C71

Monument Healthcare Cottonwood Creek

Grade C 71/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

77

Ownership

For profit - Corporation

Total Fines

$17,940

Last Survey

N/A

1205 East 4725 South, Salt Lake City, UT 84117
8012622908

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.56h
LPN
0.89h
CNA
2.01h
Total
3.46h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GUNNISON VALLEY HOSPITAL

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2020

100%

GUNNISON VALLEY HOSPITAL

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

HEALTH GROUP MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MONUMENT HEALTH GROUP LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

CLAWSON, TRAVIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

ESPINOSA, STEPHANIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

FRAGOSO, LINDSAY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

MARRIOTT, STEPHEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MCKINNIE-REDMOND, FAITH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MORRIS, JACE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MURRAY, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2020

ROBERTSON, BRETT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

SAMUELIAN, SPENCER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

SEASTRAND, JASON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

WEST, CHRISTIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

WORKMAN, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MURRAY, BRIAN

IndividualCORPORATE OFFICERSince Jul 2020

Penalties & Fines (1)

$17,940total fines
DateTypeDescriptionAmount
Apr 4, 2024Fine$17,940

Health Inspection Deficiencies (28)

April 4, 2024Health6 deficiencies1 severe
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Apr 25, 2024
0609EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 15, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 25, 2024
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 25, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 25, 2024
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 25, 2024
May 5, 2022Health13 deficiencies2 severe
0550EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Jun 9, 2022
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 9, 2022
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 9, 2022
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 9, 2022
0692GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 9, 2022
0744EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jun 9, 2022
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 9, 2022
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 9, 2022
0770DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Jun 9, 2022
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Jun 9, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 9, 2022
0883DMinimal harm, Isolated

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

Infection Control Deficiencies

Corrected Jun 9, 2022
0887EMinimal harm, Pattern

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.

Infection Control Deficiencies

Corrected Jun 9, 2022
December 5, 2019Health9 deficiencies
0604DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 20, 2020
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 17, 2020
0676DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 20, 2020
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 17, 2020
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 20, 2020
0725EMinimal harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Jan 15, 2020
0744DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 20, 2020
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jan 17, 2020
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 16, 2020

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Frequently Asked Questions

What is the CareGrader rating for Monument Healthcare Cottonwood Creek?

Monument Healthcare Cottonwood Creek in Salt Lake City, Utah has a CareGrader grade of C (Average), with a composite score of 70.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Monument Healthcare Cottonwood Creek?

Monument Healthcare Cottonwood Creek has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Monument Healthcare Cottonwood Creek have?

Monument Healthcare Cottonwood Creek has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Monument Healthcare Cottonwood Creek been fined?

Yes. Monument Healthcare Cottonwood Creek has $17,940 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Monument Healthcare Cottonwood Creek have?

Monument Healthcare Cottonwood Creek has 77 certified beds with approximately 66 current residents (86% occupancy). The facility is located at 1205 East 4725 South, Salt Lake City, Utah 84117. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.