City Creek Post Acute – Nursing Home, Salt Lake City, Utah
Medicare and Medicaid
Nursing homes in Salt Lake City, UT → · Recently updated in UT →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 30 March 2026 · 55 health and 3 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home City Creek Post Acute performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in Salt Lake City. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
City Creek Post Acute
Address
165 South 1000 East, Salt Lake City, UT 84102
Federal Provider Number
465072
Phone
(801) 322-5521
Ownership Type
Government - Hospital district
Certified Beds
108
Residents in Certified Beds
68.2
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
BEAVER VALLEY HOSPITAL
Date of First Medicare/Medicaid Approval
1979-12-15
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
165 South 1000 East
Salt Lake City, UT 84102
Phone: (801) 322-5521
Compare to UT average
See how this facility compares to the UT state average among rated nursing homes (98 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | UT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 3.38 | 3 |
| Health inspection | 3 | 2.81 | 2 |
| Staffing | 1 | 3.04 | 3 |
| Quality measures | 5 | 4.51 | 5 |
| Certified beds | 108 | 85.2 | — |
| Citations on file (health + fire) | 58 | ~9.6 health* | — |
- Holladay Healthcare Center — 3★ overall
- Maple Ridge Rehabilitation and Nursing — 2★ overall
- Meadow Brook Rehabilitation and Nursing — 1★ overall
- Midtown Manor — 3★ overall
- Millcreek Rehabilitation and Nursing LLC — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| AVENUES HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 05/01/2016 |
| BEAVER VALLEY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/01/2016 |
| ELLIS, KC | OPERATIONAL/MANAGERIAL CONTROL | Individual | 0.00 | 05/01/2016 |
| MOSS, TYLER | CORPORATE OFFICER | Individual | 0.00 | 01/01/2021 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | 0.00 | 05/01/2016 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | 0.00 | 05/01/2016 |
| BURNAM, SOON | OTHER | Individual | 0.00 | 09/01/2006 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
58 citations on file · Latest survey: 30 March 2026 · 55 health · 3 fire safety
D: 39
E: 12
G: 7
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-30 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-01-29 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2024-01-29 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2024-01-29 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2024-01-29 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-01-29 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-01-29 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-05-04 | F888 | E — Minimal harm, pattern | Health | Ensure staff are vaccinated for COVID-19 |
| 2022-05-04 | F888 | E — Minimal harm, pattern | Health | Ensure staff are vaccinated for COVID-19 |
| 2022-05-04 | F888 | E — Minimal harm, pattern | Health | Ensure staff are vaccinated for COVID-19 |
| 2022-05-04 | F886 | E — Minimal harm, pattern | Health | Perform COVID19 testing on residents and staff. |
| 2022-05-04 | F886 | E — Minimal harm, pattern | Health | Perform COVID19 testing on residents and staff. |
| 2022-05-04 | F886 | E — Minimal harm, pattern | Health | Perform COVID19 testing on residents and staff. |
| 2022-05-04 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2022-05-04 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2022-05-04 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2022-05-04 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2022-05-04 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2022-05-04 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2022-05-04 | F770 | D — Minimal harm, isolated | Health | Provide timely, quality laboratory services/tests to meet the needs of residents. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2019-11-07 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2019-11-07 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2019-11-07 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
Additional information
Get more details on City Creek Post Acute, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 1 |
| Staffing Rating (Footnote) | 23 |
| RN Staffing Rating | 4 |
| Reported Staffing (Footnote) | 23 |
| Reported CNA Staffing Hours per Resident per Day | 2.87668 |
| Physical Therapist Staffing (Footnote) | 23 |
| Casemix CNA Staffing Hours per Resident per Day | 2.129 |
| Casemix LPN Staffing Hours per Resident per Day | 0.92007 |
| Casemix RN Staffing Hours per Resident per Day | 0.87169 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.92075 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.78943 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-11-07 |
Date of Standard Health Survey (Cycle 2) | 2018-11-07 |
Total Number of Health Deficiencies (Cycle 1) | 3 |
Number of Standard Health Deficiencies (Cycle 1) | 3 |
Health Deficiency Score (Cycle 1) | 12 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 12 |
Total Number of Health Deficiencies (Cycle 2) | 5 |
Number of Standard Health Deficiencies (Cycle 2) | 4 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 28 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 28 |
Date of Standard Health Survey (Cycle 3) | 2017-08-03 |
Total Number of Health Deficiencies (Cycle 3) | 15 |
Number of Standard Health Deficiencies (Cycle 3) | 15 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 150 |
Total Health Score (Cycle 3) | 150 |
Total Weighted Health Survey Score | 48 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 15 |
Number of Substantiated Complaints | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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