Salt Lake County

Spring Creek Healthcare Center

Medicare rating
2 out of 5
7
findings of immediate jeopardy, the most serious kind
32%
less nursing care than its residents are expected to need, against a research benchmark
$53,472
in federal fines recorded since 2024

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Utah homes, so a star here does not mean what it means in another state.

4600 South Highland Drive, Salt Lake City, UT 84117 · (801) 272-1892
92 beds · about 79 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
3 hours 29 minutes

Residents here are expected to need about 5 hours 9 minutes, given how sick they are. This home reports 32% less. The average Utah home reports 4 hours 4 minutes.

Registered nurses only
58 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 17 minutes of their time. This home reports 25% less.

Nursing staff who left in the past year
77%

77% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Utah home reports 51%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 98 findings on record going back to 2022, 2 of them after someone filed a complaint. Of the 98, 27 are from the last three years.

The 26 serious findings here

Actual harm January 11, 2024 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on February 12, 2024.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy April 13, 2022

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy April 13, 2022

Late reporting

The home did not report a suspected incident within the time the law requires.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Immediate jeopardy April 13, 2022

Failure to investigate

The home did not properly look into a reported incident.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F610Respond appropriately to all alleged violations.

Actual harm April 13, 2022

State screening not used

The home did not use the state’s screening for mental illness and intellectual disability, or refer a resident for services.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Immediate jeopardy April 13, 2022

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy April 13, 2022

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm April 13, 2022

Not helping residents move

The home did not give a resident the care they needed to keep or improve how well they could move, where the decline was not for a medical reason.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Immediate jeopardy April 13, 2022

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm April 13, 2022

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm April 13, 2022

Pain

A resident’s pain was not properly treated.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm April 13, 2022

No doctor for the resident

The home took in a resident without a doctor’s written approval, or did not keep them under a doctor’s care.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Actual harm April 13, 2022

Not enough staff

The home did not have enough nursing staff to care for its residents.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Actual harm April 13, 2022

Staff lacked skills

The home did not make sure its nurses and aides had the skills needed to care for its residents.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Immediate jeopardy April 13, 2022

Behavioral health services not provided

The home did not arrange the specialist behavior and mental health services a resident needed.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm April 13, 2022

Too few mental health staff

The home did not employ enough staff skilled in mental health and behavior care.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Actual harm April 13, 2022

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Actual harm April 13, 2022

No counseling or practical help

The home did not provide the counseling or practical help a resident needed, such as arranging services from outside.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F745Provide medically-related social services to help each resident achieve the highest possible quality of life.

Actual harm April 13, 2022

Lab service not provided

The home did not make sure residents got the lab tests they needed, done properly and on time.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F770Provide timely, quality laboratory services/tests to meet the needs of residents.

Actual harm April 13, 2022

Poorly run

The home was not managed in a way that let it provide proper care.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Actual harm April 13, 2022

Leadership duties not met

The home did not have a governing body setting the rules for running it, or did not appoint a properly licensed administrator.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Actual harm April 13, 2022

No doctor leading medical care

The home did not have a doctor properly in charge of its medical care and care rules.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Actual harm April 13, 2022

No quality improvement plan

The home did not have a written plan showing how it checks and improves the care it gives.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F865Have a plan that describes the process for conducting QAPI and QAA activities.

Actual harm April 13, 2022

No quality checks

The home did not run the required program for finding and fixing its own problems.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Actual harm April 13, 2022

Doctor and spokesperson not told

The home did not quickly tell the doctor, or the person who speaks for the resident, about a major change.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Actual harm April 13, 2022

Quality meetings not held

The home did not run the required meetings on care quality, or did not act on problems found.

The home fixed this on June 23, 2022.

Medicare’s wording

Federal tag F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Everything on record

Immediate jeopardy 7 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 19 A resident was hurt
Potential for harm 72 Could have caused harm. No one was hurt. The most common kind.

95 of the 97 nursing homes in Utah have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 17 days, starting February 16, 2024.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 1 finding under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 465049.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.