Monument Healthcare Millcreek
Grade B — 81/100 composite score
CMS Star Ratings
Certified Beds
120
Ownership
For profit - Limited Liability company
Total Fines
None
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
MILFORD AREA HEALTH CARE SERVICE DISTRICT #3
100%
BEAVER VALLEY HOSPITAL
HEALTH GROUP MANAGEMENT LLC
ALLEN, RICHARD
CARTER, LAUREL
CLAWSON, TRAVIS
DEVASHRAYEE, TRAVIS
DOTSON, WARD
ESPINOSA, STEPHANIE
FRAGOSO, LINDSAY
IZATT, BRENDA
MAYER, SHAUNA
MOSS, TYLER
ROBERTSON, BRETT
SAMUELIAN, SPENCER
SEASTRAND, JASON
SYMOND, SCOTT
WEST, CHRISTIAN
WISEMAN, BRANDON
DANSIE, GUY
LANGFORD, SCOTT
MOSS, TYLER
MONUMENT HEALTH PROPERTIES LLC
MONUMENT REAL ESTATE MILLCREEK LLC
Penalties & Fines
No penalties or fines on record.
Health Inspection Deficiencies (23)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Administration Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
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
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Nutrition and Dietary Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for Monument Healthcare Millcreek?
Monument Healthcare Millcreek in Salt Lake City, Utah has a CareGrader grade of B (Good), with a composite score of 81.3 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 Millcreek?
Monument Healthcare Millcreek has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Monument Healthcare Millcreek have?
Monument Healthcare Millcreek has 23 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.
How many beds does Monument Healthcare Millcreek have?
Monument Healthcare Millcreek has 120 certified beds with approximately 80 current residents (67% occupancy). The facility is located at 1201 East 4500 South, Salt Lake City, Utah 84117. It is a for profit - limited liability company 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.