Nursing homeActiveSpecial Focus Facility candidate · what this means

Monument Healthcare South Salt Lake

2472 South 300 East, Salt Lake City, UT 841158014662211140 certified beds · 102 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
57
0489
Penalties · 3 yrs
$36,546
2 fines
Last survey
2025-06-19
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
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
DateKindDeficienciesOfficial recordArchived PDF
2025-06-19Standard0173CMS-2567 (Care Compare)
2024-01-25Standard081CMS-2567 (Care Compare)
2022-03-21Standard0235CMS-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.

2025-06-19Standard survey · 20 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity LHarm
Care planningFalls
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-06-30Record 465146-20250619-F689
F742Provide 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.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-30Record 465146-20250619-F742
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity KHarm
Environment
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-06-30Record 465146-20250619-F921
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 2025-06-30Record 465146-20250619-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F552
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 2025-06-30Record 465146-20250619-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 2025-06-30Record 465146-20250619-F609
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F641
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 2025-06-30Record 465146-20250619-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 2025-06-30Record 465146-20250619-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F755
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 2025-06-30Record 465146-20250619-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F770
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F812
F840Employ 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F840
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 465146-20250619-F842
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 2025-06-30Record 465146-20250619-F867
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 2025-06-30Record 465146-20250619-F880
2024-01-25Standard survey · 9 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-15Record 465146-20240125-F686
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-14Record 465146-20240125-F609
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-31Record 465146-20240125-F655
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 2024-01-31Record 465146-20240125-F656
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 2024-01-31Record 465146-20240125-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-31Record 465146-20240125-F755
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 2024-01-31Record 465146-20240125-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-31Record 465146-20240125-F812
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 2024-01-31Record 465146-20240125-F880
2022-03-21Standard survey · 28 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-05-06Record 465146-20220321-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-05-06Record 465146-20220321-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-05-06Record 465146-20220321-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-05-06Record 465146-20220321-F697
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity GHarm
Records
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-05-06Record 465146-20220321-F867
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F561
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F580
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 2022-05-06Record 465146-20220321-F584
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F607
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 2022-05-06Record 465146-20220321-F609
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F655
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 2022-05-06Record 465146-20220321-F656
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F676
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 2022-05-06Record 465146-20220321-F677
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F687
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 2022-05-06Record 465146-20220321-F688
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 2022-05-06Record 465146-20220321-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F690
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 2022-05-06Record 465146-20220321-F725
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F812
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F838
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 2022-05-06Record 465146-20220321-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F881
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 2022-05-06Record 465146-20220321-F883
F914Provide bedrooms that don't allow residents to see each other when privacy is needed.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-06Record 465146-20220321-F914

Penalties & enforcement

DateActionAmountSource
2025-06-19Civil money penalty$18,155CMS · Penalties
2024-01-25Civil money penalty$18,391CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.39
Facility
Utah
National
Utah 1.25 · National 0.69
Total nurse hours per resident day3.72
Facility
Utah
National
Utah 4.07 · National 3.86
Weekend total nurse hours3.18
Facility
Utah
National
Utah 3.56 · National 3.42
Total nursing staff turnover47%
Facility
Utah
National
Utah 51% · National 46%
Registered nurse turnover45%
Facility
Utah
National
Utah 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityUtahNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.3%3.9%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.6%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.8%14.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.5%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
10.0%11.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.5%3.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.8%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)
EntityRoleInterestSinceRegistry
Clawson, Travis
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fragoso, Lindsay
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Galindo, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gunnison Valley Hospital
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Group Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lock, Chelsea
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marriott, Stephen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Monument Health Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Murray, Brian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rios, Louie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Robertson, Brett
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Samuelian, Spencer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Seastrand, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
West, Christian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clawson, Travis
Individual
ADP OF THE SNFNOT APPLICABLE
Fragoso, Lindsay
Individual
ADP OF THE SNFNOT APPLICABLE
Galindo, Michael
Individual
ADP OF THE SNFNOT APPLICABLE
Gunnison Valley Hospital
Organization
ADP OF THE SNFNOT APPLICABLE
Gunnison Valley Hospital
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Health Group Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Lock, Chelsea
Individual
ADP OF THE SNFNOT APPLICABLE
Marriott, Stephen
Individual
ADP OF THE SNFNOT APPLICABLE
Monument Health Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Monument Health Properties LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Monument Health Properties LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Monument Real Estate South Salt Lake LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Monument Real Estate South Salt Lake LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Murray, Brian
Individual
CORPORATE OFFICERNOT APPLICABLE
Rios, Louie
Individual
ADP OF THE SNFNOT APPLICABLE
Robertson, Brett
Individual
ADP OF THE SNFNOT APPLICABLE
Samuelian, Spencer
Individual
ADP OF THE SNFNOT APPLICABLE
Seastrand, Jason
Individual
ADP OF THE SNFNOT APPLICABLE
West, Christian
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Monument Health Group11 facilities
View chain record

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

FacilityDistanceLast surveyDeficiencies · 3 yrs
Meadow Brook Rehabilitation and Nursing
Salt Lake City
0.3 mi2025-11-200478
St Joseph Villa
Salt Lake City
0.8 mi2024-07-16051
Little Cottonwood Rehabilitation and Nursing
South Salt Lake
1.1 mi2025-10-09140
Monument Healthcare Murray Creek
Millcreek
2.1 mi2026-03-310143
Millcreek Rehabilitation and Nursing
Salt Lake City
1.6 mi2026-04-070123
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01