

F-0840

D · No harm found

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.

Corrected 2021-12-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-11-18

2026-01-21Fire-safety inspectionComplaint-triggered1 citation

K-0211

F · No harm foundFrom a complaint

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-22

2025-03-31Fire-safety inspection7 citations

E-0004

D · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-11

E-0039

D · No harm found

Conduct testing and exercise requirements.

Corrected 2025-04-11

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-04-11

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-04-11

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-11

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-11

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-11

2023-06-15Fire-safety inspection4 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-07-13

K-0906

D · No harm found

Ensure gas cylinders are properly stored.

Corrected 2023-07-13

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-03

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-13

2021-09-30Fire-safety inspection4 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-09-29

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-09-29

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-09-29

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2021-09-29

Federal penalties

2025-03-31Fine$25,441

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 465185.

Quality of care & staffing

How it compares in Utah.

Inspection citations, 3 years

More than 76% of nursing homes in the state

State median: 27

Federal fines, 3 years

$25,441

More than 64% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

2.3

Among the lowest of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

54%

Higher than 60% of nursing homes in the state

State median: 51%

Resident outcomes

On 17 federal quality measures, this facility does better than the Utah average on 12 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.4%	10.7%	13.5%	Better than state
Lose too much weight	1.8%	3.3%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.6%	0.7%	Better than state
With a urinary tract infection	1.3%	1.9%	1.5%	Better than state
Have depressive symptoms	7.4%	16.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	0.9%	2.5%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	97.8%	93.7%	Near state average
Ability to walk independently worsened	6.5%	12.7%	12.7%	Better than state
Received an antianxiety or hypnotic medication	12.3%	25.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.3%	98.2%	95.3%	Near state average
With pressure ulcers	1.0%	3.8%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	14.1%	20.3%	18.3%	Better than state
Received an antipsychotic medication	8.4%	13.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.74	1.17	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.54	1.35	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.6%	94.1%	82.3%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E-0039 2 inspections. Conduct testing and exercise requirements.
F-0584 2 inspections. 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.
F-0805 2 inspections. Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Verify & compare

Where to check, and what's nearby.

Who to contact in Utah

Licensing: Utah Department of Health and Human Services, Division of Licensing and Background Checks, Office of Licensing
File a complaint: 801-890-2007 · Online
Long-Term Care Ombudsman: 877-424-4640. A free advocate for residents and families.
Adult Protective Services: 800-371-7897. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

St Mark's Hospital, about 1.7 miles. CMS rating 4 of 5.
Va Salt Lake City Healthcare - George E. Wahlen Va Medical Center, about 3.2 miles. CMS rating 4 of 5.
University of Utah Hospital and Clinics, about 4.1 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Mt. Olympus Rehabilitation Center, Salt Lake City, about 1.3 miles. CMS rating 2 of 5.
Meadow Brook Rehabilitation and Nursing, Salt Lake City, about 1.6 miles. CMS rating 1 of 5.
Monument Healthcare South Salt Lake, Salt Lake City, about 1.6 miles. CMS rating 1 of 5.
Monument Healthcare Murray Creek, Millcreek, about 1.9 miles. CMS rating 2 of 5.
St Joseph Villa, Salt Lake City, about 2.0 miles. CMS rating 3 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered