Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT 84117 · CCN 465139
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 80.5
- Phone
- 8012613664
Inspection history vs Utah & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Utah avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-20 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2023-11-02 | 6 | 8.4 | 9.8 | -2.4 better |
| 3 | 2021-12-28 | 2 | 10.3 | 9.3 | -8.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.79 | — |
| RN staffing (reported) | 1.21 | — |
| Total nurse staffing (adjusted) | 3.66 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- MONUMENT HEALTH GROUP
- Facilities in chain
- 14
- Chain avg overall
- 3.30 / 5
Inspection citations (18)
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2026-01-21 · Health · corrected 2026-02-16
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-21 · Health · corrected 2026-02-16
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-11-20 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0584Honor 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.2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-11-02 · Health · corrected 2023-12-31
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-20 · Health · corrected 2023-08-31
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-20 · Health · corrected 2023-08-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 |
| BEAVER VALLEY HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-05 |
| ALLEN, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| CARTER, LAUREL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| CLAWSON, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| DEVASHRAYEE, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| DOTSON, WARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| ESPINOSA, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| FRAGOSO, LINDSAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| IZATT, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| MAYER, SHAUNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| MOSS, TYLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| ROBERTSON, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SAMUELIAN, SPENCER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SEASTRAND, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SYMOND, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| WISEMAN, BRANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-06 |
| DANSIE, GUY | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| LANGFORD, SCOTT | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| MOSS, TYLER | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| MONUMENT HEALTH PROPERTIES LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-02-01 |
| MONUMENT REAL ESTATE MILLCREEK LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-02-01 |
Other facilities in Salt Lake City
| Name | Overall | Beds |
|---|---|---|
| William E Christofferson Salt Lake Veterans Home | ★★★★★ | 81 |
| City Creek Post Acute | ★★★★★ | 108 |
| Monument Healthcare Taylorsville | ★★★★☆ | 120 |
| St Joseph Villa | ★★★☆☆ | 221 |
| Holladay Healthcare Center | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.