Holladay Healthcare Center

Nursing Home · Salt Lake City, UT

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number465109

Contact & location

4782 South Holladay Boulevard
Salt Lake City, UT 84117
Salt Lake County
Phone
(801) 277-7002
ZIP code
84117 – all care providers

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Facility details

Certified beds
120
Residents per day
79.7 (66% occupied)
Ownership
For profit - Limited Liability company
Legal name
Beaver Valley Hospital
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
February 13, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
3.59 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 1.25 · U.S. 0.69)
Licensed practical nurses
0.72 (state 0.48 · U.S. 0.86)
Nurse aides
2.21 (state 2.35 · U.S. 2.32)
Weekend total
3.18 (state 3.56 · U.S. 3.42)
Nursing staff turnover
43.8 (state 50.7 · U.S. 45.8)%
RN turnover
25.0 (state 40.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 24, 2025
Health deficiencies (last cycle)
11.0 (state 8.6 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
25 health · 9 fire safety
DateCitationSeverityStatus
2025-03-24 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 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 2025-05-10
2025-03-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 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 2025-05-10
2025-03-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
F0728 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-10
2025-03-24 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 2025-05-10
2023-09-08 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2023-09-08 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-09
2021-12-16 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 2022-02-07
2021-12-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-02-07
2021-12-16 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-07
2021-12-16 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-07
2021-12-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-07
2021-12-16 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-07
2021-12-16 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 2022-02-07

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Caretrust GP LLC (organization)Administrator · NOT APPLICABLE
Caretrust Reit INC (organization)Administrator · NOT APPLICABLE
Cottonwood Health Holdings LLC (organization)Administrator · NOT APPLICABLE
CTR Partnership LP (organization)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Olympus Health, INC. (organization)Administrator · NOT APPLICABLE
Wallace, Mark (individual)Administrator · NOT APPLICABLE
Workman, David (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Moss, Tyler (individual)Corporate Officer · NOT APPLICABLE
Olympus Health, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Wallace, Mark (individual)Operational/managerial Control · NOT APPLICABLE
Workman, David (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Holladay Healthcare Center?

Holladay Healthcare Center has a 3-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 Holladay Healthcare Center have?

It has 120 certified beds and cares for about 80 residents per day.

Has Holladay Healthcare Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Holladay Healthcare Center?

It is part of The Ensign Group 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 Holladay Healthcare Center?

(801) 277-7002. The facility is located at 4782 South Holladay Boulevard, Salt Lake City, UT 84117.

Other nursing homes in Salt Lake City

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