Salt Lake County nursing home profile
Monument Healthcare Cottonwood Creek
CMS public datasets and CMS inspection records. Measurements are attributed to source files. Nothing here is medical, legal or financial advice.
Where these numbers come from, and what they cannot tell you
Public CMS nursing home and provider datasets, CMS inspection records, and provider-family source captures. These are historical measurements and official-source excerpts, not medical advice, not quality recommendations, not proof of plan network status, and not a check on what any Medicare plan covers. Resting Sycamore is not Medicare.gov and is not endorsed by any government agency.
What does CMS report about Monument Healthcare Cottonwood Creek at a glance?
The basics, current CMS ratings, and attributed flags in one place.
identity
Monument Healthcare Cottonwood Creek
1205 East 4725 South, Salt Lake City, UT 84117 · 8012622908
77 certified beds · For profit - Corporation · Medicare and Medicaid certified
77 certified beds · For profit - Corporation · Medicare and Medicaid certified
CMS star ratings with state percentile
tick = UT median. Ratings are assigned by CMS.
signal chips
Abuse indicator NoSpecial Focus Facility NoSFF candidate list NoDays with no RN on site 0%Fines, 3 yr $17,940trajectory and survey clock
8 QUARTER TREND
Not enough history in available CMS data snapshotCurrent CMS overall rating: 3
LAST INSPECTED
2024-04-042024-04-04. 846 days before the CMS release date.
Attribution. Adverse signals on this page are CMS-attributed measurements from public source snapshots, not Resting Sycamore conclusions.
What stands out in the CMS data for Monument Healthcare Cottonwood Creek?
A short, field-derived read of the measures surfaced on this page.
Quick read
Monument Healthcare Cottonwood Creek is a 77 bed For profit - Corporation nursing facility in Salt Lake City, UT. No measure on this facility's public record stands out as above average for UT. Weekend staffing ran about 14.7% below weekday staffing. If you are considering this facility, the tour questions below were selected from these specific findings.
How does staffing look in the CMS payroll data?
Daily payroll data supports the staffing, weekend and temporary-staff measurements.
care minutes per resident per day, by role
Case-mix adjusted CMS values. Raw total nursing HPRD: 3.51.
weekend gap, derived from PBJ daily rows
Mon
3.71
Tue
3.72
Wed
3.76
Thu
3.64
Fri
3.5
Sat
3.12
Sun
3.14
Weekday 3.67 hrs · Weekend 3.13 hrs · 14.7% lower on weekends
stability and coverage
| Measure | Here | UT |
|---|---|---|
| Administrators departed, 12 mo | 1 | not benchmarked |
| Hours from temporary staff | 0% | 2.8% |
| Days with no RN on site | 0% | not benchmarked |
state staffing standard
UT standard shown for context: 2.5 direct-care HPRD · Utah R432-151-20 nursing staffing standard, 2.5 nursing hours per resident day with a licensed-nursing component, as referenced in the RSA facility standards baseline. CMS total nursing HPRD and the state direct-care standard are not identical calculations.
What did recent inspections cite, and is official narrative available?
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G 1
H
I
No harm, potential
D 3
E 2
F
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 6, then 13, then 9. Latest survey date: 2024-04-04.
Repeat citations
| Tag | Plain English | Previous | Latest | Sev |
|---|---|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | prior cycle | latest cycle | G |
CMS data shows 1 repeat deficiency tags between the latest two cycles.
Recent citations
| Date | Tag | Category | Sev | Found how | Corrected |
|---|---|---|---|---|---|
| 2024-04-04 | F0584 | Resident Rights Deficiencies | E | standard | 2024-04-25 |
| 2024-04-04 | F0600 | Resident protection deficiencies | D | complaint | 2024-03-25 |
| 2024-04-04 | F0609 | Resident protection deficiencies | E | standard | 2024-03-15 |
| 2024-04-04 | F0677 | Quality of Life and Care Deficiencies | D | standard | 2024-04-25 |
| 2024-04-04 | F0689 | Quality of Life and Care Deficiencies | G | standard | 2024-04-25 |
| 2024-04-04 | F0758 | Pharmacy Service Deficiencies | D | standard | 2024-04-25 |
Official CMS inspection narrative
F0584 · 2024-04-04 · severity E
Official inspection narrative not available for this citation.
F0600 · 2024-04-04 · severity D
Official inspection narrative not available for this citation.
F0609 · 2024-04-04 · severity E
Official inspection narrative not available for this citation.
F0677 · 2024-04-04 · severity D
Official inspection narrative not available for this citation.
F0689 · 2024-04-04 · severity G
Official inspection narrative not available for this citation.
F0758 · 2024-04-04 · severity D
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
This section preserves official CMS inspection text matched to this facility from the current provider page source.
