Monument Healthcare Cottonwood Creek – Nursing Home, Salt Lake City, Utah

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.

Explore nursing home Monument Healthcare Cottonwood Creek performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in Salt Lake City. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.

Main info

Name
Monument Healthcare Cottonwood Creek
Address
1205 East 4725 South, Salt Lake City, UT 84117
Federal Provider Number
465074
Phone
(801) 262-2908
Ownership Type
For profit - Corporation
Certified Beds
77
Residents in Certified Beds
65.5
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
GUNNISON VALLEY HOSPITAL
Date of First Medicare/Medicaid Approval
1980-05-16
Continuing Care Retirement Community
Data current as of
31 May 2026

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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.

MetricThis facilityUT averagePeer best (city)
Overall CMS stars33.383
Health inspection22.813
Staffing23.043
Quality measures54.515
Certified beds7785.2
Citations on file (health + fire)87~9.6 health*

* State deficiency average uses CMS rating-cycle health deficiency counts.

Owners information

NameRole DescriptionTypeOwnership PercentageAssociation Date
WEST, CHRISTIAN ROPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
WEST, CHRISTIAN RADP OF THE SNFIndividual-02/07/2025
MCKINNIE-REDMOND, FAITHOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
MCKINNIE-REDMOND, FAITHADP OF THE SNFIndividual-02/07/2025
WORKMAN, DAVID HOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
WORKMAN, DAVID HADP OF THE SNFIndividual-02/07/2025
GUNNISON VALLEY HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100.0007/01/2020
GUNNISON VALLEY HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganization-02/07/2025
GUNNISON VALLEY HOSPITALADP OF THE SNFOrganization-03/24/2025
SAMUELIAN, SPENCER ROPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
SAMUELIAN, SPENCER RADP OF THE SNFIndividual-02/07/2025
MONUMENT HEALTH GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganization-02/07/2025
MONUMENT HEALTH GROUP LLCADP OF THE SNFOrganization-03/24/2025
ESPINOSA, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
ESPINOSA, STEPHANIEADP OF THE SNFIndividual-02/07/2025
MONUMENT REAL ESTATE COTTONWOOD CREEK LLCADP OF THE SNFOrganization-02/07/2025
MONUMENT HEALTH PROPERTIES LLCADP OF THE SNFOrganization-02/07/2025
MARRIOTT, STEPHEN BLAKEOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
MARRIOTT, STEPHEN BLAKEADP OF THE SNFIndividual-02/07/2025
MURRAY, BRIAN CCORPORATE OFFICERIndividual-07/01/2020
MURRAY, BRIAN COPERATIONAL/MANAGERIAL CONTROLIndividual-07/01/2020
MURRAY, BRIAN CADP OF THE SNFIndividual-07/01/2020
SEASTRAND, JASON JOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
SEASTRAND, JASON JADP OF THE SNFIndividual-02/07/2025
FRAGOSO, LINDSAYOPERATIONAL/MANAGERIAL CONTROLIndividual-05/10/2021
FRAGOSO, LINDSAYADP OF THE SNFIndividual-05/10/2021
MORRIS, JACEOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
MORRIS, JACEADP OF THE SNFIndividual-02/07/2025
ROBERTSON, BRETT POPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
ROBERTSON, BRETT PADP OF THE SNFIndividual-02/07/2025
CLAWSON, TRAVISOPERATIONAL/MANAGERIAL CONTROLIndividual-02/07/2025
CLAWSON, TRAVISADP OF THE SNFIndividual-02/07/2025
HEALTH GROUP MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganization-02/07/2025
HEALTH GROUP MANAGEMENT LLCADP OF THE SNFOrganization-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

D: 48
E: 30
G: 9

Health deficiencies

DateTagSeverityTypeDescription
2024-04-04F758
DMinimal harm, isolated
HealthImplement 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.
2024-04-04F758
DMinimal harm, isolated
HealthImplement 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.
2024-04-04F758
DMinimal harm, isolated
HealthImplement 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.
2024-04-04F689
GActual harm, isolated
HealthEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-04F689
GActual harm, isolated
HealthEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-04F689
GActual harm, isolated
HealthEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-04F677
DMinimal harm, isolated
HealthProvide care and assistance to perform activities of daily living for any resident who is unable.
2024-04-04F677
DMinimal harm, isolated
HealthProvide care and assistance to perform activities of daily living for any resident who is unable.
2024-04-04F677
DMinimal harm, isolated
HealthProvide care and assistance to perform activities of daily living for any resident who is unable.
2024-04-04F609
EMinimal harm, pattern
HealthTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-04-04F609
EMinimal harm, pattern
HealthTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-04-04F609
EMinimal harm, pattern
HealthTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-04-04F600
DMinimal harm, isolated
HealthProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-04F600
DMinimal harm, isolated
HealthProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-04F600
DMinimal harm, isolated
HealthProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-04F584
EMinimal harm, pattern
HealthHonor 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.
2024-04-04F584
EMinimal harm, pattern
HealthHonor 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.
2024-04-04F584
EMinimal harm, pattern
HealthHonor 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.
2022-05-05F887
EMinimal harm, pattern
HealthEducate 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.
2022-05-05F887
EMinimal harm, pattern
HealthEducate 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.

Fire safety deficiencies

DateTagSeverityTypeDescription
2019-12-05E4
DMinimal harm, isolated
Fire SafetyDevelop and maintain an Emergency Preparedness Program (EP).
2019-12-05E4
DMinimal harm, isolated
Fire SafetyDevelop and maintain an Emergency Preparedness Program (EP).
2019-12-05E4
DMinimal harm, isolated
Fire SafetyDevelop and maintain an Emergency Preparedness Program (EP).

Additional information

Get more details on Monument Healthcare Cottonwood Creek, including health inspection results, staffing levels, and facility amenities. Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables

Quality Ratings

NameValue
Overall Rating3
Health Inspection Rating2
Quality of Resident Care Rating5
Quality of Resident Care Rating (Long Stay)5
Quality of Resident Care Rating (Short Stay)5
Staffing Rating2
RN Staffing Rating3
Reported CNA Staffing Hours per Resident per Day2.68775
Reported LPN Staffing Hours per Resident per Day0.34927
Reported RN Staffing Hours per Resident per Day0.84829
Reported Licensed Staffing Hours per Resident per Day1.19756
Reported Total Nurse Staffing Hours per Resident per Day3.3849
Reported Physical Therapist Staffing Hours per Resident per Day0.00417
Casemix CNA Staffing Hours per Resident per Day2.156
Casemix LPN Staffing Hours per Resident per Day0.8065
Casemix RN Staffing Hours per Resident per Day0.43881
Casemix Total Nurse Staffing Hours per Resident per Day3.40131
Adjusted CNA Staffing Hours per Resident per Day2.5736
Adjusted LPN Staffing Hours per Resident per Day0.3969
Adjusted RN Staffing Hours per Resident per Day0.96396
Adjusted Total Nurse Staffing Hours per Resident per Day3.84647

Health Inspection and Deficiency Ratings

NameValue
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

NameValue
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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