Millcreek Rehabilitation And Nursing Llc - 2-Star Rehab Facility in Salt Lake City, UT | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 11.7%Falls causing major injury 0.43%Pressure ulcers (high-risk) 1.61%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Mar 2025 (436 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
5/5
★★★★★
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 1h 11m · US avg: 41 min
Total Nurse / Resident / Day
2h 13m
State avg: 4h 3m · US avg: 3h 53m
1 min
State avg: 7 min · US avg: 4 min
51 per 100
State avg: 52 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
56%below avg
US avg: 64%
Total Nurse Weekend
1h 55m
Federal Penalties
9 penalties · $228,969 total
| Date | Type | Fine | Denial Days |
|---|
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
| 3/31/2025 | Fine | $25,441 | - |
Inspection Citations
Survey: March 31, 2025(39 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for Harm
N/A
State avg: 17.4 · US avg: 23.9
N/A
State avg: 11.8 · US avg: 12.0
0.4 per 100
State avg: 2.6 · US avg: 3.3
1.6 per 100
State avg: 4.1 · US avg: 5.1
0.0 per 100
State avg: 0.9 · US avg: 1.6
N/A
State avg: 91.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
23.3 days
Avg Payment / Stay
$12,284.47
Patient Complexity
2.44 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Infection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
Survey: June 15, 2023(6 citations)
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
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