Overview

Address
4600 South Highland Drive, Salt Lake City, UT 84117
Phone
8012721892
Certified beds
92
Avg daily residents
84 (91% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-04-22
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.42 4.12 3.20 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.91 0.72 0.85 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.27 0.92 0.25
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.24 2.49 2.10
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.18
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.95
hrs / resident / day
RN (weekend)
0.62
hrs / resident / day
Total nurse (adjusted, weekend)
2.76
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
67.5%
annual
RN turnover
75.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.46
higher acuity than avg
Case-Mix Index Ratio
1.06
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-03 12 12 0 64 1 64
Cycle 2/3 (prior) 2024-01-11 16 14 3 132 1 132
Total weighted health score
81.0
lower is better

Deficiencies (99)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

72 D/E/F Actual harm — potential for minor
20 G/H/I Actual harm
7 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2025-02-03 2025-03-27
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-03 2025-03-27
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-02-03 2025-03-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-02-03 2025-03-27
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-02-03 2025-03-27
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2025-02-03 2025-03-27
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-02-03 2025-03-27
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-02-03 2025-03-27
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-02-03 2025-03-27
0758 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. E 2025-02-03 2025-03-27
0761 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. D 2025-02-03 2025-03-27
0880 Provide and implement an infection prevention and control program. E 2025-02-03 2025-03-27
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-01-11 2024-02-12
0692 Provide enough food/fluids to maintain a resident's health. D 2024-01-11 2024-02-12
0761 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. D 2024-01-11 2024-02-12
0779 Keep signed and dated reports of x-rays and other diagnostic services in the residents record. D 2024-01-11 2024-02-12
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. E 2024-01-11 2024-02-12
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-01-11 2024-02-12
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2024-01-11 2024-02-12
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-01-11 2024-02-12
0811 Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. D 2024-01-11 2024-02-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-01-11 2024-02-12
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-01-11 2024-02-12
0880 Provide and implement an infection prevention and control program. F 2024-01-11 2024-02-12
0881 Implement a program that monitors antibiotic use. E 2024-01-11 2024-02-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2024-01-11 2024-02-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-01-11 2024-02-12
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2023-03-13 2023-04-04
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2022-04-13 2022-06-23
0558 Reasonably accommodate the needs and preferences of each resident. D 2022-04-13 2022-06-23
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2022-04-13 2022-06-23
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2022-04-13 2022-06-23
0567 Honor the resident's right to manage his or her financial affairs. E 2022-04-13 2022-06-23
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. E 2022-04-13 2022-06-23
0578 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. D 2022-04-13 2022-06-23
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. G 2022-04-13 2022-06-23
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2022-04-13 2022-06-23
0584 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. E 2022-04-13 2022-06-23
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2022-04-13 2022-06-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2022-04-13 2022-06-23
0606 Not hire anyone with a finding of abuse, neglect, exploitation, or theft. E 2022-04-13 2022-06-23
0608 Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. E 2022-04-13 2022-06-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. K 2022-04-13 2022-06-23
0610 Respond appropriately to all alleged violations. K 2022-04-13 2022-06-23
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2022-04-13 2022-06-23
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. G 2022-04-13 2022-06-23
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2022-04-13 2022-06-23
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2022-04-13 2022-06-23
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2022-04-13 2022-06-23
0660 Plan the resident's discharge to meet the resident's goals and needs. E 2022-04-13 2022-06-23

Showing 50 most recent of 99. See the All Data CSV for the full list.

Penalties (2)

Fines issued
1
last 3 years
Total fines
$53,472
Payment denials
1
Date Type Fine amount
2024-01-11 Fine $53,472
2024-01-11 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 13.2% Medicaid 68.8% Other 18.0%

Operating performance

Operating Margin
0.0%
Occupancy Rate
66.7%
Cost per Resident Day
$68

Revenue & costs

Net Patient Revenue
$9.5M
Total Costs
$1.5M

Balance sheet

Total Assets
$3.4M
Total Liabilities
$3.4M
Current Ratio
1.57

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CASCADES HEALTHCARE

Chain ID
117
Facilities in chain
20
Legal business name
BEAVER VALLEY HOSPITAL
Chain-average star ratings (for peer context)
Overall
2.0
Health
1.7
Staffing
2.1
QM
4.1

Owner / manager organizations (2)

Organization Role Association
BEAVER VALLEY HOSPITAL OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
CASCADES HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023

Owner / manager individuals (11)

Name Role Association
BAIRD, GREGORY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023
FULLMER, CHAD OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
MCSPADDEN, DARIN OPERATIONAL/MANAGERIAL CONTROL since 09/18/2018
TAYLOR, RICHARD OPERATIONAL/MANAGERIAL CONTROL since 02/29/2024
BARNEY, JANETT CORPORATE DIRECTOR since 09/18/2018
BROWN, GARY CORPORATE DIRECTOR since 09/18/2018
OAKDEN, RICHARD CORPORATE DIRECTOR since 09/18/2018
ROBINSON, MATTHEW CORPORATE DIRECTOR since 09/18/2018
SMITH, VAL CORPORATE DIRECTOR since 09/18/2018
WHITE, CRAIG CORPORATE DIRECTOR since 09/18/2018
LANGFORD, SCOTT CORPORATE OFFICER since 09/18/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 110 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $68 metrics.cost_per_resident_day
Cost Report Current Ratio 1.57 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 68.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 13.2% metrics.medicare_day_share
Cost Report Net Patient Revenue ($) $9,543,363 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 66.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 0.0% metrics.operating_margin
Cost Report Total Assets ($) $3,419,511 metrics.total_assets
Cost Report Total Costs ($) $1,530,210 metrics.total_costs
Cost Report Total Liabilities ($) $3,419,511 metrics.total_liabilities
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.25078 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.10158 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.84970 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.20206 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.76053 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 83.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.91502 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.48681 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72123 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.12306 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.63404 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 117 Chain ID
Provider Information Chain Name CASCADES HEALTHCARE Chain Name
Provider Information City/Town Salt Lake City City/Town
Provider Information CMS Certification Number (CCN) 465049 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Salt Lake County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-04-22 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 40.6687 Latitude
Provider Information Legal Business Name BEAVER VALLEY HOSPITAL Legal Business Name
Provider Information Location 4600 South Highland Drive,Salt Lake City,UT,84117 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -111.84 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 92 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.46061 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.06022 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4600 South Highland Drive Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Spring Creek Healthcare Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 170 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-03 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 132 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 3 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 132 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.61553 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 75.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.17519 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.26780 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.24427 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01360 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.90739 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.41946 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State UT State
Provider Information Telephone Number 8012721892 Telephone Number
Provider Information Total Amount of Fines in Dollars 53472.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.94795 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 67.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 81.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 84117 ZIP Code