The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
City Creek Post Acute
Salt Lake City, UT · Medicare-certified · 108 beds
In good standing
Government-runChain member
3 of 5 overall
3 out of 5 stars overall. Health inspections are 3 stars, quality measures are 5 stars, but staffing is low at 1 star; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: March 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.8%Improving
Residents with a fall causing major injury
0.5%Worsening
Residents with pressure ulcers (bedsores)
1.4%Steady
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
4.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.7%Worsening
Residents whose ability to walk got worse
19.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
25.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.6%Steady
Residents with new or worsening incontinence
22.7%Worsening
Residents with depressive symptoms
29.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
91%Steady
Short-stay residents given the pneumonia vaccine
97.2%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2022 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2022 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2022 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to make sure residents and staff were tested for COVID-19. Cited May 2022 — limited pattern, potential for harm.
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F-Tag 886 — 42 CFR §483.80 — S/S: E
Recent history
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 13 health deficiencies.
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Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 68.2 residents on an average day (63% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.