Federal inspection record · CMS data as of October 1, 2026
Meadow Peak Rehabilitation
6084 South Summit Vista Boulevard, Taylorsville, UT · (385) 255-1105
- Certified beds
- 75
- Residents per day
- 71
- Ownership
- Government
- Chain
- Mission Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 28, 2021
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.
-
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
★★★★★+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
Meadow Peak Rehabilitation carries 51 inspection points. That is fewer than 53% 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
25 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service6E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- 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
Ensure each resident’s drug regimen must be free from unnecessary 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.
- 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.
Quality of Life and Care6D
- D
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
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights4D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- 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 Dietary2E
- 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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
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.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2026-05-11
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-05-23
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2022-10-27
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 1 h 9 min of it from a registered nurse.
This home
3 h 59 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 32% 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 days1 pts worse | 2.2 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.6 | 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 vaccine0.4 pts worse | 97.8% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 0.6% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14 pts better | 2.9% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 2.0% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts worse | 34.4% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8 pts better | 5.8% | 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 worsened10.6 pts better | 2.1% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts better | 0.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.7% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse | 26.3% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 5.0% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 95.2% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts better | 6.4% | 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 vaccine4.6 pts worse | 87.6% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts worse | 17.3% | 17.0% | 23.4% |
·
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 |
|---|---|---|---|
| Bartholomew, Brenda | Corporate Officer · Individual | 0% | 4 facilities |
| Gangotena-Bernard, Fatima | Adp Of The SNF · Individual | 0% | 5 facilities |
| Hardman, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hardman, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Keele, Eddie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Meadow Peak Sv LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mission Health Services | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Mission Health Services | Adp Of The SNF · Organization | 0% | 6 facilities |
| Murray, Brian | Corporate Officer · Individual | 0% | 15 facilities |
| Piquet, Shaeleen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wootton, Zachary | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Wootton, Zachary | Adp Of The SNF · Individual | 0% | 4 facilities |
| Zimbelman, Michelle | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Zimbelman, Michelle | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Have an enclosure around a vertical opening shaft.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- D
Conduct testing and exercise requirements.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
·
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