Monument Healthcare Millcreek
Salt Lake City · 0.5 mi · 120 beds
Citations0Substantiated0
Monument Healthcare Cottonwood Creek
1205 East 4725 South, Salt Lake City, UT, 84117
Nursing home77 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 6 deficiencies against Monument Healthcare Cottonwood Creek in Salt Lake City, Utah at its most recent standard inspection on 2024-04-04, 1 of them arising from complaints. 3 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $17,940. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
77certified beds
6deficiencies at the last inspection
0immediate-jeopardy findings on record
3actual-harm findings on record
1federal fines, $17,940
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.25
Potential for minimal harmThe least serious band.0
Most recentGEEDDDGGEEEEEEDDDDDE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-04-04 · standard survey · Actual harm to a resident
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 · F0584 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
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 · F0600 · 2024-04-04 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
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 · F0758 · 2024-04-04 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2022-05-05 · standard survey · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2022-05-05 · standard survey · Actual harm to a resident
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · F0744 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · F0887 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · F0770 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2022-05-05 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.5105
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$17,940
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Monument Healthcare Cottonwood Creek
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| MURRAY, BRIAN | Individual | NOT APPLICABLE | since 07/01/2020 |
| GUNNISON VALLEY HOSPITAL | Organization | NOT APPLICABLE | since 02/07/2025 |
| HEALTH GROUP MANAGEMENT LLC | Organization | NOT APPLICABLE | since 02/07/2025 |
| MONUMENT HEALTH GROUP LLC | Organization | NOT APPLICABLE | since 02/07/2025 |
| CLAWSON, TRAVIS | Individual | NOT APPLICABLE | since 02/07/2025 |
| ESPINOSA, STEPHANIE | Individual | NOT APPLICABLE | since 02/07/2025 |
| FRAGOSO, LINDSAY | Individual | NOT APPLICABLE | since 05/10/2021 |
| MARRIOTT, STEPHEN | Individual | NOT APPLICABLE | since 02/07/2025 |
| MCKINNIE-REDMOND, FAITH | Individual | NOT APPLICABLE | since 02/07/2025 |
| MORRIS, JACE | Individual | NOT APPLICABLE | since 02/07/2025 |
| MURRAY, BRIAN | Individual | NOT APPLICABLE | since 07/01/2020 |
| ROBERTSON, BRETT | Individual | NOT APPLICABLE | since 02/07/2025 |
Part of the MONUMENT HEALTH GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Spring Creek Healthcare Center
Salt Lake City · 0.9 mi · 92 beds
Citations0Substantiated0
Highland Care Center
Holladay · 1.1 mi · 103 beds
Citations0Substantiated0
Paramount Health and Rehabilitation
Salt Lake City · 1.6 mi · 99 beds
Citations0Substantiated0
Monument Healthcare Murray Creek
Millcreek · 1.7 mi · 184 beds
Citations0Substantiated0
Rocky Mountain Care - Cottage on Vine
Murray · 1.7 mi · 61 beds
Citations0Substantiated0
Contact
Ask Monument Healthcare Cottonwood Creek a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 465074.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction