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Monument Healthcare Millcreek

1201 East 4500 South, Salt Lake City, UT 84117
8012613664
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Overall CMS Rating

4.0/5

vs State Average: 3.3 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.4/5

0 penalties in last 3 years
Penalties
vs State Average: 1.1 penalties

About This Facility

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 20, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Nov 20, 2025 Ensure each resident’s drug regimen must be free from unnecessary drugs. E
Nov 20, 2025 Ensure that residents are free from significant medication errors. D
Nov 20, 2025 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D
Nov 20, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Score
2.0
State Average
3.1
National Average
2.9
1.2 RN Hours / Resident / Day
3.8 Total Nurse Hours / Resident / Day
RN Turnover Rate
Score
5.0
State Average
4.4
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
80.5 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST MILFORD AREA HEALTH CARE SERVICE DISTRICT #3
OPERATIONAL/MANAGERIAL CONTROL BEAVER VALLEY HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL HEALTH GROUP MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL ALLEN, RICHARD
OPERATIONAL/MANAGERIAL CONTROL CARTER, LAUREL
OPERATIONAL/MANAGERIAL CONTROL CLAWSON, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL DEVASHRAYEE, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL DOTSON, WARD
OPERATIONAL/MANAGERIAL CONTROL ESPINOSA, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL FRAGOSO, LINDSAY
Recent Penalties

No penalty records found.

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