Public Record
Monument Healthcare Millcreek
Operated by Monument Health Group
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 120
- Avg. residents per day
- 85.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 18
- Fire safety findings
- 2
- Inspections on file
- 5
- Last inspection
- 2026-01-21
*CMS
*CMS
*CMS
*CMS
Citations
18 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0773Generalpotential for harm
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- 0779Generalpotential for harm
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0584Generalpotential for harm
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.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection2 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
Ownership
Monument Health Group
11nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Monument Healthcare Millcreek?
- Monument Healthcare Millcreek is a Medicare- and Medicaid-certified nursing home in Salt Lake City, UT, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 465139.
- What is the CMS rating for Monument Healthcare Millcreek?
- Monument Healthcare Millcreek has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Monument Healthcare Millcreek have?
- Monument Healthcare Millcreek is certified for 120 beds. It serves an average of 85.1 residents per day.
- How many citations does Monument Healthcare Millcreek have?
- Monument Healthcare Millcreek has 18 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Monument Healthcare Millcreek last inspected?
- Monument Healthcare Millcreek was last inspected on January 21, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/465139-monument-healthcare-millcreek