Midtown Manor – 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
2 substantiated complaints
Last cited survey: 30 April 2025 · 100 health and 3 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
125 South 900 West
Salt Lake City, UT 84104
Phone: (801) 363-6340
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 | 2 | 2.81 | 3 |
| Staffing | 3 | 3.04 | 3 |
| Quality measures | 5 | 4.51 | 5 |
| Certified beds | 82 | 85.2 | — |
| Citations on file (health + fire) | 126 | ~9.6 health* | — |
- City Creek Post Acute — 3★ overall
- Holladay Healthcare Center — 3★ overall
- Maple Ridge Rehabilitation and Nursing — 2★ overall
- Meadow Brook Rehabilitation and Nursing — 1★ 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 |
|---|---|---|---|---|
| ADAMS, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | 100.00 | 06/05/2024 |
| BARTON, MICHELLE | CORPORATE OFFICER | Individual | 0.00 | 06/05/2024 |
| ADAMS & ADAMS ENTERPRISES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 06/05/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
103 citations on file · Latest survey: 30 April 2025 · 100 health · 3 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-30 | F925 | F — Minimal harm, widespread | Health | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| 2025-04-30 | F925 | F — Minimal harm, widespread | Health | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| 2025-04-30 | F925 | F — Minimal harm, widespread | Health | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| 2025-04-30 | F881 | E — Minimal harm, pattern | Health | Implement a program that monitors antibiotic use. |
| 2025-04-30 | F881 | E — Minimal harm, pattern | Health | Implement a program that monitors antibiotic use. |
| 2025-04-30 | F881 | E — Minimal harm, pattern | Health | Implement a program that monitors antibiotic use. |
| 2025-04-30 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-04-30 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-04-30 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-04-30 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-04-30 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-04-30 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-04-30 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2025-04-30 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2025-04-30 | F773 | D — Minimal harm, isolated | Health | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2025-04-30 | F758 | E — Minimal harm, pattern | 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. |
| 2025-04-30 | F758 | E — Minimal harm, pattern | 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. |
| 2025-04-30 | F758 | E — Minimal harm, pattern | 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. |
| 2025-04-30 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2025-04-30 | F757 | D — Minimal harm, isolated | Health | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-30 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2025-04-30 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
| 2025-04-30 | E39 | D — Minimal harm, isolated | Fire Safety | Conduct testing and exercise requirements. |
Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) (Footnote) | 2 |
| Staffing Rating | 3 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 2.55082 |
| Reported LPN Staffing Hours per Resident per Day | 0.113 |
| Reported RN Staffing Hours per Resident per Day | 0.86712 |
| Reported Licensed Staffing Hours per Resident per Day | 0.98012 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.56195 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.12327 |
| Casemix CNA Staffing Hours per Resident per Day | 2.1768 |
| Casemix LPN Staffing Hours per Resident per Day | 0.85433 |
| Casemix RN Staffing Hours per Resident per Day | 0.46689 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.49801 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.41914 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.09089 |
| Adjusted RN Staffing Hours per Resident per Day | 0.69747 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 2.86507 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-08-29 |
Date of Standard Health Survey (Cycle 2) | 2018-07-19 |
Total Number of Health Deficiencies (Cycle 1) | 15 |
Number of Standard Health Deficiencies (Cycle 1) | 14 |
Number of Complaint Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 84 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 84 |
Total Number of Health Deficiencies (Cycle 2) | 10 |
Number of Standard Health Deficiencies (Cycle 2) | 10 |
Health Deficiency Score (Cycle 2) | 68 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 68 |
Date of Standard Health Survey (Cycle 3) | 2017-03-29 |
Total Number of Health Deficiencies (Cycle 3) | 12 |
Number of Standard Health Deficiencies (Cycle 3) | 12 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 84 |
Total Health Score (Cycle 3) | 84 |
Total Weighted Health Survey Score | 102 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 5 |
Number of Substantiated Complaints | 2 |
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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