Nursing Care Index

Monument Healthcare Cottonwood Creek

Salt Lake City, Salt Lake County, Utah · CCN 465074 · For-profit (Corporation) · part of Monument Health Group (11 facilities, chain average 2.8 stars)

CMS rates Monument Healthcare Cottonwood Creek 3 of 5 overall as of August 2026. 77 certified beds, 65 residents a day on average. 28 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $17,940.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.5105 hours per resident per day
Registered nurses0.90129 hours per resident per day
Weekend total3.12751 hours per resident per day
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-04-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-04-25
2024-04-04 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 · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-25
2024-04-04 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Past Non-Compliance
2024-03-15
2024-04-04
complaint survey
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 · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-03-25
2024-04-04 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-25
2024-04-04 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 · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-25
2022-05-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 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 · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 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 · tag F0887
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-09
2022-05-05 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 · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 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 · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-09
2022-05-05 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-09
2019-12-05 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 · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-15
2019-12-05 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 · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-17
2019-12-05 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-20
2019-12-05 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 · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-17
2019-12-05 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 · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-20
2019-12-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-17
2019-12-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-20
2019-12-05 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-20
2019-12-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-16

Fines and payment denials

DatePenaltyAmount
2024-04-04Fine$17,940

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Gunnison Valley Hospital
Organization
adp of the snf2025-03-24
Health Group Management LLC
Organization
adp of the snf2025-03-24
Monument Health Group LLC
Organization
adp of the snf2025-03-24
Monument Health Properties LLC
Organization
adp of the snf2025-02-07
Monument Real Estate Cottonwood Creek LLC
Organization
adp of the snf2025-02-07
Gunnison Valley Hospital
Organization
operational/managerial control2025-02-07
Health Group Management LLC
Organization
operational/managerial control2025-02-07
Monument Health Group LLC
Organization
operational/managerial control2025-02-07
Clawson, Travis
Individual
adp of the snf2025-02-07
Espinosa, Stephanie
Individual
adp of the snf2025-02-07
Fragoso, Lindsay
Individual
adp of the snf2021-05-10
Marriott, Stephen
Individual
adp of the snf2025-02-07
Mckinnie-Redmond, Faith
Individual
adp of the snf2025-02-07
Morris, Jace
Individual
adp of the snf2025-02-07
Murray, Brian
Individual
adp of the snf2020-07-01
Robertson, Brett
Individual
adp of the snf2025-02-07
Samuelian, Spencer
Individual
adp of the snf2025-02-07
Seastrand, Jason
Individual
adp of the snf2025-02-07
West, Christian
Individual
adp of the snf2025-02-07
Workman, David
Individual
adp of the snf2025-02-07
Murray, Brian
Individual
corporate officer2020-07-01
Clawson, Travis
Individual
operational/managerial control2025-02-07
Espinosa, Stephanie
Individual
operational/managerial control2025-02-07
Fragoso, Lindsay
Individual
operational/managerial control2021-05-10
Marriott, Stephen
Individual
operational/managerial control2025-02-07
Mckinnie-Redmond, Faith
Individual
operational/managerial control2025-02-07
Morris, Jace
Individual
operational/managerial control2025-02-07
Murray, Brian
Individual
operational/managerial control2020-07-01
Robertson, Brett
Individual
operational/managerial control2025-02-07
Samuelian, Spencer
Individual
operational/managerial control2025-02-07
Seastrand, Jason
Individual
operational/managerial control2025-02-07
West, Christian
Individual
operational/managerial control2025-02-07
Workman, David
Individual
operational/managerial control2025-02-07

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Salt Lake County.