Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
73.5/100
Above average
165 South 1000 East, Salt Lake City, UT 84102
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 30, 2026 (4 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, potential for more than minimal harm
Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| ELLIS, KC | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WORKMAN, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — |
| MOSS, TYLER | Individual | CORPORATE OFFICER | — |
| AVENUES HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| ELLIS, KC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WORKMAN, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| AVENUES HEALTHCARE, INC. | Organization | ADP OF THE SNF | — |
| CARETRUST GP LLC | Organization | ADP OF THE SNF | — |
| CARETRUST REIT INC | Organization | ADP OF THE SNF | — |
| CTR PARTNERSHIP LP | Organization | ADP OF THE SNF | — |
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City Creek Post Acute holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
This facility has not reported staffing hours to CMS in the current data release.
Yes. 3 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, City Creek Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.