Millard County Care and Rehabilitation

CMS star ratings

Overall★★★★★ 4/5

State avg 3.3

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 5/5

State avg 3.0

Quality measures★★★★★ 5/5

State avg 4.6

Long-stay quality★★★★★ 3/5

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: 3.60 (state 4.07 · U.S. 3.86)
Registered nurses (RN): 0.86 (state 1.25 · U.S. 0.69)
Licensed practical nurses: 0.27 (state 0.48 · U.S. 0.86)
Nurse aides: 2.46 (state 2.35 · U.S. 2.32)
Weekend total: 3.52 (state 3.56 · U.S. 3.42)
Nursing staff turnover: 36.8 (state 50.7 · U.S. 45.8)%
RN turnover: 11.1 (state 40.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: April 30, 2026
Health deficiencies (last cycle): 10.0 (state 8.6 · U.S. 9.3)
From complaints: 9
Citations on record (3 years): 37 health · 2 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-04-30	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	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 2026-06-19
2026-04-30	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 2026-06-19
2026-04-30	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 · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	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 2026-06-19
2026-04-30	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2026-04-30	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-19
2024-02-07	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2024-03-24
2024-02-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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	E No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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 2024-03-24
2024-02-07	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	E No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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 2024-03-24
2024-02-07	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Keep complete, dated laboratory records in the resident's record. F0775 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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 2024-03-24
2024-02-07	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	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. F0840 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2024-02-07	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-24
2022-05-05	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. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-17
2022-05-05	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 2022-06-17
2022-05-05	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-05-27
2022-05-05	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 2022-06-17
2022-05-05	Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-17
2022-05-05	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-17
2022-05-05	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-17
2022-05-05	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 2022-06-17

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

1 penalty in the last three years, including $19,656 in fines.

Date	Type	Amount
2024-02-07	Fine	$19,656

Ownership & management

Name	Role	Since
Christensen, Jeffery (individual)	Administrator · NOT APPLICABLE
Smith, Alan (individual)	Administrator · NOT APPLICABLE
Traditions Health Care, INC. (organization)	Administrator · NOT APPLICABLE
Traditions Health Care, INC. (organization)	Direct Ownership Interest · NOT APPLICABLE
Traditions Health Care, INC. (organization)	Indirect Ownership Interest · NOT APPLICABLE
Christensen, Jeffery (individual)	Operational/managerial Control · NOT APPLICABLE
Millard County Care & Rehabilitation INC (organization)	Operational/managerial Control · NOT APPLICABLE
Traditions Health Care, INC. (organization)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Millard County Care and Rehabilitation?

Millard County Care and Rehabilitation has a 4-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 Millard County Care and Rehabilitation have?

It has 60 certified beds and cares for about 50 residents per day.

Has Millard County Care and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $19,656 in the last three years.

What is the phone number of Millard County Care and Rehabilitation?

(435) 864-2944. The facility is located at 150 South White Sage Avenue, Delta, UT 84624.

Contact & location

Facility details