Nursing homeActive
Monument Healthcare Cottonwood Creek
1205 East Bonner Way, Salt Lake City, UT 84117801262290877 certified beds · 65 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
28
● 0● 25● 3
Penalties · 3 yrs
$17,940
1 fine
Last survey
2024-04-04
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Utah Department of Health and Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-04-04 | Standard | 051 | CMS-2567 (Care Compare) | — |
| 2022-05-05 | Standard | 0112 | CMS-2567 (Care Compare) | — |
| 2019-12-05 | Standard | 090 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Utah Department of Health and Human Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-25Record 465074-20240404-F689
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 465074-20240404-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-25Record 465074-20240404-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 465074-20240404-F609
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 465074-20240404-F677
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 465074-20240404-F758
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-09Record 465074-20220505-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-06-09Record 465074-20220505-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F656
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F688
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F744
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F757
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F770
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F883
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 465074-20220505-F887
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-20Record 465074-20191205-F604
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-17Record 465074-20191205-F656
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-20Record 465074-20191205-F676
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-17Record 465074-20191205-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-20Record 465074-20191205-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-15Record 465074-20191205-F725
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-20Record 465074-20191205-F744
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-17Record 465074-20191205-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-16Record 465074-20191205-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-04 | Civil money penalty | $17,940 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day3.51
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours3.13
Facility
Utah
National
Utah 3.56 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Utah | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 3.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.2% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.0% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.3% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.6% | 3.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 33.3% | 25.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Clawson, Travis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Espinosa, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fragoso, Lindsay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gunnison Valley Hospital Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Health Group Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marriott, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mckinnie-Redmond, Faith Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Monument Health Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morris, Jace Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Murray, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Robertson, Brett Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Samuelian, Spencer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Seastrand, Jason Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| West, Christian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Workman, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clawson, Travis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Espinosa, Stephanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fragoso, Lindsay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gunnison Valley Hospital Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Health Group Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Marriott, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mckinnie-Redmond, Faith Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Health Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Health Properties LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Real Estate Cottonwood Creek LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morris, Jace Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Murray, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Murray, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Robertson, Brett Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Samuelian, Spencer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Seastrand, Jason Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| West, Christian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Workman, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Monument Health Group — 11 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Utah.
No county cost figures on file for Salt Lake.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Monument Healthcare Millcreek Salt Lake City | 0.5 mi | 2026-01-21 | 0160 |
| Spring Creek Healthcare Center Salt Lake City | 1.1 mi | 2025-02-03 | 0261 |
| Highland Care Center Holladay | 1.3 mi | 2024-06-11 | 070 |
| Monument Healthcare Murray Creek Millcreek | 1.5 mi | 2026-03-31 | 0143 |
| Rocky Mountain Care - Cottage on Vine Murray | 1.6 mi | 2025-11-05 | 0333 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |