Monument Healthcare Cottonwood Creek – Nursing Home, Salt Lake City, Utah
Medicare and Medicaid
Nursing homes in Salt Lake City, UT → · Recently updated in UT →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 4 April 2024 · 84 health and 3 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
1205 East 4725 South
Salt Lake City, UT 84117
Phone: (801) 262-2908
Compare to UT average
See how this facility compares to the UT state average among rated nursing homes (98 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | UT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 3.38 | 3 |
| Health inspection | 2 | 2.81 | 3 |
| Staffing | 2 | 3.04 | 3 |
| Quality measures | 5 | 4.51 | 5 |
| Certified beds | 77 | 85.2 | — |
| Citations on file (health + fire) | 87 | ~9.6 health* | — |
- City Creek Post Acute — 3★ overall
- Holladay Healthcare Center — 3★ overall
- Maple Ridge Rehabilitation and Nursing — 2★ overall
- Meadow Brook Rehabilitation and Nursing — 1★ overall
- Midtown Manor — 3★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| WEST, CHRISTIAN R | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| WEST, CHRISTIAN R | ADP OF THE SNF | Individual | - | 02/07/2025 |
| MCKINNIE-REDMOND, FAITH | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| MCKINNIE-REDMOND, FAITH | ADP OF THE SNF | Individual | - | 02/07/2025 |
| WORKMAN, DAVID H | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| WORKMAN, DAVID H | ADP OF THE SNF | Individual | - | 02/07/2025 |
| GUNNISON VALLEY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 07/01/2020 |
| GUNNISON VALLEY HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 02/07/2025 |
| GUNNISON VALLEY HOSPITAL | ADP OF THE SNF | Organization | - | 03/24/2025 |
| SAMUELIAN, SPENCER R | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| SAMUELIAN, SPENCER R | ADP OF THE SNF | Individual | - | 02/07/2025 |
| MONUMENT HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 02/07/2025 |
| MONUMENT HEALTH GROUP LLC | ADP OF THE SNF | Organization | - | 03/24/2025 |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| ESPINOSA, STEPHANIE | ADP OF THE SNF | Individual | - | 02/07/2025 |
| MONUMENT REAL ESTATE COTTONWOOD CREEK LLC | ADP OF THE SNF | Organization | - | 02/07/2025 |
| MONUMENT HEALTH PROPERTIES LLC | ADP OF THE SNF | Organization | - | 02/07/2025 |
| MARRIOTT, STEPHEN BLAKE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| MARRIOTT, STEPHEN BLAKE | ADP OF THE SNF | Individual | - | 02/07/2025 |
| MURRAY, BRIAN C | CORPORATE OFFICER | Individual | - | 07/01/2020 |
| MURRAY, BRIAN C | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2020 |
| MURRAY, BRIAN C | ADP OF THE SNF | Individual | - | 07/01/2020 |
| SEASTRAND, JASON J | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| SEASTRAND, JASON J | ADP OF THE SNF | Individual | - | 02/07/2025 |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/10/2021 |
| FRAGOSO, LINDSAY | ADP OF THE SNF | Individual | - | 05/10/2021 |
| MORRIS, JACE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| MORRIS, JACE | ADP OF THE SNF | Individual | - | 02/07/2025 |
| ROBERTSON, BRETT P | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| ROBERTSON, BRETT P | ADP OF THE SNF | Individual | - | 02/07/2025 |
| CLAWSON, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/07/2025 |
| CLAWSON, TRAVIS | ADP OF THE SNF | Individual | - | 02/07/2025 |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 02/07/2025 |
| HEALTH GROUP MANAGEMENT LLC | ADP OF THE SNF | Organization | - | 03/24/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
87 citations on file · Latest survey: 4 April 2024 · 84 health · 3 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-04-04 | F758 | D — Minimal harm, isolated | Health | 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 | F758 | D — Minimal harm, isolated | Health | 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 | F758 | D — Minimal harm, isolated | Health | 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 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-04-04 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-04-04 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-04-04 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2024-04-04 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2024-04-04 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2024-04-04 | F609 | E — Minimal harm, pattern | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-04-04 | F609 | E — Minimal harm, pattern | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-04-04 | F609 | E — Minimal harm, pattern | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-04-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-04-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-04-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-04-04 | F584 | E — Minimal harm, pattern | Health | 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 | F584 | E — Minimal harm, pattern | Health | 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 | F584 | E — Minimal harm, pattern | Health | 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. |
| 2022-05-05 | F887 | E — Minimal harm, pattern | Health | 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 | F887 | E — Minimal harm, pattern | Health | 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. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2019-12-05 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2019-12-05 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2019-12-05 | E4 | D — Minimal harm, isolated | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 2 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 2.68775 |
| Reported LPN Staffing Hours per Resident per Day | 0.34927 |
| Reported RN Staffing Hours per Resident per Day | 0.84829 |
| Reported Licensed Staffing Hours per Resident per Day | 1.19756 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.3849 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.00417 |
| Casemix CNA Staffing Hours per Resident per Day | 2.156 |
| Casemix LPN Staffing Hours per Resident per Day | 0.8065 |
| Casemix RN Staffing Hours per Resident per Day | 0.43881 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.40131 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.5736 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.3969 |
| Adjusted RN Staffing Hours per Resident per Day | 0.96396 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.84647 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-12-05 |
Date of Standard Health Survey (Cycle 2) | 2018-09-17 |
Total Number of Health Deficiencies (Cycle 1) | 9 |
Number of Standard Health Deficiencies (Cycle 1) | 9 |
Health Deficiency Score (Cycle 1) | 44 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 44 |
Total Number of Health Deficiencies (Cycle 2) | 15 |
Number of Standard Health Deficiencies (Cycle 2) | 15 |
Health Deficiency Score (Cycle 2) | 84 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 84 |
Date of Standard Health Survey (Cycle 3) | 2018-03-22 |
Total Number of Health Deficiencies (Cycle 3) | 37 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Complaint Health Deficiencies (Cycle 3) | 32 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 268 |
Total Health Score (Cycle 3) | 268 |
Total Weighted Health Survey Score | 63 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 2 |
Number of Substantiated Complaints | 1 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 17940 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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