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F
Critical

Millcreek Rehabilitation and Nursing LLC

3520 South Highland Drive · Salt Lake City, UT 84106

8014847638 · Government - City/county

61 beds59.6 residents59 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
A
Very Good
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Millcreek Rehabilitation and Nursing LLC receives an overall staffing grade of F (Critical). With 2.2142 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 1.68 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.45% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.2142 HPRD — needs 1.27 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.2142hrs/resident/day▼ 1.68
CMS benchmark: 3.48
RN HPRD
0.7762hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
20.45%
2.35 weekday → 1.8695 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2577hrs/resident/day
Direct care aides
LPN HPRD
0.0732hrs/resident/day
Licensed practical nurses
Consistency
0.3154std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Salt Lake County Average-1.57 HPRD
3.79
02.21 HPRD
vs. Utah State Average-1.85 HPRD
4.06
02.21 HPRD
vs. National Average-1.68 HPRD
3.90
02.21 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Millcreek Rehabilitation and Nursing LLC ★
Salt Lake City · This facility
—
F
2.21420.7762★★☆☆☆
Mt. Olympus Rehabilitation Center
Salt Lake City
1.3 mi
C
3.42820.7189★★☆☆☆
Meadow Brook Rehabilitation and Nursing
Salt Lake City
1.6 mi
B
3.76251.3779★☆☆☆☆
Monument Healthcare South Salt Lake
Salt Lake City
1.6 mi
C
3.30571.0302★☆☆☆☆
Monument Healthcare Murray Creek
Millcreek
1.9 mi
B
3.89861.0082★★☆☆☆
St Joseph Villa
Salt Lake City
2 mi
B
3.84640.8993★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
27
Total Deficiencies
$25,441
Fines Assessed
Mar 31, 2025Health
13 deficiencies cited· Includes actual harm
▼
Jun 15, 2023Health
2 deficiencies cited
▼
Sep 30, 2021Health
12 deficiencies cited
▼

Penalty History

Mar 31, 2025Fine
$25,441
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.