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
- No health inspection in more than two years, by CMS’s own flag.
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-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 3.5105 hours per resident per day |
|---|---|
| Registered nurses | 0.90129 hours per resident per day |
| Weekend total | 3.12751 hours per resident per day |
| Administrators who left | 1 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-04 | Fine | $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.
| Name | Role | Share | Since |
|---|---|---|---|
| Gunnison Valley Hospital Organization | adp of the snf | — | 2025-03-24 |
| Health Group Management LLC Organization | adp of the snf | — | 2025-03-24 |
| Monument Health Group LLC Organization | adp of the snf | — | 2025-03-24 |
| Monument Health Properties LLC Organization | adp of the snf | — | 2025-02-07 |
| Monument Real Estate Cottonwood Creek LLC Organization | adp of the snf | — | 2025-02-07 |
| Gunnison Valley Hospital Organization | operational/managerial control | — | 2025-02-07 |
| Health Group Management LLC Organization | operational/managerial control | — | 2025-02-07 |
| Monument Health Group LLC Organization | operational/managerial control | — | 2025-02-07 |
| Clawson, Travis Individual | adp of the snf | — | 2025-02-07 |
| Espinosa, Stephanie Individual | adp of the snf | — | 2025-02-07 |
| Fragoso, Lindsay Individual | adp of the snf | — | 2021-05-10 |
| Marriott, Stephen Individual | adp of the snf | — | 2025-02-07 |
| Mckinnie-Redmond, Faith Individual | adp of the snf | — | 2025-02-07 |
| Morris, Jace Individual | adp of the snf | — | 2025-02-07 |
| Murray, Brian Individual | adp of the snf | — | 2020-07-01 |
| Robertson, Brett Individual | adp of the snf | — | 2025-02-07 |
| Samuelian, Spencer Individual | adp of the snf | — | 2025-02-07 |
| Seastrand, Jason Individual | adp of the snf | — | 2025-02-07 |
| West, Christian Individual | adp of the snf | — | 2025-02-07 |
| Workman, David Individual | adp of the snf | — | 2025-02-07 |
| Murray, Brian Individual | corporate officer | — | 2020-07-01 |
| Clawson, Travis Individual | operational/managerial control | — | 2025-02-07 |
| Espinosa, Stephanie Individual | operational/managerial control | — | 2025-02-07 |
| Fragoso, Lindsay Individual | operational/managerial control | — | 2021-05-10 |
| Marriott, Stephen Individual | operational/managerial control | — | 2025-02-07 |
| Mckinnie-Redmond, Faith Individual | operational/managerial control | — | 2025-02-07 |
| Morris, Jace Individual | operational/managerial control | — | 2025-02-07 |
| Murray, Brian Individual | operational/managerial control | — | 2020-07-01 |
| Robertson, Brett Individual | operational/managerial control | — | 2025-02-07 |
| Samuelian, Spencer Individual | operational/managerial control | — | 2025-02-07 |
| Seastrand, Jason Individual | operational/managerial control | — | 2025-02-07 |
| West, Christian Individual | operational/managerial control | — | 2025-02-07 |
| Workman, David Individual | operational/managerial control | — | 2025-02-07 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Monument Healthcare Cottonwood Creek.
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.