B6-INSP Inspections and official narratives P1 DIFF CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates. CMS scope and severity Isolated Pattern Widespread Immediate jeopardy J K L Actual harm G 1 H I No harm, potential D 3 E 2 F Minimal harm A B C Shaded cells were cited in the latest survey cycle. Down and right is more serious. Deficiency trend Health deficiencies by cycle: 6, then 13, then 9 . Latest survey date: 2024-04-04. Repeat citations Tag Plain English Previous Latest Sev F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle G CMS data shows 1 repeat deficiency tags between the latest two cycles. Recent citations Date Tag Category Sev Found how Corrected 2024-04-04 F0584 Resident Rights Deficiencies E standard 2024-04-25 2024-04-04 F0600 Resident protection deficiencies D complaint 2024-03-25 2024-04-04 F0609 Resident protection deficiencies E standard 2024-03-15 2024-04-04 F0677 Quality of Life and Care Deficiencies D standard 2024-04-25 2024-04-04 F0689 Quality of Life and Care Deficiencies G standard 2024-04-25 2024-04-04 F0758 Pharmacy Service Deficiencies D standard 2024-04-25 Official CMS inspection narrative F0584 · 2024-04-04 · severity E Official inspection narrative not available for this citation. F0600 · 2024-04-04 · severity D Official inspection narrative not available for this citation. F0609 · 2024-04-04 · severity E Official inspection narrative not available for this citation. F0677 · 2024-04-04 · severity D Official inspection narrative not available for this citation. F0689 · 2024-04-04 · severity G Official inspection narrative not available for this citation. F0758 · 2024-04-04 · severity D Official inspection narrative not available for this citation. CMS Form 2567 inspection report text The inspection text below is attributed to CMS Form 2567 records when a matching official source is available. Inspection Report: 2024-04-04 This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection. Each 6 is a federal standard the facility failed to meet. Read the full inspection report Survey: 2024-04-04 | Tag F0584 | Resident Rights Deficiencies | Severity: E 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. --- Survey: 2024-04-04 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. --- Survey: 2024-04-04 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2024-04-04 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-04-04 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D 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. --- Survey: 2024-04-04 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. --- Survey: 2022-05-05 | Tag F0550 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2022-05-05 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. --- Survey: 2022-05-05 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D 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. --- Survey: 2022-05-05 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2022-05-05 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G Provide enough food/fluids to maintain a resident's health. --- Survey: 2022-05-05 | Tag F0744 | Quality of Life and Care Deficiencies | Severity: E Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. --- Survey: 2022-05-05 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2022-05-05 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D Ensure each resident’s drug regimen must be free from unnecessary drugs. --- Survey: 2022-05-05 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2022-05-05 | Tag F0867 | Administration Deficiencies | Severity: E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. --- Survey: 2022-05-05 | Tag F0880 | Infection Control Deficiencies | Severity: E Provide and implement an infection prevention and control program. --- Survey: 2022-05-05 | Tag F0883 | Infection Control Deficiencies | Severity: D Develop and implement policies and procedures for flu and pneumonia vaccinations. --- Survey: 2022-05-05 | Tag F0887 | Infection Control Deficiencies | Severity: E 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. --- Survey: 2019-12-05 | Tag F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. --- Survey: 2019-12-05 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. --- Survey: 2019-12-05 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. --- Survey: 2019-12-05 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D Provide appropriate treatment and care according to orders, resident’s preferences and goals. --- Survey: 2019-12-05 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2019-12-05 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. --- Survey: 2019-12-05 | Tag F0744 | Quality of Life and Care Deficiencies | Severity: D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. --- Survey: 2019-12-05 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E 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. --- Survey: 2019-12-05 | Tag F0880 | Infection Control Deficiencies | Severity: D Provide and implement an infection prevention and control program. Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection. Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
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Who does CMS report as owning or operating this facility?
Ownership data is shown as CMS-reported structure. Low-confidence chain claims are suppressed.
chain rollup, CMS-corroborated
This facility is one of 11 nursing homes in the CMS chain field for MONUMENT HEALTH GROUP.
CHAIN AVG STARS
2.8CHAIN AVG TURNOVER
47.6%CHAIN FINES
$312,311BELOW 3 STARS
4ownership structure
| Owner | Type | Role | % | Since |
|---|---|---|---|---|
| CLAWSON, TRAVIS | individual | ADP OF THE SNF | not reported | — |
| ESPINOSA, STEPHANIE | individual | ADP OF THE SNF | not reported | — |
| FRAGOSO, LINDSAY | individual | ADP OF THE SNF | not reported | — |
| GUNNISON VALLEY HOSPITAL | organization | ADP OF THE SNF | not reported | — |
| HEALTH GROUP MANAGEMENT LLC | management_company | ADP OF THE SNF | not reported | — |
| MARRIOTT, STEPHEN | individual | ADP OF THE SNF | not reported | — |
| MCKINNIE-REDMOND, FAITH | individual | ADP OF THE SNF | not reported | — |
| MONUMENT HEALTH GROUP LLC | organization | ADP OF THE SNF | not reported | — |
| MONUMENT HEALTH PROPERTIES LLC | organization | ADP OF THE SNF | not reported | — |
| MONUMENT REAL ESTATE COTTONWOOD CREEK LLC | organization | ADP OF THE SNF | not reported | — |
Ownership change on record: 2020-07-01. Correlation claims are not made.
