Monument Healthcare Cottonwood Creek
Salt Lake City · 0.5 mi · 77 beds
Citations0Substantiated0
Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT, 84117
Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 10 deficiencies against Monument Healthcare Millcreek in Salt Lake City, Utah at its most recent standard inspection on 2025-11-20, 10 of them arising from complaints. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
120certified beds
10deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
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.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.18
Potential for minimal harmThe least serious band.0
Most recentDDEEDDDDDDEDDDDDDD
The last 18 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.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · F0694 · 2026-01-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2026-01-21 · from a complaint · 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 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · F0773 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Administration Deficiencies · F0779 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-11-20 · from a complaint · 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 · 2023-11-02 · standard survey · No actual harm, potential for more than minimal harm
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 · 2023-11-02 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2023-11-02 · standard survey · 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 · 2023-11-02 · 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 · 2023-11-02 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2023-11-02 · 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 · 2023-07-20 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-07-20 · from a complaint · 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 below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.74386
Nursing staff turnoverShare of nursing staff who left in a year46.9%
Ownership
Who owns Monument Healthcare Millcreek
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 |
|---|---|---|---|
| MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 | Organization | 100% | since 02/01/2024 |
| MONUMENT HEALTH PROPERTIES LLC | Organization | NOT APPLICABLE | since 02/01/2024 |
| MONUMENT REAL ESTATE MILLCREEK LLC | Organization | NOT APPLICABLE | since 02/01/2024 |
| DANSIE, GUY | Individual | NOT APPLICABLE | since 02/01/2024 |
| LANGFORD, SCOTT | Individual | NOT APPLICABLE | since 02/01/2024 |
| MOSS, TYLER | Individual | NOT APPLICABLE | since 02/01/2024 |
| BEAVER VALLEY HOSPITAL | Organization | NOT APPLICABLE | since 12/06/2024 |
| HEALTH GROUP MANAGEMENT LLC | Organization | NOT APPLICABLE | since 12/05/2024 |
| ALLEN, RICHARD | Individual | NOT APPLICABLE | since 02/01/2024 |
| CARTER, LAUREL | Individual | NOT APPLICABLE | since 12/06/2024 |
| CLAWSON, TRAVIS | Individual | NOT APPLICABLE | since 02/01/2024 |
| DEVASHRAYEE, TRAVIS | Individual | NOT APPLICABLE | since 02/01/2024 |
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.
Highland Care Center
Holladay · 0.9 mi · 103 beds
Citations0Substantiated0
Spring Creek Healthcare Center
Salt Lake City · 0.9 mi · 92 beds
Citations0Substantiated0
Monument Healthcare Murray Creek
Millcreek · 1.2 mi · 184 beds
Citations0Substantiated0
Paramount Health and Rehabilitation
Salt Lake City · 1.3 mi · 99 beds
Citations0Substantiated0
Millcreek Rehabilitation and Nursing
Salt Lake City · 1.5 mi · 61 beds
Citations0Substantiated0
Contact
Ask Monument Healthcare Millcreek a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 465139.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction