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City Creek Post Acute

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About City Creek Post Acute

General Information

Legal Business NameAvenues Healthcare, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 15, 1979 (37 years)
Capacity108
Residents43
Percent Occupied40%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for City Creek Post Acute

City Creek Post Acute
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Utah Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 19, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

March 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

February 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

February 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,625 fine
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionProvide routine and 24-hour emergency dental care for each resident.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionKeep all essential equipment working safely.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

February 21, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$14,698 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of City Creek Post Acute require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 20min
ReportedExpected
CNA
25min
40min
ReportedExpected
LPN
1hr 20min
1hr 15min
ReportedExpected
RN
4hr 5min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.1%
90.5%
90.5%
96.4%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.8%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
50.6%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.7%
11.8%
14.3%
19.6%
Q1 2015Q2 2015Q3 2015UT
Received an Antipsychotic Medication
6.1%
2.8%
22.7%
12.3%
Q1 2015Q2 2015Q3 2015UT
Need for Help with ADLs has Increased
-
-
-
12.2%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
8.6%
5.7%
4.4%
6.8%
Q1 2015Q2 2015Q3 2015UT
Lose Too Much Weight
-
-
3.2%
4.9%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
11.8%
11.7%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
2.9%
5.7%
2.2%
4.6%
Q1 2015Q2 2015Q3 2015UT
With a Urinary Tract Infection
0.0%
0.0%
2.0%
3.0%
Q1 2015Q2 2015Q3 2015UT
Experiencing One or More Falls with Major Injury
2.3%
2.7%
5.1%
2.8%
Q1 2015Q2 2015Q3 2015UT
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015UT
Were Physically Restrained

Quality Measures for Short Stay Residents

98.0%
100.0%
95.5%
90.6%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
97.9%
93.9%
93.9%
89.8%
Q1 2015Q2 2015Q3 2015UT
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
47.1%
47.1%
-
20.3%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
2.0%
2.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015UT
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015UT
With Pressure Ulcers That Are New or Worsened