Nursing homeActive
Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT 841178012613664120 certified beds · 84 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
16
● 0● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-21
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
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 |
|---|---|---|---|---|
| 2026-01-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2023-11-02 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2021-12-28 | Standard | 000 | 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.
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 465139-20260121-F694
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 465139-20260121-F697
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F580
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 2025-12-26Record 465139-20251120-F684
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F760
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F773
F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F779
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 2025-12-26Record 465139-20251120-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 465139-20251120-F919
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-31Record 465139-20231102-F584
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-31Record 465139-20231102-F645
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 2023-12-31Record 465139-20231102-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-31Record 465139-20231102-F689
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 2023-12-31Record 465139-20231102-F756
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-31Record 465139-20231102-F760
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.05
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day3.74
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours3.28
Facility
Utah
National
Utah 3.56 · National 3.42
Total nursing staff turnover47%
Facility
Utah
National
Utah 51% · National 46%
Registered nurse turnover32%
Facility
Utah
National
Utah 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Utah | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 3.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 2.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.5% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 13.9% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 3.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.5% | 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 |
|---|---|---|---|---|
| Milford Area Health Care Service District #3 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Allen, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beaver Valley Hospital Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Carter, Laurel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clawson, Travis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Devashrayee, Travis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dotson, Ward Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Espinosa, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fragoso, Lindsay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Health Group Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Izatt, Brenda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mayer, Shauna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Moss, Tyler 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 | — | — |
| Symond, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| West, Christian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wiseman, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Allen, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clawson, Travis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dansie, Guy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Dansie, Guy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Devashrayee, 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 | — | — |
| Health Group Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Izatt, Brenda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Langford, Scott Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Langford, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Health Properties LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Monument Health Properties LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Real Estate Millcreek LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Monument Real Estate Millcreek LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Moss, Tyler Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Moss, Tyler Individual | ADP OF THE SNF | 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 | — | — |
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 Cottonwood Creek Salt Lake City | 0.5 mi | 2024-04-04 | 051 |
| Monument Healthcare Murray Creek Millcreek | 1.1 mi | 2026-03-31 | 0143 |
| Highland Care Center Holladay | 1.1 mi | 2024-06-11 | 070 |
| Spring Creek Healthcare Center Salt Lake City | 1.1 mi | 2025-02-03 | 0261 |
| Paramount Health and Rehabilitation Salt Lake City | 1.3 mi | 2026-05-21 | 0224 |
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 |