CareSentinel

Federal Nursing-Home Survey Record

Monument Healthcare Cottonwood Creek

CCN 465074 · 1205 East 4725 South, Salt Lake City, UT, 84117 · Operated within the MONUMENT HEALTH GROUP chain

Does Monument Healthcare Cottonwood Creek have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Monument Healthcare Cottonwood Creek (CCN 465074), in Salt Lake City, UT, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2024-04-04. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $17,940 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$17,940

CMS has $17,940 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.4

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2024-04-04
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-04-04
CURRENT CYCLE
F609S/S E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-04-04
CURRENT CYCLE
F584S/S E

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.

2024-04-04
CURRENT CYCLE
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2024-04-04
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-04-04
CURRENT CYCLE
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2022-05-05
HISTORICAL
F692S/S G

Provide enough food/fluids to maintain a resident's health.

2022-05-05
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-05-05
HISTORICAL
F887S/S E

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2022-05-05
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2022-05-05
HISTORICAL
F744S/S E

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2022-05-05
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2022-05-05
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-05-05
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2022-05-05
HISTORICAL
F688S/S D

Provide 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.

2022-05-05
HISTORICAL
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2022-05-05
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2022-05-05
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2022-05-05
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2019-12-05
HISTORICAL
F761S/S E

Ensure 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.

2019-12-05
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2019-12-05
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2019-12-05
HISTORICAL
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2019-12-05
HISTORICAL
F604S/S D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2019-12-05
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2019-12-05
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2019-12-05
HISTORICAL
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2019-12-05
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Monument Healthcare Cottonwood Creek?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…