Starfile / Utah

Monument Healthcare Cottonwood Creek

1205 East 4725 South, Salt Lake City, UT 84117 · CCN 465074

Inspection history vs Utah & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$17,940

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

MONUMENT HEALTH GROUP

Facilities in chain

14

Chain avg overall

3.30 / 5

Inspection citations (28)3 actual harm

1. EF0584Honor 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.2024-04-04 · Health · corrected 2024-04-25

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-04 · Health · corrected 2024-03-25

   Potential for more than minimal harm

3. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-04 · Health · corrected 2024-03-15

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-04 · Health · corrected 2024-04-25

   Potential for more than minimal harm

5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-04 · Health · corrected 2024-04-25

   Actual harm

6. DF0758Implement 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.2024-04-04 · Health · corrected 2024-04-25

   Potential for more than minimal harm

7. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-05-05 · Health · corrected 2022-06-09

   Potential for more than minimal harm

8. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-05 · Health · corrected 2022-06-09

   Potential for more than minimal harm

9. DF0688Provide 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.2022-05-05 · Health · corrected 2022-06-09

   Potential for more than minimal harm

10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-05 · Health · corrected 2022-06-09

    Actual harm

11. GF0692Provide enough food/fluids to maintain a resident's health.2022-05-05 · Health · corrected 2022-06-09

    Actual harm

12. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

13. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

14. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

15. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

16. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

17. EF0880Provide and implement an infection prevention and control program.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

18. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

19. EF0887Educate 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.2022-05-05 · Health · corrected 2022-06-09

    Potential for more than minimal harm

20. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2019-12-05 · Health · corrected 2020-01-20

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-12-05 · Health · corrected 2020-01-17

    Potential for more than minimal harm

22. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-12-05 · Health · corrected 2020-01-20

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-12-05 · Health · corrected 2020-01-17

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-12-05 · Health · corrected 2020-01-20

    Potential for more than minimal harm

25. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-12-05 · Health · corrected 2020-01-15

    Potential for more than minimal harm

26. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-12-05 · Health · corrected 2020-01-20

    Potential for more than minimal harm

27. EF0761Ensure 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.2019-12-05 · Health · corrected 2020-01-17

    Potential for more than minimal harm

28. DF0880Provide and implement an infection prevention and control program.2019-12-05 · Health · corrected 2020-01-16

    Potential for more than minimal harm

Ownership

Other facilities in Salt Lake City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.