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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeUtahMonument Healthcare Millcreek

Monument Healthcare Millcreek

1201 East 4500 South, Salt Lake City, UT 841178012613664
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
5/5
Beds
120
certified
Last health inspection was more than 2 years ago.

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 120 certified beds with an average of 80.5 residents per day (67% occupancy)

• Last health inspection found 14 deficiencies (inspected Nov 2, 2023)

• No fines on record

• Total nursing staff: 3.79 hours per resident per day

• Part of the Monument Health Group chain (14 facilities)

Monument Healthcare Millcreek is a 4-star Medicare and Medicaid certified nursing home in Salt Lake City, Utah with 120 certified beds. It has been operating since 1994. The facility scored above average compared to Utah facilities.

Beds
120
Avg Residents/Day
80.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 15, 1994
Sprinklers
Yes
Council
Resident
County
Salt Lake
Last Inspection
Nov 2, 2023
Deficiencies (Cycle 1)
14
Weighted Score
53.0
Infection Citations
0

Deficiency Citations (23)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0773Potential for Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0779Potential for Harm

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor 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.

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 2, 2023Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 20, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jul 20, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0758Potential for Harm

Implement 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.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0811Potential for Harm

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Survey: Oct 24, 2019Corrected: NoCycle: 3
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Oct 24, 2019Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.03 hrs
National avg: 2.35 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN1.21 hrs
National avg: 0.68 hrs
Total Nursing3.79 hrs
National avg: 3.89 hrs
Weekend Total3.29 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
MILFORD AREA HEALTH CARE SERVICE DISTRICT #35% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 1, 2024
BEAVER VALLEY HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 6, 2024
HEALTH GROUP MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 5, 2024
ALLEN, RICHARDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
CARTER, LAURELOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 6, 2024
CLAWSON, TRAVISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
DEVASHRAYEE, TRAVISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
DOTSON, WARDOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 6, 2024
ESPINOSA, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
FRAGOSO, LINDSAYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
IZATT, BRENDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
MAYER, SHAUNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 6, 2024
MOSS, TYLEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
ROBERTSON, BRETTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
SAMUELIAN, SPENCEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
SEASTRAND, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
SYMOND, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 6, 2024
WEST, CHRISTIANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
WISEMAN, BRANDONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 6, 2024
DANSIE, GUYCORPORATE OFFICERIndividualN/AFeb 1, 2024
LANGFORD, SCOTTCORPORATE OFFICERIndividualN/AFeb 1, 2024
MOSS, TYLERCORPORATE OFFICERIndividualN/AFeb 1, 2024
MONUMENT HEALTH PROPERTIES LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AFeb 1, 2024
MONUMENT REAL ESTATE MILLCREEK LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AFeb 1, 2024

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Frequently Asked Questions

What is the CMS rating for Monument Healthcare Millcreek?▾
Monument Healthcare Millcreek has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Monument Healthcare Millcreek had any health inspection violations?▾
Monument Healthcare Millcreek had 14 deficiency citations in its most recent health inspection (Nov 2, 2023). The facility has no fines on record.
What are the staffing levels at Monument Healthcare Millcreek?▾
Monument Healthcare Millcreek provides 3.79 total nursing staff hours per resident per day, including 1.21 RN hours, 0.54 LPN hours, and 2.03 nurse aide hours.
How many beds does Monument Healthcare Millcreek have?▾
Monument Healthcare Millcreek has 120 certified beds with an average of 80.5 residents per day, resulting in approximately 67% occupancy. The facility is For profit - Limited Liability company owned and is part of the Monument Health Group chain.
Are there other nursing homes near Monument Healthcare Millcreek?▾
Yes, there are 15 other nursing homes in Salt Lake City, Utah with an average rating of 2.6/5. You can compare all facilities on the Salt Lake City nursing homes page.

Part of Monument Health Group

This chain operates 14 facilities. View all →