Midtown Manor — nursing home in Salt Lake City, UT

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 82 CMS-certified beds (not state-licensed beds)
Licensed beds: 82 state-licensed beds · Utah Department of Health and Human Services
State license: F23-106970 active
Average residents per day: 77.2 CMS, MDS-derived
CMS Certification Number: 465124
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 17, 1990
Ownership type: Government - County
Operator (legal business name): Milford Memorial Hospital
CMS chain: Not part of a CMS-reported chain
Phone: (801) 363-6340
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Apr 30, 2025

Citations

42

41 health · 1 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D30	E6	F5
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 465124
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 82
First approved: Oct 17, 1990
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

Authority: Utah Department of Health and Human Services, Division of Licensing and Background Checks (DLBC), via UGRC
License number: F23-106970
State facility ID: F23-106970
License type: Nursing Care Facility
License status: active
Licensed beds: 82
Link to CMS record: Linked by exact CCN Verified
Initially licensed: Oct 1, 1988
Current license: — → May 31, 2026
As of: Mar 7, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 30, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 30, 2025	Health	Health Complaint, Health Standard	21	Potential harm	—	Open →
Aug 30, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 30, 2023	Health	Health Standard	7	Potential harm	—	Open →
Oct 28, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 28, 2021	Health	Health Standard	13	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D30	E6	F5
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 30, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jun 29, 2025
Apr 30, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0576	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025	Complaint
Apr 30, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0622	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 30, 2025
Apr 30, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0728	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 30, 2025
Apr 30, 2025	F-0773	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2025
Apr 30, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 30, 2025
Apr 30, 2025	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 30, 2025
Apr 30, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 30, 2025
Aug 30, 2023	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 25, 2023
Aug 30, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 25, 2023
Aug 30, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 25, 2023
Aug 30, 2023	F-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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 25, 2023
Aug 30, 2023	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 25, 2023
Aug 30, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 25, 2023
Aug 30, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Oct 25, 2023
Oct 28, 2021	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 15, 2022
Oct 28, 2021	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 15, 2022
Oct 28, 2021	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 15, 2022
Oct 28, 2021	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0924	Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Oct 28, 2021	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jan 15, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.5

Health inspectionsstate 2.8

Staffingstate 3.2

Quality measuresstate 4.7

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.35

State avg 4.08US avg 3.90

Registered nurse (RN)0.77

State avg 1.24US avg 0.69

Licensed practical nurse0.06

State avg 0.47US avg 0.86

Nurse aide2.52

State avg 2.36US avg 2.35

Weekend total nurse2.78

State avg 3.54US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.91 (case-mix index 1.61).

Staff turnover

Total nursing staff turnoverNot reported

State avg 50.0%US avg 45.3%

Registered nurse turnoverNot reported

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 30, 2025
Cycle 1 health score: 116
Total weighted score: 102

Operating entity

Milford Memorial Hospital

CMS legal business name of the certified provider. Operates 4 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Adams & Adams Enterprises Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 5, 2024
Robert Adams	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jun 5, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Adams & Adams Enterprises Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 5, 2024
Robert Adams	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jun 5, 2024
Adams & Adams Enterprises Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2024
Robert Adams	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2024
David Workman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2024
Michelle Barton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 5, 2024
Adams & Adams Enterprises Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 5, 2024
Robert Adams	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 5, 2024
David Workman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 22, 2026

Other facilities operated by Milford Memorial Hospital

All 3 →

Facility	Beds	Last inspection	Citations (window)	Fines
Sunshine Terrace Skilled Nursing 248 West 300 North, Logan, UT 84321 CCN 465079	172	Apr 13, 2026	291 IJ1 harm	$38k
Monument Healthcare Bountiful 460 West 2600 South, Bountiful, UT 84010 CCN 465112	100	Nov 6, 2025	221 IJ3 harm	$52k
Monument Healthcare Millcreek 1201 East 4500 South, Salt Lake City, UT 84117 CCN 465139	120	Jan 21, 2026	18	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 125 South 900 West, Salt Lake City, UT 84104
ZIP: 84104
County: Salt Lake County FIPS 49035
State: Utah
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Pine Creek Rehabilitation and Nursing 876 West 700 South, Salt Lake City, UT 84104 CCN 46A064Abuse icon	1.7 km	34	Aug 27, 2026	462 IJ2 harm1 open	$56k
Maple Ridge Rehabilitation and Nursing 455 South 900 East, Salt Lake City, UT 84102 CCN 46A058Abuse icon	4.3 km	36	Jun 4, 2026	313 harm	—
City Creek Post Acute 165 South 1000 East, Salt Lake City, UT 84102 CCN 465072	5.1 km	108	Mar 30, 2026	213 harm	—
St Joseph Villa 451 East Bishop Federal Lane, Salt Lake City, UT 84115 CCN 465095	5.5 km	221	Jul 16, 2024	153 harm	—
Alpine Meadow Rehabilitation and Nursing 2520 South Redwood Road, West Valley City, UT 84119 CCN 465191	5.9 km	42	Apr 22, 2026	33	—
Monument Healthcare South Salt Lake 2472 South 300 East, Salt Lake City, UT 84115 CCN 465146SFF Candidate	6.5 km	140	Jul 8, 2026	612 IJ7 harm	$37k
Meadow Brook Rehabilitation and Nursing 433 East 2700 South, Salt Lake City, UT 84115 CCN 465158Abuse icon	6.9 km	41	Nov 20, 2025	652 IJ6 harm	$31k
Little Cottonwood Rehabilitation and Nursing 3094 South State Street, South Salt Lake, UT 84115 CCN 46A066	7.5 km	37	Oct 9, 2025	8	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	465124	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	465124	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Utah DLBC Licensed Facilities UT	F23-106970	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Mar 7, 2026	Nov 7, 2026

Record-level source links for CCN 465124

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction