Millard County Care and Rehabilitation
150 South White Sage Avenue, Delta, UT 84624
Millard County Care and Rehabilitation, a 60-bed government - county nursing facility in Delta, UT, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4358642944
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- 3.55
- Below average · nurse hrs/day · nat'l 3.89
- 31
- Inspection findings · 2 serious
- $20K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 465157
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 51
- In Hospital
- No
- County
- Millard
- Last Inspection
- Feb 7, 2024
Staffing Data
How the 3.55 total nursing hours per resident-day are staffed:
- RN Hours
- 0.84 (nat'l avg: 0.68)
- LPN Hours
- 0.31
- CNA Hours
- 2.40
- Total Nursing Hours
- 3.55 (nat'l avg: 3.89)
- PT Hours
- 0.07
- Nursing Turnover
- 91.5%
- RN Turnover
- 94.7%
What the CMS Record Reveals About Millard County Care and Rehabilitation
Millard County Care and Rehabilitation operates 60 certified beds in Delta, UT with approximately 51 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 3★ · quality 5★).
The inspection file contains 31 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $20K. Per resident day, this facility reports 3.55 total nursing hours (national average 3.89) and 0.84 RN hours.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Millard County Care and Rehabilitation falls into a category where comparative context matters. Reported nursing turnover at this facility is 91.5%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 (31 most recent)
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: Mar 24, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 24, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Mar 24, 2024
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Category: Administration Deficiencies
Corrected: Mar 24, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 24, 2024
Provide or obtain dental services for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 24, 2024
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Category: Administration Deficiencies
Corrected: Mar 24, 2024
Keep complete, dated laboratory records in the resident's record.
Category: Administration Deficiencies
Corrected: Mar 24, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Mar 24, 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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 24, 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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 24, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 24, 2024
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: Mar 24, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 24, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 24, 2024
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: Mar 24, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 24, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 24, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Mar 24, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 27, 2022
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2022
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: Jun 17, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2022
Assure that each resident’s assessment is updated at least once every 3 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2022
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: Jan 31, 2020
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: Mar 2, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 2, 2020
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: Jan 31, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 14.4% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.3% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 49.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 94.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 35.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $20K
| Date | Type | Amount |
|---|---|---|
| Feb 7, 2024 | Fine | $20K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Millard County Care and Rehabilitation?
What are the staffing levels at Millard County Care and Rehabilitation?
How many beds does Millard County Care and Rehabilitation have?
Does Millard County Care and Rehabilitation have any deficiencies on record?
Has Millard County Care and Rehabilitation received any fines or penalties?
Who owns Millard County Care and Rehabilitation?
When was Millard County Care and Rehabilitation last inspected?
What quality measures are tracked for Millard County Care and Rehabilitation?
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.
Read our methodology - how this data is sourced, computed, and verified.
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