Federal inspection record · CMS data as of October 1, 2026
Spring Creek Healthcare Center
4600 South Highland Drive, Salt Lake City, UT · (801) 272-1892
- Certified beds
- 92
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Cascades Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 22, 1974
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
★★★★★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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Spring Creek Healthcare Center carries 103 inspection points. That is fewer than 22% 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
104 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 (26)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
K
Respond appropriately to all alleged violations.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
H
Provide enough food/fluids to maintain a resident's health.
-
H
Provide safe, appropriate pain management for a resident who requires such services.
-
H
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
H
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
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
-
H
Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
H
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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H
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
-
H
Have a plan that describes the process for conducting QAPI and QAA activities.
-
H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
H
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
G
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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G
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
-
G
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
-
G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
-
G
Provide timely, quality laboratory services/tests to meet the needs of residents.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- 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 and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or get specialized rehabilitative services as required for a resident.
Resident Rights13E
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- 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.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Pharmacy Service11E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Infection Control10F
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Perform COVID19 testing on residents and staff.
- 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
Ensure staff are vaccinated for COVID-19
- D
Implement a program that monitors antibiotic use.
Resident Assessment and Care Planning8E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Plan the resident's discharge to meet the resident's goals and needs.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Nutrition and Dietary7E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 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.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration5F
- D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- 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.
Environmental4F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Keep all essential equipment working safely.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services3F
- 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.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation3F
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- E
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- E
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Inspection history
2025-02-03
18 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
2024-01-11
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2022-04-13
72 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (17 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 11 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 75% 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
Fines and payment denials
$53,472 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-11 | Fine | $53,472 |
| 2024-01-11 | Payment Denial · 17 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 2.4 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 99.7% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 98.8% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms63.3 pts worse | 80.2% | 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 medication7.7 pts worse | 33.5% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.6 pts worse | 22.4% | 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 worsened6.5 pts better | 6.2% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better | 5.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.7% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse | 24.4% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 1.8% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 96.1% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.2 pts better | 2.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.9 pts worse | 5.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts better | 100.0% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 21.2% | 17.0% | 23.4% |
·
Who owns and runs it
21 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 |
| Beaver Valley Hospital | Direct Ownership Interest · Organization | 0% | 12 facilities |
| Beaver Valley Hospital | Operational/Managerial Control · Organization | 0% | 12 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 |
| Fullmer, Chad | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Fullmer, Chad | Adp Of The SNF · Individual | 0% | 14 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 | Operational/Managerial Control · 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 |
| Taylor, Richard | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Taylor, Richard | Adp Of The SNF · Individual | 0% | 4 facilities |
| White, Craig | Corporate Director · Individual | 0% | 6 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness5F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- D
Establish emergency prep training and testing.
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Other homes nearby
-
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
-
Holladay Healthcare Center
Salt Lake City, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0