Hearth Record

Meadow Brook Rehabilitation and Nursing

A nursing home in Salt Lake City, Utah 84115

433 East 2700 South, Salt Lake City, Utah 84115. (801) 487-2248.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 55 citations in 3 months of the last 36. Last cited Nov 2025. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

12 health citations at the latest inspection cycle

The Utah average is 8.8.

Last standard inspection Nov 20, 2025.

Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Feb 22, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

55 citations in 3 months of the last 36. Last cited Nov 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

55 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 55 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 45 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Nov 20, 2025: standard inspection10 citations

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

    Rule F0628. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Rule F0770. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Rule F0773. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Keep complete, dated laboratory records in the resident’s record.

    Rule F0775. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

Nov 20, 2025: standard and complaint inspection2 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2025.

  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

    Rule F0887. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2025.

Oct 24, 2024: complaint inspection1 citation

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 9, 2024.

Feb 22, 2024: standard and complaint inspection42 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

    Rule F0726. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • 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.

    Rule F0578. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Prepare residents for a safe transfer or discharge from the nursing home.

    Rule F0624. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Rule F0867. H: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Honor the resident’s right to organize and participate in resident/family groups in the facility.

    Rule F0565. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Plan the resident’s discharge to meet the resident’s goals and needs.

    Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide appropriate foot care.

    Rule F0687. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Rule F0694. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

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

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Rule F0728. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Rule F0745. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • 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.

    Rule F0758. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Rule F0770. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Implement a program that monitors antibiotic use.

    Rule F0881. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Keep all essential equipment working safely.

    Rule F0908. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Have enough outside ventilation via a window or mechanical ventilation, or both.

    Rule F0923. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Rule F0947. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 19, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 17, 2004.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as government, hospital district.
  • 41 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $31,331 in all.
  • 1 Medicare payment denial in the last three years.
  • 45 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 22, 2024Medicare payment denialNot given
Feb 22, 2024Fine$31,331

Who does the caring?

3.16 nurse hours per resident per day

The Utah average is 4.08.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeUtah average
Nurse hours per resident per day3.164.08
Of which registered nurses0.981.24
At weekends2.753.54
Nursing staff turnover76%50%
Registered nurse turnover66.7%40.1%
Administrators who left2Not given

Who owns it?

  • Beaver Valley Hospital owns 100% directly since Nov 1, 2015.
  • Cascades Healthcare LLC runs it.
  • 16 owners or officers are people: Val Smith (corporate director, 14%); Janett Barney (corporate director, 14%); Craig White (corporate director, 14%); Gary Brown (corporate director, 14%); Richard Wade Oakden (corporate director, 14%); Matthew Robinson (corporate director, 14%); Kyle Hills (runs it (operational or managerial control)); Kyle Hills (additional disclosable party (controls, leases property to, or provides services to the home)); Scott A Langford (corporate officer, 0%); Scott A Langford (on the governing body (managing control)); Darin S Mcspadden (corporate officer); Darin S Mcspadden (runs it (operational or managerial control)); Darin S Mcspadden (on the governing body (managing control)); Darin S Mcspadden (additional disclosable party (controls, leases property to, or provides services to the home)); Gregory Baird (runs it (operational or managerial control)); Gregory Baird (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Cascades Healthcare (19 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Beaver Valley HospitalOwns 5% or more directly100%Nov 1, 2015
Cascades Healthcare LLCRuns it (operational or managerial control)Jan 1, 2023
Cascades Healthcare LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 17, 2025

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Utah average 4.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 3.3 miles, this one had the 4th most health citations at the latest inspection cycle (12; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Meadow Brook Rehabilitation and Nursing This nursing home12
Monument Healthcare South Salt Lake0.321
Little Cottonwood Rehabilitation and Nursing0.85
St Joseph Villa1.15
Millcreek Rehabilitation and Nursing1.615
Monument Healthcare Murray Creek1.816
Paramount Health and Rehabilitation2.04
Mt. Olympus Rehabilitation Center2.810
Monument Healthcare Millcreek2.910
Alpine Meadow Rehabilitation and Nursing3.26
Highland Care Center3.27
Pine Creek Rehabilitation and Nursing3.37

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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