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Highland Care Center

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Highland Care Center is a for profit - corporation facility in Holladay, UT with 103 certified beds and a 5-star overall CMS rating. The facility has 25 deficiency records on file.

4285 South Highland Drive, Holladay, UT 84124

Phone: 8012782839

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
465078
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
103
Residents
83
In Hospital
No
County
Salt Lake
Last Inspection
Jun 11, 2024

Staffing Data

RN Hours
0.89 (nat'l avg: 0.68)
LPN Hours
0.44
CNA Hours
1.90
Total Nursing Hours
3.23 (nat'l avg: 3.89)
PT Hours
0.24
Nursing Turnover
25.8%
RN Turnover
27.8%

What the CMS Record Reveals About Highland Care Center

Highland Care Center operates 103 certified beds in Holladay, UT with approximately 83 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.23 total nursing hours per resident day (national average 3.89), with RN coverage at 0.89 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Highland Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 25.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D — Isolated - Minimal harm Jun 11, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Jun 11, 2024 Tag: 0773

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

Category: Administration Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Jun 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Jun 11, 2024 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Jun 11, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 31, 2024

F — Widespread - Minimal harm Jan 2, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 25, 2024

E — Pattern - Minimal harm Jan 2, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 25, 2024

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Apr 29, 2022

F — Widespread - Minimal harm Mar 16, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 29, 2022

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Apr 29, 2022

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2022

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2022

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2022

D — Isolated - Minimal harm Mar 16, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2022

E — Pattern - Minimal harm Mar 16, 2022 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2022

E — Pattern - Minimal harm Nov 7, 2019 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2019

E — Pattern - Minimal harm Nov 7, 2019 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2019

E — Pattern - Minimal harm Nov 7, 2019 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2019

E — Pattern - Minimal harm Nov 7, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2019

D — Isolated - Minimal harm Nov 7, 2019 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Highland Care Center?
Highland Care Center has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at Highland Care Center?
Highland Care Center reports 3.23 total nursing hours per resident day (national average: 3.89). RN hours are 0.89 per resident day (national average: 0.68). Nursing staff turnover is 25.8%.
How many beds does Highland Care Center have?
Highland Care Center has 103 certified beds with approximately 83 residents. The facility is located at 4285 South Highland Drive, Holladay, UT 84124.
Does Highland Care Center have any deficiencies on record?
Yes, Highland Care Center has 25 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Highland Care Center received any fines or penalties?
No, Highland Care Center has no fines or penalties on record.
Who owns Highland Care Center?
Highland Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Highland Care Center last inspected?
The most recent health inspection for Highland Care Center was on Jun 11, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Highland Care Center?
Highland Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial