Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Meadow Brook Rehabilitation and Nursing

Salt Lake City, UT · 41 certified beds · Last Life Safety survey November 20, 2025

CMS Certification Number 465158 · first certified May 2004

Ownership

Operated by CASCADES HEALTHCARE · Government - Hospital district

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within UT

6 citations — more than 57% of the 97 certified nursing homes in UT. Compared within UT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 1.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was November 2025. Facilities in UT are typically surveyed 19–24 months after the last one (median 21), measured over 88 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about Meadow Brook Rehabilitation and Nursing

One email when it happens. No account; stop it any time with one click.

Which alerts

Emergency preparedness

5 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

How that compares

Citations on file over three years

Compared with the median facility in UT, and nationally. Surveyors differ markedly between states, so the UT figure is the meaningful one.

This facility6UT median3National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in UT3
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0512023-1022024-0222025-11
Citations at each Life Safety survey
Survey dateCitations
May 25, 20221
October 11, 20231
February 22, 20242
November 20, 20252

Most-cited tags

Most-cited tags at this facility
E-00043E-00392K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0004Develop and maintain an Emergency Preparedness Program (EP).32025-11-20
E-0039Conduct testing and exercise requirements.22025-11-20
K-0712Have simulated fire drills held at unexpected times.12023-10-11

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 5
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies5
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 20, 2025 — 2 citations

Citations issued on November 20, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 15, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 15, 2025)

February 22, 2024 — 2 citations

Citations issued on February 22, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 29, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 29, 2024)

October 11, 2023 — 1 citation

Citations issued on October 11, 2023
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 6, 2023)

May 25, 2022 — 1 citation

Citations issued on May 25, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (June 16, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.