Monument Healthcare Millcreek

Name: Monument Healthcare Millcreek
Address: 1201 East 4500 South, Salt Lake City, UT, 84117, US
Telephone: 8012613664

1201 East 4500 South, Salt Lake City, UT 84117 · Salt Lake County · 120 certified beds · avg 84 residents/day · certified since Jun 15, 1994

Part of chain: MONUMENT HEALTH GROUP (11 facilities, chain avg rating 2.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

All citations in the current public record (16)

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
Jan 21, 2026	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Nov 20, 2025	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Nov 20, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Nov 20, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 20, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 20, 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
Nov 20, 2025	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint
Nov 20, 2025	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. · from a complaint
Nov 20, 2025	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. · from a complaint
Nov 2, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 2, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 8).

Year	Citations	Worst severity that year
2023	6	E
2025	8	E
2026	2	D

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)

No fines or payment denials in the published 3-year window.

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)	3.78	3.87	3.95	top 34% in Utah; top 49% in the U.S.
Registered Nurse hours	1.06	1.17	0.69	top 43% in Utah; top 13% in the U.S.
Weekend total nurse staffing	3.31	3.39	3.50	top 31% in Utah; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.65	0.88	0.48	bottom 40% in Utah; top 19% in the U.S.
Total nursing staff turnover (%)	46.9	50.7	45.8	top 40% in Utah; bottom 45% in the U.S.
RN turnover (%)	31.8	40.6	42.9	top 39% in Utah; top 32% 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 3.74, RN 1.05, weekend 3.28. Staffing rating: 4/5.

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 Area Health Care Service District #3	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2024
Allen, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Allen, Richard	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2024
Beaver Valley Hospital	Organization	Operational/Managerial Control	NOT APPLICABLE	12/06/2024
Carter, Laurel	Individual	Operational/Managerial Control	NOT APPLICABLE	12/06/2024
Clawson, Travis	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Clawson, Travis	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2024
Dansie, Guy	Individual	Corporate Officer	NOT APPLICABLE	02/01/2024
Dansie, Guy	Individual	ADP of the SNF	NOT APPLICABLE	01/23/2025
Devashrayee, Travis	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Devashrayee, Travis	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2024
Dotson, Ward	Individual	Operational/Managerial Control	NOT APPLICABLE	12/06/2024
Espinosa, Stephanie	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Espinosa, Stephanie	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	12/05/2024
Health Group Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/23/2025
Izatt, Brenda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Izatt, Brenda	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.

"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"When a doctor orders lab work, how quickly is it done and how are results communicated back?"
"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
Monument Healthcare Cottonwood Creek	0.5 mi	Salt Lake City, UT	★★★☆☆	2/5
Highland Care Center	1.1 mi	Holladay, UT	★★★★★	4/5
Monument Healthcare Murray Creek	1.1 mi	Millcreek, UT	★★☆☆☆	1/5	abuse
Spring Creek Healthcare Center	1.1 mi	Salt Lake City, UT	★★☆☆☆	2/5
Paramount Health and Rehabilitation	1.3 mi	Salt Lake City, UT	★★★☆☆	2/5
Rocky Mountain Care - Cottage on Vine	2.1 mi	Murray, UT	★★★☆☆	2/5
Holladay Healthcare Center	2.2 mi	Salt Lake City, UT	★★★☆☆	2/5
Aspen Ridge West Transitional Rehab	2.3 mi	Murray, UT	★★★★★	4/5
Mt. Olympus Rehabilitation Center	2.4 mi	Salt Lake City, UT	★★☆☆☆	1/5
Little Cottonwood Rehabilitation and Nursing	2.6 mi	South Salt Lake, UT	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Salt Lake City →

Facility data as of CMS processing date 2026-08-01. CCN 465139.

The Care File

Visit checklist — Monument Healthcare Millcreek

1201 East 4500 South, Salt Lake City, UT 84117 · 8012613664

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 465139 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)