Spring Creek Healthcare Center

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2025

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Feb 12, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 12, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 4, 2024

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• Implement a program that monitors antibiotic use.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2024

• Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 12, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity K of L: immediate jeopardy, patternCorrected Jun 23, 2022

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity K of L: immediate jeopardy, patternCorrected Jun 23, 2022

• Respond appropriately to all alleged violations.

  Severity K of L: immediate jeopardy, patternCorrected Jun 23, 2022

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity K of L: immediate jeopardy, patternCorrected Jun 23, 2022

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternCorrected Jun 23, 2022

• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Severity J of L: immediate jeopardy, isolatedCorrected Jun 23, 2022

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity J of L: immediate jeopardy, isolatedCorrected Jun 23, 2022

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• 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.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• 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.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Provide enough food/fluids to maintain a resident's health.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity H of L: actual harm, patternCorrected Jun 23, 2022

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• 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.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• 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.

  Severity G of L: actual harm, isolatedCorrected Jun 23, 2022

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 28, 2022

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 23, 2022

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 28, 2022

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Plan the resident's discharge to meet the resident's goals and needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Perform COVID19 testing on residents and staff.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Ensure staff are vaccinated for COVID-19

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Honor the resident's right to manage his or her financial affairs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 23, 2022

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Assist a resident in gaining access to vision and hearing services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Post nurse staffing information every day.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Keep complete, dated laboratory records in the resident's record.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Provide or get specialized rehabilitative services as required for a resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Implement a program that monitors antibiotic use.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 23, 2022

• Establish emergency prep training and testing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 28, 2022

Spring Creek Healthcare Center offers Skilled Nursing / Long Term Care.

Spring Creek Healthcare Center is located at 4600 South Highland Drive in Salt Lake City, Utah.

Spring Creek Healthcare Center is a skilled nursing and rehab facility in Salt Lake City with a wide range of reviews — many families praise the compassionate nursing staff, clean facility, and strong rehab therapy team, while others report serious lapses in basic care, medication management, and communication. Several reviewers note recent management changes aimed at improving staffing and responsiveness, though experiences remain inconsistent.

Spring Creek Healthcare Center had 3 government inspection visits in the last three years, with 103 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Spring Creek Healthcare Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.