Monument Healthcare Stonecreek
523 North Main Street, Bountiful, UT 84010 · Davis County · 122 certified beds · avg 77 residents/day · certified since Jul 16, 2004
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: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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)
▲ Actual harm, one-off · Jan 3, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Feb 1, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2020 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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 8, 2020 (Past Non-Compliance)
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 |
|---|---|---|
| Jun 25, 2026 | 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. · from a complaint |
| Jan 5, 2026 | 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 |
| Jan 5, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jan 5, 2026 | 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 |
| Apr 29, 2024 | 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. |
| Apr 29, 2024 | 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. |
| Apr 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 29, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Jan 3, 2024 | ▲ G · Actual 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 |
| Jan 3, 2024 | 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 |
| Feb 20, 2020 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 6 | 1 | G ▲ |
| 2024 | 6 | 1 | G ▲ |
| 2026 | 4 | 0 | 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) | 3.43 | 3.87 | 3.95 | bottom 36% in Utah; bottom 33% in the U.S. |
| Registered Nurse hours | 1.35 | 1.17 | 0.69 | top 24% in Utah; top 6% in the U.S. |
| Weekend total nurse staffing | 3.02 | 3.39 | 3.50 | bottom 39% in Utah; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.04 | 0.88 | 0.48 | top 22% in Utah; top 5% in the U.S. |
| Total nursing staff turnover (%) | 53.8 | 50.7 | 45.8 | bottom 41% in Utah; bottom 28% in the U.S. |
| RN turnover (%) | 43.3 | 40.6 | 42.9 | bottom 46% in Utah; bottom 46% 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 3.54, RN 1.39, weekend 3.11. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clawson, Travis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Clawson, Travis | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Fragoso, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Fragoso, Lindsay | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Galindo, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Galindo, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Gunnison Valley Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Gunnison Valley Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Health Group Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Health Group Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Marriott, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Marriott, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Merkley, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2026 |
| Merkley, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/16/2026 |
| Monument Health Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Monument Health Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Monument Health Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Monument Real Estate North Bountiful LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Murray, Brian | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2020 |
| Murray, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What mental health services do you provide on-site, and who delivers them?"
- "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 | 0.9 mi | Bountiful, UT | ★★★★★ | 4/5 | |
| Monument Healthcare Bountiful | 2.4 mi | Bountiful, UT | ★★★☆☆ | 2/5 | |
| Midtown Manor | 9.1 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | |
| City Creek Post Acute | 9.3 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Maple Ridge Rehabilitation and Nursing | 9.4 mi | Salt Lake City, UT | ★☆☆☆☆ | 2/5 | abuse |
| Pine Creek Rehabilitation and Nursing | 9.9 mi | Salt Lake City, UT | ★★★☆☆ | 2/5 | abuse |
| William E Christofferson Salt Lake Veterans Home | 10.0 mi | Salt Lake City, UT | ★★★★★ | 4/5 | |
| St Joseph Villa | 11.5 mi | Salt Lake City, UT | ★★★☆☆ | 3/5 | |
| Monument Healthcare South Salt Lake | 12.3 mi | Salt Lake City, UT | ★☆☆☆☆ | 1/5 | SFF |
| Meadow Brook Rehabilitation and Nursing | 12.6 mi | Salt Lake City, UT | ★★☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 465156.