Federal inspection record · CMS data as of October 1, 2026
City Creek Post Acute
165 South 1000 East, Salt Lake City, UT · (801) 322-5521
- Certified beds
- 108
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 15, 1979
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
City Creek Post Acute carries 39 inspection points. That is fewer than 65% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Perform COVID19 testing on residents and staff.
- E
Ensure staff are vaccinated for COVID-19
Quality of Life and Care4E
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights3D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- D
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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Pharmacy Service1D
- D
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.
Inspection history
2026-03-30
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-01-29
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-05-04
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 38 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.1 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 100.0% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 98.3% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 2.3% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9 pts worse | 25.9% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 4.0% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 24.4% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts better | 11.3% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse | 14.2% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse | 12.1% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts worse | 22.9% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.0% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 94.4% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 10.8% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 90.1% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 12.2% | 17.0% | 23.4% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Avenues Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Avenues Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 facilities |
| Ellis, Kc | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ellis, Kc | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ellis, Kc | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Moss, Tyler | Corporate Officer · Individual | 0% | 27 facilities |
| Tenth East Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Workman, David | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Workman, David | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Workman, David | Adp Of The SNF · Individual | 0% | 9 facilities |
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