Public Record
Millcreek Rehabilitation and Nursing LLC
Operated by Beaver Valley Hospital
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 61
- Avg. residents per day
- 59
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 27
- Fire safety findings
- 16
- Inspections on file
- 7
- Last inspection
- 2026-01-21
*CMS
*CMS
*CMS
*CMS
Citations
27 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0924Generalpotential for harm
Put firmly secured handrails on each side of hallways.
- 0600Seriousactual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Seriousimmediate jeopardy
Respond appropriately to all alleged violations.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0584Generalpotential for harm
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.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0775Generalpotential for harm
Keep complete, dated laboratory records in the resident's record.
- 0805Generalpotential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0805Generalpotential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0840Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0584Generalpotential for harm
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.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety1 deficiency
- View inspection reportInspectionFire Safety7 deficiencies
- View inspection reportInspection13 deficiencies
- View inspection reportInspectionFire Safety4 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection12 deficiencies
- View inspection reportInspectionFire Safety4 deficiencies
Ownership
Beaver Valley Hospital
5nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Millcreek Rehabilitation and Nursing LLC?
- Millcreek Rehabilitation and Nursing LLC is a Medicare- and Medicaid-certified nursing home in Salt Lake City, UT, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 465185.
- What is the CMS rating for Millcreek Rehabilitation and Nursing LLC?
- Millcreek Rehabilitation and Nursing LLC has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Millcreek Rehabilitation and Nursing LLC have?
- Millcreek Rehabilitation and Nursing LLC is certified for 61 beds. It serves an average of 59 residents per day.
- How many citations does Millcreek Rehabilitation and Nursing LLC have?
- Millcreek Rehabilitation and Nursing LLC has 27 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Millcreek Rehabilitation and Nursing LLC last inspected?
- Millcreek Rehabilitation and Nursing LLC was last inspected on January 21, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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