Meadow Brook Rehabilitation and Nursing
Nursing Home · Salt Lake City, UT
CMS certification number465158
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
433 East 2700 SouthSalt Lake City, UT 84115
Salt Lake County
- Phone
- (801) 487-2248
- ZIP code
- 84115 – all care providers
Facility details
- Certified beds
- 41
- Residents per day
- 26.7 (65% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Beaver Valley Hospital
- Chain
- Cascades Healthcare (19 facilities, avg 1.9★)
- Medicare certified since
- May 17, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.81 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 1.44 (state 1.25 · U.S. 0.69)
- Licensed practical nurses
- 0.40 (state 0.48 · U.S. 0.86)
- Nurse aides
- 1.97 (state 2.35 · U.S. 2.32)
- Weekend total
- 3.10 (state 3.56 · U.S. 3.42)
- Nursing staff turnover
- 77.8 (state 50.7 · U.S. 45.8)%
- RN turnover
- 71.4 (state 40.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- November 20, 2025
- Health deficiencies (last cycle)
- 12.0 (state 8.6 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 59 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-20 | 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 2025-12-15 |
| 2025-11-20 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | Keep complete, dated laboratory records in the resident's record. F0775 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | 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 2025-12-15 |
| 2025-11-20 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | 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 2025-12-05 |
| 2025-11-20 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | 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 2025-12-15 |
| 2025-11-20 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-20 | 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 2025-12-15 |
| 2025-11-20 | 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 2025-12-15 |
| 2024-10-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-09 |
| 2024-02-22 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-19 |
| 2024-02-22 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
H Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
G Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | Prepare residents for a safe transfer or discharge from the nursing home. F0624 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
G Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-19 |
| 2024-02-22 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 2024-04-19 |
| 2024-02-22 | 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 2024-04-19 |
| 2024-02-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Have enough outside ventilation via a window or mechanical ventilation, or both. F0923 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
| 2024-02-22 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-19 |
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 $31,331 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-22 | Payment Denial | 6 days payment denial |
| 2024-02-22 | Fine | $31,331 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Baird, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Cascades Healthcare LLC (organization) | Administrator · NOT APPLICABLE | |
| Hills, Kyle (individual) | Administrator · NOT APPLICABLE | |
| McSpadden, Darin (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 | |
| McSpadden, Darin (individual) | Corporate Officer · NOT APPLICABLE | |
| McSpadden, Darin (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · 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 | |
| Cascades Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hills, Kyle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McSpadden, Darin (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Meadow Brook Rehabilitation and Nursing?
Meadow Brook Rehabilitation and Nursing 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 Meadow Brook Rehabilitation and Nursing have?
It has 41 certified beds and cares for about 27 residents per day.
Has Meadow Brook Rehabilitation and Nursing been fined?
Yes. CMS lists 2 penalties totaling $31,331 in the last three years.
Who owns Meadow Brook Rehabilitation and Nursing?
It is part of Cascades Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Meadow Brook Rehabilitation and Nursing?
(801) 487-2248. The facility is located at 433 East 2700 South, Salt Lake City, UT 84115.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.