About Millcreek Rehabilitation and Nursing
Millcreek Rehabilitation And Nursing, located in Salt Lake City, UT, is a government owned organization that accepts Medicare and Medicaid.
Why Families Choose Millcreek Rehabilitation and Nursing
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 2.12 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the BEAVER VALLEY HOSPITAL network. This chain operates 5 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Millcreek Rehabilitation and Nursing provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 242 | Mar 31, 2025 |
| Weighted Average | 184 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.9% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.9% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 5.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 1.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 5.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 96.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 12.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 17.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 11.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 1 complaint
- 2025: 5 complaints
- 2026: 3 complaints
- Total: 9 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 08, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jan 22, 2026 | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| Apr 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 11, 2025 | Respond appropriately to all alleged violations. |
| Apr 11, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Apr 11, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 11, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Aug 04, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| Jul 01, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
HOLY CROSS HOSPITAL - SALT LAKE
SALT LAKE CITY, UT
ST MARK'S HOSPITAL
SALT LAKE CITY, UT
HOLY CROSS HOSPITAL-JORDAN VALLEY
WEST JORDAN, UT
AMERICAN FORK HOSPITAL
AMERICAN FORK, UT
VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAHLEN VA MEDICAL CENTER
SALT LAKE CITY, UT
MOUNTAIN WEST MEDICAL CENTER
TOOELE, UT
LAKEVIEW HOSPITAL
BOUNTIFUL, UT
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL
SANDY, UT
LDS HOSPITAL
SALT LAKE CITY, UT
PARK CITY HOSPITAL
PARK CITY, UT
INTERMOUNTAIN HEALTH RIVERTON HOSPITAL
RIVERTON, UT
UNIVERSITY OF UTAH HOSPITAL AND CLINICS
SALT LAKE CITY, UT
LONE PEAK HOSPITAL
DRAPER, UT
INTERMOUNTAIN HEALTH LAYTON HOSPITAL
LAYTON, UT
WESTERN PEAKS SPECIALTY HOSPITAL
BOUNTIFUL, UT
INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL
HEBER CITY, UT
PRIMARY CHILDREN'S HOSPITAL
SALT LAKE CITY, UT
MARIAN CENTER
SALT LAKE CITY, UT
SALT LAKE BEHAVIORAL HEALTH
SALT LAKE CITY, UT
Owner & Operator Information
Business Entity
BEAVER VALLEY HOSPITAL
Ownership Structure
Management & Direction
- BRENDAN CLARK OPERATIONAL/MANAGERIAL CONTROL
- BRENDAN CLARK ADP OF THE SNF
- COTTONWOOD HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
- COTTONWOOD HEALTHCARE LLC ADP OF THE SNF
- SCOTT LANGFORD CORPORATE OFFICER
- MILLCREEK REHABILITATION AND NURSING LLC OPERATIONAL/MANAGERIAL CONTROL
- MILLCREEK REHABILITATION AND NURSING LLC ADP OF THE SNF
- KATIE MYERS INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- WALTER MYERS OPERATIONAL/MANAGERIAL CONTROL
- RACHAEL STUBBS OPERATIONAL/MANAGERIAL CONTROL
- RACHAEL STUBBS ADP OF THE SNF
- HOLLY SWAIN INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- JARED SWAIN INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Aspen Ridge Transitional Rehab | N/A | 5 |
| Stonehenge of South Jordan | N/A | 4 |
| Little Cottonwood Rehabilitation and Nursing | N/A | 5 |
| South Davis Specialty Care | N/A | 5 |
| Copper Ridge Health Care | N/A | 5 |
| Aspen Ridge West Transitional Rehab | N/A | 5 |
| Stonehenge of American Fork | N/A | 4 |
| Monument Healthcare Stonecreek | N/A | 5 |
| Highland Care Center | N/A | 5 |
| Pointe Meadows Health and Rehabilitation | N/A | 5 |
Related Analysis
Best Nursing Homes in Salt Lake City, UT
Compare Millcreek Rehabilitation and Nursing to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Millcreek Rehabilitation and Nursing directly at 8014847638. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.