Monument Healthcare South Salt Lake
2472 South 300 East, Salt Lake City, UT 84115 · CCN 465146
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 140
- Avg residents/day
- 118.3
- Phone
- 8014662211
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 | 2025-06-19 | 20 | 9.1 | 9.5 | +10.9 worse |
| 2 | 2024-01-25 | 9 | 8.4 | 9.8 | +0.6 worse |
| 3 | 2022-03-21 | 28 | 10.3 | 9.3 | +17.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.31 | 58.9% |
| RN staffing (reported) | 1.03 | 50.0% |
| Total nurse staffing (adjusted) | 3.00 | — |
Fines & penalties
- Total fines
- $31,391
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- MONUMENT HEALTH GROUP
- Facilities in chain
- 14
- Chain avg overall
- 3.30 / 5
Inspection citations (57)2 immediate jeopardy7 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-06-19 · Health · corrected 2025-06-30
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.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- LF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-19 · Health · corrected 2025-06-30
Immediate jeopardy
- DF0692Provide enough food/fluids to maintain a resident's health.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- GF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-06-19 · Health · corrected 2025-06-30
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- 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.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- FF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-06-19 · Health · corrected 2025-06-30
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.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-06-19 · Health · corrected 2025-06-30
Potential for more than minimal harm
- KF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-19 · Health · corrected 2025-06-30
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-25 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-25 · Health · corrected 2024-01-31
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.2024-01-25 · Health · corrected 2024-01-31
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-25 · Health · corrected 2024-02-15
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-01-31
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.2024-01-25 · Health · corrected 2024-01-31
Potential for more than minimal harm
- 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.2024-01-25 · Health · corrected 2024-01-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-25 · Health · corrected 2024-01-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-01-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-03-21 · Health · corrected 2022-05-06
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.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-03-21 · Health · corrected 2022-05-06
Actual harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-03-21 · Health · corrected 2022-05-06
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.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-21 · Health · corrected 2022-05-06
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-03-21 · Health · corrected 2022-05-06
Actual harm
- DF0687Provide appropriate foot care.2022-03-21 · Health · corrected 2022-05-06
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.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-03-21 · Health · corrected 2022-05-06
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-03-21 · Health · corrected 2022-05-06
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.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-03-21 · Health · corrected 2022-05-06
Actual harm
- EF0880Provide and implement an infection prevention and control program.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
- DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2022-03-21 · Health · corrected 2022-05-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-07-01 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MONUMENT HEALTH GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| BULLWINKEL, CHAZ | Individual | 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 |
| GALINDO, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| LOCK, CHELSEA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MARRIOTT, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MURRAY, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-07-01 |
| 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 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MURRAY, BRIAN | Individual | CORPORATE OFFICER | — | 2020-07-01 |
| MONUMENT HEALTH PROPERTIES LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2025-02-07 |
| MONUMENT REAL ESTATE SOUTH SALT LAKE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2025-02-07 |
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 |
| Monument Healthcare Millcreek | ★★★★☆ | 120 |
| St Joseph Villa | ★★★☆☆ | 221 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.