Monument Healthcare Bountiful
460 West 2600 South, Bountiful, UT 84010 · Davis County · 100 certified beds · avg 71 residents/day · certified since May 4, 1987
Part of chain: MONUMENT HEALTH GROUP (11 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 6, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 26, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 9, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 10, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Dec 18, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 20, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 18, 2024 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 20, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 6, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 6, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 6, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 9, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Dec 18, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 18, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not keep signed and dated reports of x-rays and other diagnostic tests in residents' records. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 16, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 16, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 16, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 16, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 16, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 18, 2022 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Aug 18, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 18, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Aug 18, 2022 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 5 | 0 | E |
| 2024 | 6 | 2 | G ▲ |
| 2025 | 5 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $51,852, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 6, 2025 | Fine | $31,838 |
| Nov 6, 2025 | Payment Denial | 7 days from Dec 30, 2025 |
| Jun 9, 2025 | Fine | $11,190 |
| Dec 18, 2024 | Fine | $8,824 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Utah avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.24 | 3.87 | 3.95 | bottom 26% in Utah; bottom 23% in the U.S. |
| Registered Nurse hours | 0.78 | 1.17 | 0.69 | bottom 19% in Utah; top 29% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.39 | 3.50 | bottom 29% in Utah; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.88 | 0.48 | bottom 23% in Utah; top 27% in the U.S. |
| Total nursing staff turnover (%) | 52.3 | 50.7 | 45.8 | bottom 45% in Utah; bottom 31% in the U.S. |
| RN turnover (%) | 62.5 | 40.6 | 42.9 | bottom 13% in Utah; bottom 19% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.64, RN 0.88, weekend 3.24. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Milford Memorial Hospital | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2024 |
| Clawson, Travis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Clawson, Travis | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Fragoso, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Fragoso, Lindsay | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Health Group Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Health Group Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2025 |
| Marriott, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Marriott, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Milford Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Milford Memorial Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
| Monument Health Bountiful LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/07/2025 |
| Monument Health Bountiful LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Monument Health Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Monument Health Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/05/2025 |
| Monument Health Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/01/2024 |
| Monument Health Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Moss, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2024 |
| Nixon, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Nixon, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure x-ray and test results make it into the resident's record and get acted on?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| South Davis Specialty Care | 1.9 mi | Bountiful, UT | ★★★★★ | 4/5 | |
| Monument Healthcare Stonecreek | 2.4 mi | Bountiful, UT | ★★★★☆ | 4/5 | |
| Midtown Manor | 6.7 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | |
| Maple Ridge Rehabilitation and Nursing | 7.1 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | abuse |
| City Creek Post Acute | 7.2 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Pine Creek Rehabilitation and Nursing | 7.5 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | abuse |
| William E Christofferson Salt Lake Veterans Home | 8.0 mi | Salt Lake City, UT | ★★★★★ | 4/5 | |
| St Joseph Villa | 9.3 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Monument Healthcare South Salt Lake | 10.0 mi | Salt Lake City, UT | ★☆☆☆☆ | 1/5 | SFF |
| Meadow Brook Rehabilitation and Nursing | 10.3 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
| Alpine Meadow Rehabilitation and Nursing | 10.4 mi | West Valley City, UT | ★★★☆☆ | 2/5 | |
| Millcreek Rehabilitation and Nursing | 10.6 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 465112.