Highland Care Center – Nursing Home, Holladay, Utah
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 11 June 2024 · 75 health and 9 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
4285 South Highland Drive
Holladay, UT 84124
Phone: (801) 278-2839
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 | 5 | 3.38 | 5 |
| Health inspection | 4 | 2.81 | 5 |
| Staffing | 4 | 3.04 | 5 |
| Quality measures | 5 | 4.51 | 5 |
| Certified beds | 103 | 85.2 | — |
| Citations on file (health + fire) | 84 | ~9.6 health* | — |
- ALPINE MEADOW REHABILITATION AND NURSING — 5★ overall
- Advanced Health Care of Salem — 5★ overall
- Advanced Health Care of St. George — 5★ overall
- Alpine Meadow Rehabilitation and Nursing — 3★ overall
- Aspen Ridge Transitional Rehab — 5★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| BEWSEY, MICHAEL C | CORPORATE OFFICER | Individual | 100.00 | 06/29/2017 |
| DAVIDSON, CRAIG VAL | CORPORATE OFFICER | Individual | - | 06/20/1990 |
| DAVIDSON, CRAIG VAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/20/1990 |
| DAVIDSON, CRAIG VAL | ADP OF THE SNF | Individual | - | 07/22/2025 |
| BEAVER VALLEY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/29/2017 |
| LANGFORD, SCOTT A | CORPORATE OFFICER | Individual | - | 07/01/2014 |
| HIGHLAND NURSING AND REHAB CENTER, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 06/29/2017 |
| EDURO HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 06/29/2017 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
84 citations on file · Latest survey: 11 June 2024 · 75 health · 9 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-06-11 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-06-11 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-06-11 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-06-11 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2024-06-11 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2024-06-11 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2024-06-11 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-06-11 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-06-11 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-06-11 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2024-06-11 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2024-06-11 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2024-06-11 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2024-06-11 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2024-06-11 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2024-01-02 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-01-02 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-01-02 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-01-02 | F692 | E — Minimal harm, pattern | Health | Provide enough food/fluids to maintain a resident's health. |
| 2024-01-02 | F692 | E — Minimal harm, pattern | Health | Provide enough food/fluids to maintain a resident's health. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2022-03-16 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2022-03-16 | E37 | D — Minimal harm, isolated | Fire Safety | Establish staff and initial training requirements. |
| 2022-03-16 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2022-03-16 | E37 | D — Minimal harm, isolated | Fire Safety | Establish staff and initial training requirements. |
| 2022-03-16 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2022-03-16 | E37 | D — Minimal harm, isolated | Fire Safety | Establish staff and initial training requirements. |
| 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
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 4 |
| RN Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 2.01754 |
| Reported LPN Staffing Hours per Resident per Day | 0.43652 |
| Reported RN Staffing Hours per Resident per Day | 0.96521 |
| Reported Licensed Staffing Hours per Resident per Day | 1.40173 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.27955 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.24282 |
| Casemix CNA Staffing Hours per Resident per Day | 2.13512 |
| Casemix LPN Staffing Hours per Resident per Day | 0.91155 |
| Casemix RN Staffing Hours per Resident per Day | 0.49755 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.54423 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.95074 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.43936 |
| Adjusted RN Staffing Hours per Resident per Day | 0.9715 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.3009 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-11-07 |
Date of Standard Health Survey (Cycle 2) | 2018-10-25 |
Total Number of Health Deficiencies (Cycle 1) | 10 |
Number of Standard Health Deficiencies (Cycle 1) | 10 |
Health Deficiency Score (Cycle 1) | 56 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 56 |
Total Number of Health Deficiencies (Cycle 2) | 13 |
Number of Standard Health Deficiencies (Cycle 2) | 13 |
Health Deficiency Score (Cycle 2) | 60 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 60 |
Date of Standard Health Survey (Cycle 3) | 2017-07-27 |
Total Number of Health Deficiencies (Cycle 3) | 6 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 48 |
Total Health Score (Cycle 3) | 48 |
Total Weighted Health Survey Score | 33 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
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 | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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