Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT 84117
Monument Healthcare Millcreek is a nursing home in Salt Lake City, Utah. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionNovember 20, 2025 (11 months ago)
- Health citations since November 2, 202316 (Utah average 26)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on January 21, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0694. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on February 16, 2026.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on February 16, 2026.
Health inspection on November 20, 2025
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 8 citations
Citation F0757. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on December 26, 2025.
Citation F0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on December 26, 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 26, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 26, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 26, 2025.
CMS has cited this home for F0760 2 times since 2023.
Citation F0773. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
CMS lists it as corrected on December 26, 2025.
Citation F0779. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
CMS lists it as corrected on December 26, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 26, 2025.
CMS update of November 20, 2025
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of September 24, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
CMS update of March 26, 2025
Name
CMS lists a new name for this home. It was LIFE CARE CENTER OF SALT LAKE CITY.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new legal business name for this home.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on November 2, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 31, 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 31, 2023.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on December 31, 2023.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on December 31, 2023.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on December 31, 2023.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 31, 2023.
Fire safety inspection on December 28, 2021
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on January 31, 2022.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on January 31, 2022.
CMS star ratings
- 4 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (801) 261-3664
- Last standard health inspection
- November 20, 2025 (11 months ago)
- Certified beds
- 120
- Residents per day, on average
- 81.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Milford Memorial Hospital
- Chain
- Monument Health Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Utah average (16 vs 26).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MILFORD AREA HEALTH CARE SERVICE DISTRICT #35% or greater direct ownership interest · 100% · since 02/01/2024
- BEAVER VALLEY HOSPITALOperational/managerial control · not applicable · since 12/06/2024
- HEALTH GROUP MANAGEMENT LLCOperational/managerial control · not applicable · since 12/05/2024
- ALLEN, RICHARDOperational/managerial control · not applicable · since 02/01/2024
- CARTER, LAURELOperational/managerial control · not applicable · since 12/06/2024
Show 14 more
- CLAWSON, TRAVISOperational/managerial control · not applicable · since 02/01/2024
- CONLEY, SKYLEROperational/managerial control · not applicable · since 07/01/2026
- DOTSON, WARDOperational/managerial control · not applicable · since 12/06/2024
- ESPINOSA, STEPHANIEOperational/managerial control · not applicable · since 02/01/2024
- FRAGOSO, LINDSAYOperational/managerial control · not applicable · since 02/01/2024
- IZATT, BRENDAOperational/managerial control · not applicable · since 02/01/2024
- MAYER, SHAUNAOperational/managerial control · not applicable · since 12/06/2024
- MOSS, TYLEROperational/managerial control · not applicable · since 02/01/2024
- ROBERTSON, BRETTOperational/managerial control · not applicable · since 02/01/2024
- SAMUELIAN, SPENCEROperational/managerial control · not applicable · since 02/01/2024
- SEASTRAND, JASONOperational/managerial control · not applicable · since 02/01/2024
- SYMOND, SCOTTOperational/managerial control · not applicable · since 12/06/2024
- WEST, CHRISTIANOperational/managerial control · not applicable · since 02/01/2024
- WISEMAN, BRANDONOperational/managerial control · not applicable · since 12/06/2024
Questions
When was Monument Healthcare Millcreek last inspected?
CMS lists November 20, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Monument Healthcare Millcreek have?
CMS lists 16 health citations since November 2, 2023. CMS also calls these deficiencies.
Has Monument Healthcare Millcreek been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Monument Healthcare Millcreek?
Its CMS overall star rating is 4 of 5.
Is Monument Healthcare Millcreek a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
Other nursing homes in Salt Lake City
- City Creek Post Acute
- Holladay Healthcare Center
- Maple Ridge Rehabilitation and Nursing
- Meadow Brook Rehabilitation and Nursing
- Midtown Manor
- Millcreek Rehabilitation and Nursing
- Monument Healthcare Cottonwood Creek
- Monument Healthcare South Salt Lake
- Monument Healthcare Taylorsville
- Mt. Olympus Rehabilitation Center