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City Creek Post Acute

  1. Skilled Nursing Home Facilities
  2. Utah
  3. Salt Lake City Skilled Nursing Home Facilities
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About City Creek Post Acute

General Information

Legal Business NameBeaver Valley Hospital
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 15, 1979 (39 years)
Capacity100
Residents64
Percent Occupied64%
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 stars.

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

August 3, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$61,659 fine
JFewImmediate JeopardyHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth 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.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

April 13, 2016 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.

October 19, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,000 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 15min
ReportedExpected
CNA
15min
40min
ReportedExpected
LPN
1hr 10min
1hr 15min
ReportedExpected
RN
3hr 50min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
94.8%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
96.4%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
42.3%
35.5%
32.4%
37.1%
48.9%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.1%
24.0%
21.7%
12.2%
27.7%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
23.1%
18.6%
13.3%
16.5%
17.2%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents whose ability to move independently worsened
5.1%
2.4%
5.0%
11.9%
16.5%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who received an antipsychotic medication
20.5%
10.2%
8.7%
10.4%
13.1%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents whose need for help with daily activities has increased
4.5%
5.8%
4.1%
4.0%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who lose too much weight
0.0%
0.0%
0.0%
0.0%
4.8%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
8.9%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
4.4%
6.2%
8.2%
7.5%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who have depressive symptoms
6.8%
1.9%
2.0%
0.0%
4.2%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents with a urinary tract infection
0.0%
1.9%
2.0%
3.8%
3.5%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
0.0%
0.0%
1.8%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

98.3%
98.1%
99.0%
97.9%
91.4%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
97.2%
97.2%
97.2%
88.0%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
61.9%
55.3%
56.9%
53.3%
63.4%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents who made improvements in function
3.6%
3.4%
0.0%
4.3%
16.4%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents who self-report moderate to severe pain
1.4%
1.5%
0.0%
1.8%
1.5%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017UT
Percentage of short-stay residents with pressure ulcers that are new or worsened