Midtown Manor

125 South 900 West · Salt Lake City, UT · 84104 · 8013636340

82 certified beds Government - County

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 100
Staffing 20% 75
Federal penalties 15% 100
Trend 10% 35
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day2.87≈ weekday level
Nursing turnover / year23%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D April 30, 2025

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 30, 2025

    Respond appropriately to all alleged violations.

    Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 30, 2025

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · E April 30, 2025

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

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 30, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 30, 2025

    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.

    Corrected June 30, 2025 · Nursing and Physician Services

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Pharmacy Service

  • Potential for harm · E April 30, 2025

    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.

    Corrected June 30, 2025 · Pharmacy Service

  • Potential for harm · D April 30, 2025

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

    Corrected June 30, 2025 · Administration

  • Potential for harm · D April 30, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F April 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 30, 2025 · Infection Control

  • Potential for harm · E April 30, 2025

    Implement a program that monitors antibiotic use.

    Corrected June 30, 2025 · Infection Control

  • Potential for harm · F April 30, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected June 30, 2025 · Environmental

  • Potential for harm · D April 30, 2025 · found via complaint

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

    Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 30, 2023

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

    Corrected October 25, 2023 · Resident Rights

  • Potential for harm · E August 30, 2023

    Ensure each resident receives an accurate assessment.

    Corrected October 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 30, 2023

    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.

    Corrected October 25, 2023 · Pharmacy Service

  • Potential for harm · D August 30, 2023

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected October 25, 2023 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465124 · certified since October 17, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.