01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-03 | 12 | 2025-02-03 | 1 |
| Cycle 2 | 2024-01-11 | 14 | 2024-01-11 | 1 |
| Cycle 3 | 2022-04-13 | 72 | 2022-04-13 | 3 |
CMS CCN 4650492026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Spring Creek Healthcare Center
4600 South Highland Drive · Salt Lake City, UT 84117 · Salt Lake County
Certified beds92CMS provider file
Recent citation rows103current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
103 rows in the current release
26 rows carry G–L scope/severity codes; 7 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-02-03 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-03-282025-02-03 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-272025-02-03 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-272024-01-11 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-03-042024-01-11 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-02-12 · complaint2024-01-11 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-02-12 · complaint2024-01-11 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0779Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0801Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2024-02-122024-01-11 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2024-02-1203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-01-11 | Fine | $53,472 | 0 |
| 2024-01-11 | Payment Denial | $0 | 17 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BEAVER VALLEY HOSPITALOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/18/2018
- LANGFORD, SCOTTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/18/2018
- MCSPADDEN, DARINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2023
- BARNEY, JANETTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- BROWN, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- OAKDEN, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- ROBINSON, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- SMITH, VALIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- WHITE, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/18/2018
- LANGFORD, SCOTTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/18/2018
- BEAVER VALLEY HOSPITALOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2018
- CASCADES HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- BAIRD, GREGORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- FULLMER, CHADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2018
- MCSPADDEN, DARINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2018
- TAYLOR, RICHARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/29/2024
- CASCADES HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/15/2025
- BAIRD, GREGORYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.49per resident day
RN hours0.97per resident day
Weekend nurse hours3.13per resident day
Staff turnover76.8%CMS reported field
06 / LOCAL RECORDS
Open the Salt Lake City ledger →Other published facilities nearby
City Creek Post Acute108 beds · CMS overall 3/521 citation rowsHolladay Healthcare Center120 beds · CMS overall 3/534 citation rowsMaple Ridge Rehabilitation And Nursing36 beds · CMS overall 1/547 citation rowsMeadow Brook Rehabilitation And Nursing41 beds · CMS overall 2/565 citation rowsMidtown Manor82 beds · CMS overall 1/542 citation rowsMillcreek Rehabilitation And Nursing61 beds · CMS overall 2/545 citation rowsMonument Healthcare Cottonwood Creek77 beds · CMS overall 3/529 citation rowsMonument Healthcare Millcreek120 beds · CMS overall 4/518 citation rows