sibling facilities, internal linking
| Other homes, same owner | State | Stars | Turnover | Fines 3 yr |
|---|---|---|---|---|
| Monument Healthcare American Fork | UT | 3 | 50% | $35,437 |
| Monument Healthcare Canyon Rim | UT | 3 | 51.9% | $6,676 |
| Monument Healthcare Millcreek | UT | 4 | 46.9% | $0 |
| Monument Healthcare Murray Creek | UT | 2 | 42.2% | $120,948 |
| Monument Healthcare South Salt Lake | UT | 1 | 47.2% | $36,546 |
| Monument Healthcare Taylorsville | UT | 2 | Not reported | $7,525 |
Ownership information is self-reported to CMS. Entity-resolution confidence for this page: high. No chain averages are emitted at low confidence.
What questions should you bring on a facility tour?
Use these as practical questions for a facility tour or follow-up call.
selected from this building's own data
| Because the data shows | Ask them |
|---|---|
| Weekend staffing runs 14.7% below weekday staffing | “Who is on the floor on a Saturday night, and how many residents does each aide cover then?” |
| Falls with major injury are 9.2% against 2.5% statewide | “What is your fall prevention process, and how quickly are call bells answered on this unit?” |
| This facility is one of 11 run by the same owner group | “Who makes staffing and budget decisions for this building, the administrator here or the corporate office?” |
| Always worth asking on a facility tour | “How many residents is one aide responsible for on days, evenings and nights?” |
| Always worth asking on a facility tour | “What are your visiting hours, and may I visit unannounced?” |
| Always worth asking on a facility tour | “How often is the care plan reviewed, and how am I included in it?” |
Download the printable checklistEmail me a copyAdd my own questions
Which nearby facilities are reasonable alternatives to compare?
This facility stays first, followed by nearby facilities in the current verified provider page set.
sortable, this facility pinned row 1
| Facility | Miles | Stars | RN min | Turnover | Went home | Readmit | Fines 3yr |
|---|---|---|---|---|---|---|---|
| Monument Healthcare Cottonwood Creek (this one) | 0 | 3 | 57 | Not reported | — | — | $17,940 |
| Maple Ridge Rehabilitation and Nursing | 0 | 1 | 37 | 72.4% | Not reported | — | $11,887 |
| City Creek Post Acute | 0.5 | 3 | Not reported | — | — | — | $0 |
| William E Christofferson Salt Lake Veterans Home | 2.1 | 5 | 119 | 38.5% | Not reported | — | $12,735 |
| Pine Creek Rehabilitation and Nursing | 2.1 | 3 | 55 | 80% | Not reported | — | $56,121 |
| St Joseph Villa | 2.3 | 3 | 57 | 31.2% | Not reported | — | $0 |
| Aspen Ridge West Transitional Rehab | 7 | 5 | 73 | 43.4% | Not reported | — | $0 |
| Aspen Ridge Transitional Rehab | 8.9 | 5 | 91 | 39.6% | Not reported | — | $0 |
Where did this provider data come from, and how can it be corrected?
every dataset, dated
| Dataset | Released | Cadence |
|---|---|---|
| Nursing Home Chain Performance Measures Jun 2026 | 2026-07-15 | periodic |
| Fire Safety Deficiencies | 2026-07-29 | monthly |
| SNF Cost Report 2023 | 2025-12-19 | annual |
| Health Deficiencies | 2026-07-29 | monthly |
| PBJ Daily Nurse Staffing Q1 2026 | 2026-07-29 | quarterly |
| Penalties | 2026-07-29 | monthly |
| Provider Information | 2026-07-29 | monthly |
| Medicare Claims Quality Measures | 2026-07-29 | quarterly |
| MDS Quality Measures | 2026-07-29 | quarterly |
| Ownership | 2026-07-29 | quarterly |
| SNF CHOW Q2 2026 | 2026-07-27 | quarterly |
| Special Focus Facility list + candidate list via Provider Information Special Focus Status field | 2026-07-29 | monthly |
| Survey Summary | 2026-07-29 | monthly |
Data source: CMS, releases as dated above.
methods and corrections
Percentiles are computed from CMS fields in the same source snapshot. Repeat citations are a self-join on CCN and F-tag across consecutive survey cycles. Chain grouping uses CMS chain fields and CMS ownership rows, biased to low confidence when uncertain. Ownership information is self-reported to CMS.
Not connected with or endorsed by the United States government or the federal Medicare program.
Not connected with or endorsed by the United States government or the federal Medicare program.
This form prepares a copy-ready correction request. Final intake, review, and page changes remain part of the approved human correction/removal process.
method questions
Where does this data come from? Data source: CMS public datasets, with release dates listed above.
How can a facility operator request a correction? Use this form to request a correction or removal.
What disclosures apply to this facility page?
required disclosures, verbatim
Not connected with or endorsed by the United States government or the federal Medicare program · Data source: CMS, with release dates · Ownership information is self-reported to CMS · Request a correction · Nothing here is medical, legal or financial advice