Federal inspection record · CMS data as of October 1, 2026
Holladay Healthcare Center
4782 South Holladay Boulevard, Salt Lake City, UT · (801) 277-7002
- Certified beds
- 120
- Residents per day
- 80
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 13, 1987
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
Holladay Healthcare Center carries 54 inspection points. That is fewer than 50% 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 2021. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure 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.
Resident Assessment and Care Planning3E
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- D
Implement 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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nursing and Physician Services1D
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-03-24
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-08
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2021-12-16
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 36 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 18% of registered nurses left in the past year.
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 days0.2 pts better | 1.0 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 99.1% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 100.0% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.2% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.2 pts better | 4.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 7.2% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts worse | 29.9% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts better | 12.0% | 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 worsened1.7 pts better | 11.0% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 9.4% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 1.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse | 22.8% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.2% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 98.6% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better | 6.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 96.5% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.2 pts worse | 25.2% | 17.0% | 23.4% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| 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 |
| Cottonwood Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 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 |
| Olympus Health, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Olympus Health, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wallace, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wallace, Mark | Adp Of The SNF · Individual | 0% | 1 facilities |
| Workman, David | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Workman, David | Adp Of The SNF · Individual | 0% | 9 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress2E
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Spring Creek Healthcare Center
Salt Lake City, UT · Cascades Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 11 min
- Fines
- $53,472
-
Highland Care Center
Holladay, UT · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Monument Healthcare Cottonwood Creek
Salt Lake City, UT · Monument Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $17,940