Starfile

Starfile / Utah

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.

CycleInspection dateThis facilityUtah avgNational avgvs state
12025-06-19209.19.5+10.9 worse
22024-01-2598.49.8+0.6 worse
32022-03-212810.39.3+17.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care5
Resident assessment and care planning2
Resident rights3
Nutrition and dietary1
Pharmacy service2
Environmental1
Administration3
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3158.9%
RN staffing (reported)1.0350.0%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. DF0641Ensure each resident receives an accurate assessment.2025-06-19 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  7. 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

  8. 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

  9. 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

  10. DF0692Provide enough food/fluids to maintain a resident's health.2025-06-19 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. DF0880Provide and implement an infection prevention and control program.2025-06-19 · Health · corrected 2025-06-30

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. 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

  24. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-25 · Health · corrected 2024-02-15

    Actual harm

  25. 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

  26. 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

  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.2024-01-25 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  28. 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

  29. DF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-21 · Health · corrected 2022-05-06

    Potential for more than minimal harm

  38. 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

  39. 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

  40. 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

  41. 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

  42. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-21 · Health · corrected 2022-05-06

    Actual harm

  43. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-03-21 · Health · corrected 2022-05-06

    Actual harm

  44. DF0687Provide appropriate foot care.2022-03-21 · Health · corrected 2022-05-06

    Potential for more than minimal harm

  45. 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

  46. 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

  47. 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

  48. GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-03-21 · Health · corrected 2022-05-06

    Actual harm

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

  54. EF0880Provide and implement an infection prevention and control program.2022-03-21 · Health · corrected 2022-05-06

    Potential for more than minimal harm

  55. DF0881Implement a program that monitors antibiotic use.2022-03-21 · Health · corrected 2022-05-06

    Potential for more than minimal harm

  56. 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

  57. 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

OwnerTypeRolePercentSince
GUNNISON VALLEY HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-07-01
HEALTH GROUP MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-02-07
MONUMENT HEALTH GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-02-07
BULLWINKEL, CHAZIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
CLAWSON, TRAVISIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
ESPINOSA, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
FRAGOSO, LINDSAYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
GALINDO, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
LOCK, CHELSEAIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
MARRIOTT, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
MURRAY, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL2020-07-01
ROBERTSON, BRETTIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
SAMUELIAN, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
SEASTRAND, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
WEST, CHRISTIANIndividualOPERATIONAL/MANAGERIAL CONTROL2025-02-07
MURRAY, BRIANIndividualCORPORATE OFFICER2020-07-01
MONUMENT HEALTH PROPERTIES LLCOrganization5% OR GREATER MORTGAGE INTEREST2025-02-07
MONUMENT REAL ESTATE SOUTH SALT LAKE LLCOrganization5% OR GREATER MORTGAGE INTEREST2025-02-07

Other facilities in Salt Lake City

NameOverallBeds
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.