Spring Creek Healthcare Center

Nursing Home · Salt Lake City, UT

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number465049

Contact & location

4600 South Highland Drive
Salt Lake City, UT 84117
Salt Lake County
Phone
(801) 272-1892
ZIP code
84117 – all care providers

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Facility details

Certified beds
92
Residents per day
79.3 (86% occupied)
Ownership
For profit - Limited Liability company
Legal name
Beaver Valley Hospital
Chain
Cascades Healthcare (19 facilities, avg 1.9★)
Medicare certified since
April 22, 1974
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.3
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.0
Quality measures★★★★★ 4/5
State avg 4.6
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.49 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.97 (state 1.25 · U.S. 0.69)
Licensed practical nurses
0.32 (state 0.48 · U.S. 0.86)
Nurse aides
2.20 (state 2.35 · U.S. 2.32)
Weekend total
3.13 (state 3.56 · U.S. 3.42)
Nursing staff turnover
76.8 (state 50.7 · U.S. 45.8)%
RN turnover
80.0 (state 40.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 3, 2025
Health deficiencies (last cycle)
12.0 (state 8.6 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
78 health · 2 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-02-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 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.
F0622 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2025-02-03 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-27
2024-01-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-02-12
2024-01-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 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.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
F0779 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 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.
F0811 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2024-01-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-12
2022-04-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2022-06-23
2022-04-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 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.
F0726 · Nursing and Physician Services Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 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.
F0837 · Administration Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F0841 · Nursing and Physician Services Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 H
Actual harm		 Corrected 2022-06-23
2022-04-13 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 G
Actual harm		 Corrected 2022-06-23
2022-04-13 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 G
Actual harm		 Corrected 2022-06-23
2022-04-13 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.
F0688 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2022-06-23
2022-04-13 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
F0710 · Nursing and Physician Services Deficiencies		 G
Actual harm		 Corrected 2022-06-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $53,472 in fines.

DateTypeAmount
2024-01-11Payment Denial17 days payment denial
2024-01-11Fine$53,472

Ownership & management

NameRoleSince
Baird, Gregory (individual)Administrator · NOT APPLICABLE
Cascades Healthcare LLC (organization)Administrator · NOT APPLICABLE
Fullmer, Chad (individual)Administrator · NOT APPLICABLE
McSpadden, Darin (individual)Administrator · NOT APPLICABLE
Taylor, Richard (individual)Administrator · NOT APPLICABLE
Barney, Janett (individual)Corporate Director · NOT APPLICABLE
Brown, Gary (individual)Corporate Director · NOT APPLICABLE
Oakden, Richard (individual)Corporate Director · NOT APPLICABLE
Robinson, Matthew (individual)Corporate Director · NOT APPLICABLE
Smith, Val (individual)Corporate Director · NOT APPLICABLE
White, Craig (individual)Corporate Director · NOT APPLICABLE
Langford, Scott (individual)Corporate Officer · NOT APPLICABLE
Beaver Valley Hospital (organization)Direct Ownership Interest · NOT APPLICABLE
Langford, Scott (individual)Managing Control - Governing Body · NOT APPLICABLE
McSpadden, Darin (individual)Managing Control - Governing Body · NOT APPLICABLE
Baird, Gregory (individual)Operational/managerial Control · NOT APPLICABLE
Beaver Valley Hospital (organization)Operational/managerial Control · NOT APPLICABLE
Cascades Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Fullmer, Chad (individual)Operational/managerial Control · NOT APPLICABLE
McSpadden, Darin (individual)Operational/managerial Control · NOT APPLICABLE
Taylor, Richard (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Spring Creek Healthcare Center?

Spring Creek Healthcare Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Utah.

How many beds does Spring Creek Healthcare Center have?

It has 92 certified beds and cares for about 79 residents per day.

Has Spring Creek Healthcare Center been fined?

Yes. CMS lists 2 penalties totaling $53,472 in the last three years.

Who owns Spring Creek Healthcare Center?

It is part of Cascades Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Spring Creek Healthcare Center?

(801) 272-1892. The facility is located at 4600 South Highland Drive, Salt Lake City, UT 84117.

Other nursing homes in Salt Lake City

Compare all nursing homes in Salt Lake City, UT →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.