Federal inspection record · CMS data as of October 1, 2026
Meadow Brook Rehabilitation and Nursing
433 East 2700 South, Salt Lake City, UT · (801) 487-2248
- Cited for abuse (CMS abuse icon)
- Certified beds
- 41
- Residents per day
- 32
- Ownership
- Government
- Chain
- Cascades Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 17, 2004
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Utah homes
Meadow Brook Rehabilitation and Nursing carries 175 inspection points. That is fewer than 9% 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
59 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 (8)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
-
H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
G
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.
-
G
Prepare residents for a safe transfer or discharge from the nursing home.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation9E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care9E
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate foot care.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Resident Rights7E
- E
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary5F
- 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.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service5E
- E
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.
- E
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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration4E
- E
Keep complete, dated laboratory records in the resident's record.
- 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.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control3E
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Resident Assessment and Care Planning3E
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Environmental3E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- D
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-11-20
12 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2024-02-22
43 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2022-05-25
4 health deficiencies · 2 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 9 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
3 h 9 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 76% of nursing staff and 67% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,331 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-22 | Fine | $31,331 |
| 2024-02-22 | Payment Denial · 6 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.3 pts worse | 83.5% | 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 injury2.5 pts better | 0.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms34.2 pts worse | 51.1% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 3.4% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication22.5 pts worse | 48.3% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts better | 7.0% | 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 worsened10.2 pts worse | 22.9% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.6 pts worse | 25.3% | 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 infectionAbout the same | 1.9% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better | 16.3% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.8% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.7 pts worse | 67.4% | 94.1% | 82.3% |
| 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 vaccine15.3 pts worse | 76.9% | 92.2% | 80.1% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| Baird, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Baird, Gregory | Adp Of The SNF · Individual | 0% | 5 facilities |
| Barney, Janett | Corporate Director · Individual | 0% | 14 facilities |
| Brown, Gary | Corporate Director · Individual | 0% | 15 facilities |
| Cascades Healthcare LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Cascades Healthcare LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Hills, Kyle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hills, Kyle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Langford, Scott | Managing Control - Governing Body · Individual | 0% | 24 facilities |
| Langford, Scott | Corporate Officer · Individual | 0% | 24 facilities |
| Mcspadden, Darin | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Corporate Officer · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 17 facilities |
| Mcspadden, Darin | Adp Of The SNF · Individual | 0% | 17 facilities |
| Oakden, Richard | Corporate Director · Individual | 0% | 13 facilities |
| Robinson, Matthew | Corporate Director · Individual | 0% | 5 facilities |
| Smith, Val | Corporate Director · Individual | 0% | 14 facilities |
| White, Craig | Corporate Director · Individual | 0% | 6 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness5F
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- E
Conduct testing and exercise requirements.
- E
Develop and maintain an Emergency Preparedness Program (EP).
- D
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Monument Healthcare South Salt Lake
Salt Lake City, UT · Monument Health Group · Special Focus
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 40 min
- Fines
- $36,546
-
Little Cottonwood Rehabilitation and Nursing
South Salt Lake, UT
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 2 min
- Fines
- $0
-
St Joseph Villa
Salt Lake City, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0