Salt Lake County nursing home profile
Monument Healthcare Millcreek
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 Millcreek at a glance?
The basics, current CMS ratings, and attributed flags in one place.
identity
Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT 84117 · 8012613664
120 certified beds · For profit - Limited Liability company · Medicare and Medicaid certified
120 certified beds · For profit - Limited Liability company · 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%Nursing turnover 46.9% vs UT 50.7%Fines, 3 yr $0trajectory and survey clock
8 QUARTER TREND
Not enough history in available CMS data snapshotCurrent CMS overall rating: 4
LAST INSPECTED
2025-11-202025-11-20. 251 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 Millcreek?
A short, field-derived read of the measures surfaced on this page.
Quick read
Monument Healthcare Millcreek is a 120 bed For profit - Limited Liability company nursing facility in Salt Lake City, UT. CMS recorded no fines and no payment denials for this facility in the last three years. Weekend staffing ran about 16.6% 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: 3.74.
weekend gap, derived from PBJ daily rows
Mon
3.94
Tue
4.04
Wed
4.01
Thu
3.83
Fri
3.84
Sat
3.31
Sun
3.25
Weekday 3.94 hrs · Weekend 3.28 hrs · 16.6% lower on weekends
stability and coverage
| Measure | Here | UT |
|---|---|---|
| Total nursing turnover | 46.9% | 50.7% |
| RN turnover | 31.8% | not benchmarked |
| Administrators departed, 12 mo | 0 | not benchmarked |
| Hours from temporary staff | 2.1% | 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
H
I
No harm, potential
D 8
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: 10, then 6, then 2. Latest survey date: 2025-11-20.
Repeat citations
| Tag | Plain English | Previous | Latest | Sev |
|---|---|---|---|---|
| F0760 | Ensure that residents are free from significant medication errors. | prior cycle | latest cycle | D |
CMS data shows 1 repeat deficiency tags between the latest two cycles.
Recent citations
| Date | Tag | Category | Sev | Found how | Corrected |
|---|---|---|---|---|---|
| 2025-11-20 | F0580 | Resident Rights Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0684 | Quality of Life and Care Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0757 | Pharmacy Service Deficiencies | E | complaint | 2025-12-26 |
| 2025-11-20 | F0760 | Pharmacy Service Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0773 | Administration Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0779 | Administration Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0880 | Infection Control Deficiencies | D | complaint | 2025-12-26 |
| 2025-11-20 | F0919 | Environmental Deficiencies | E | complaint | 2025-12-26 |
Official CMS inspection narrative
F0580 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0684 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0757 · 2025-11-20 · severity E
Official inspection narrative not available for this citation.
F0760 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0773 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0779 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0880 · 2025-11-20 · severity D
Official inspection narrative not available for this citation.
F0919 · 2025-11-20 · severity E
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 H I No harm, potential D 8 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: 10, then 6, then 2 . Latest survey date: 2025-11-20. Repeat citations Tag Plain English Previous Latest Sev F0760 Ensure that residents are free from significant medication errors. prior cycle latest cycle D CMS data shows 1 repeat deficiency tags between the latest two cycles. Recent citations Date Tag Category Sev Found how Corrected 2025-11-20 F0580 Resident Rights Deficiencies D complaint 2025-12-26 2025-11-20 F0684 Quality of Life and Care Deficiencies D complaint 2025-12-26 2025-11-20 F0757 Pharmacy Service Deficiencies E complaint 2025-12-26 2025-11-20 F0760 Pharmacy Service Deficiencies D complaint 2025-12-26 2025-11-20 F0773 Administration Deficiencies D complaint 2025-12-26 2025-11-20 F0779 Administration Deficiencies D complaint 2025-12-26 2025-11-20 F0880 Infection Control Deficiencies D complaint 2025-12-26 2025-11-20 F0919 Environmental Deficiencies E complaint 2025-12-26 Official CMS inspection narrative F0580 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0684 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0757 · 2025-11-20 · severity E Official inspection narrative not available for this citation. F0760 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0773 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0779 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0880 · 2025-11-20 · severity D Official inspection narrative not available for this citation. F0919 · 2025-11-20 · severity E 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: 2025-11-20 This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection. Each 10 is a federal standard the facility failed to meet. Read the full inspection report 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.
A licensed agent — not a call center
Check whether your doctors and drugs fit before you enroll
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Licensed in Alabama, California, Ohio, Pennsylvania, Texas, Utah, New Jersey, New York, North Carolina, Michigan, and Illinois. You reach the same person every call — no transfer queue.
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 |
|---|---|---|---|---|
| MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 | organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | not reported |
| MONUMENT HEALTH PROPERTIES LLC | organization | 5% OR GREATER MORTGAGE INTEREST | not reported | — |
| MONUMENT REAL ESTATE MILLCREEK LLC | organization | 5% OR GREATER MORTGAGE INTEREST | not reported | — |
| ALLEN, RICHARD | individual | ADP OF THE SNF | not reported | — |
| CLAWSON, TRAVIS | individual | ADP OF THE SNF | not reported | — |
| DANSIE, GUY | individual | ADP OF THE SNF | not reported | — |
| DEVASHRAYEE, 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 | — |
| HEALTH GROUP MANAGEMENT LLC | management_company | ADP OF THE SNF | not reported | — |
Ownership change on record: 2024-02-01. 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 Cottonwood Creek | UT | 3 | Not reported | $17,940 |
| 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 16.6% below weekday staffing | “Who is on the floor on a Saturday night, and how many residents does each aide cover then?” |
| 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?” |
| Always worth asking on a facility tour | “Who do I call at 9pm on a Saturday if something is wrong, and who answers?” |
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 Millcreek (this one) | 0 | 4 | 64 | 46.9% | Not reported | — | $0 |
| Monument Healthcare Murray Creek | 1.1 | 2 | 53 | 42.2% | Not reported | — | $120,948 |
| Spring Creek Healthcare Center | 1.1 | 2 | 55 | 76.8% | Not reported | — | $53,472 |
| Paramount Health and Rehabilitation | 1.3 | 2 | 5 | 36% | Not reported | — | $119,012 |
| Rocky Mountain Care - Cottage on Vine | 2.1 | 3 | 58 | 70.4% | Not reported | — | $78,946 |
| Holladay Healthcare Center | 2.2 | 3 | 39 | 43.8% | Not reported | — | $0 |
| Aspen Ridge West Transitional Rehab | 2.3 | 5 | 73 | 43.4% | Not reported | — | $0 |
| Aspen Ridge Transitional Rehab | 3 | 5 | 91 | 39.6% | Not reported | — | $0 |
| William E Christofferson Salt Lake Veterans Home | 5.8 | 5 | 119 | 38.5% | Not reported | — | $12,735 |
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