Monument Healthcare Murray Creek
3855 South 700 East, Millcreek, UT 84106 · CCN 465094
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 184
- Avg residents/day
- 94.9
- Phone
- 8012684766
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 | 2025-06-28 | 14 | 9.1 | 9.5 | +4.9 worse |
| 2 | 2023-08-31 | 11 | 8.4 | 9.8 | +2.6 worse |
| 3 | 2021-12-06 | 23 | 10.3 | 9.3 | +12.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Environmental | 1 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.90 | 55.0% |
| RN staffing (reported) | 1.01 | 65.5% |
| Total nurse staffing (adjusted) | 3.47 | — |
Fines & penalties
- Total fines
- $8,148
- 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 (48)2 actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-28 · Health · corrected 2025-08-22
Actual harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- 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.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- FF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0910Ensure resident rooms meet each resident's needs.2025-06-28 · Health · corrected 2025-08-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-31 · Health · corrected 2024-03-11
Actual harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-31 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- 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.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0761Ensure 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.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
- EF0886Perform COVID19 testing on residents and staff.2021-12-06 · Health · corrected 2022-02-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-07-01 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MONUMENT HEALTH GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| CLAWSON, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| ESPINOSA, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| FRAGOSO, LINDSAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| GANGOTENA-BERNARD, FATIMA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MARRIOTT, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| ROBERTSON, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| SAMUELIAN, SPENCER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| SEASTRAND, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| THAP, RENUKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| WILSON, BRENT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MURRAY, BRIAN | Individual | CORPORATE OFFICER | — | 2018-07-01 |
Other facilities in Millcreek
| Name | Overall | Beds |
|---|---|---|
| Monument Healthcare Canyon Rim | ★★★★☆ | 90 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.