CareSentinel

Federal Nursing-Home Survey Record

Monument Healthcare Millcreek

CCN 465139 · 1201 East 4500 South, Salt Lake City, UT, 84117 · Operated within the MONUMENT HEALTH GROUP chain

Does Monument Healthcare Millcreek 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 Millcreek (CCN 465139), in Salt Lake City, UT, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 10 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. 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. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

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).

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

This facility: 4  ·  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

2026-01-21
CURRENT CYCLE
F694S/S D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

2026-01-21
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-11-20
CURRENT CYCLE
F919S/S E

Make sure that a working call system is available in each resident's bathroom and bathing area.

2025-11-20
CURRENT CYCLE
F757S/S E

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

2025-11-20
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-11-20
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-11-20
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-11-20
CURRENT CYCLE
F773S/S D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

2025-11-20
CURRENT CYCLE
F779S/S D

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

2025-11-20
CURRENT CYCLE
F684S/S D

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

2023-11-02
HISTORICAL
F689S/S E

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

2023-11-02
HISTORICAL
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2023-11-02
HISTORICAL
F677S/S D

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

2023-11-02
HISTORICAL
F584S/S D

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.

2023-11-02
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.

2023-11-02
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2023-07-20
HISTORICAL
F609S/S D

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

2023-07-20
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

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 Millcreek?

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

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The resident is…