Federal inspection record · CMS data as of October 1, 2026
Pine Creek Rehabilitation and Nursing
876 West 700 South, Salt Lake City, UT · (801) 355-9649
- Cited for abuse (CMS abuse icon)
- Certified beds
- 34
- Residents per day
- 33
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- December 1, 1991
1
How this home got 2 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
★★★★★−1 star
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.
-
Overall
★★★★★2 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
Pine Creek Rehabilitation and Nursing carries 110.75 inspection points. That is fewer than 21% 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
42 health citations on record since 2023. 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 (4)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Resident Rights7E
- E
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 a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pharmacy Service7E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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
Ensure medication error rates are not 5 percent or greater.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- 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
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration6E
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- E
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
Keep complete, dated laboratory records in the resident's record.
- D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control5E
- 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.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 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.
Resident Assessment and Care Planning3E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure that paid feeding assistants have the training they need.
Nutrition and Dietary1D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2025-10-09
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-10-03
28 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
2023-03-02
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 32 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
2 h 32 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 71% of nursing staff and 86% 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
$56,121 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-03 | Fine | $56,121 |
| 2024-10-03 | Payment Denial · 5 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 vaccine10.2 pts worse | 87.6% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.2 pts worse | 90.0% | 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 symptoms18.8 pts worse | 35.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 1.9% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 23.6% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.7 pts worse | 35.5% | 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 worsened5.3 pts better | 7.4% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 4.8% | 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 infection0.1 pts better | 1.8% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.9 pts better | 9.4% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts better | 0.0% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse | 83.8% | 94.1% | 82.3% |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- E
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
·
Other homes nearby
-
Midtown Manor
Salt Lake City, UT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Maple Ridge Rehabilitation and Nursing
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 9 min
- Fines
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-
St Joseph Villa
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
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- Fines
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