Monument Healthcare Millcreek
Salt Lake City, Salt Lake County, Utah · CCN 465139 · For-profit (LLC) · part of Monument Health Group (11 facilities, chain average 2.8 stars)
CMS rates Monument Healthcare Millcreek 4 of 5 overall as of August 2026. 120 certified beds, 84 residents a day on average. 16 citations on record from the current inspection cycles; no fines 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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.74386 hours per resident per day |
|---|---|
| Registered nurses | 1.05425 hours per resident per day |
| Weekend total | 3.28023 hours per resident per day |
| Nursing staff turnover | 46.9% (registered nurses 31.8%) |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2026-01-21 complaint survey |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-16 |
| 2026-01-21 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-16 |
| 2025-11-20 complaint survey |
Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
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 2025-12-26 |
| 2025-11-20 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration Deficiencies · tag F0779 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-26 |
| 2025-11-20 complaint survey |
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 2025-12-26 |
| 2023-11-02 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-31 |
| 2023-11-02 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-31 |
| 2023-11-02 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-31 |
| 2023-11-02 | 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 2023-12-31 |
| 2023-11-02 | 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 2023-12-31 |
| 2023-11-02 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-31 |
Fines and payment denials
No fines or payment denials on record since 2023.
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 |
|---|---|---|---|
| Milford Area Health Care Service District #3 Organization | 5% or greater direct ownership interest | 100% | 2024-02-01 |
| Monument Health Properties LLC Organization | 5% or greater mortgage interest | — | 2024-02-01 |
| Monument Real Estate Millcreek LLC Organization | 5% or greater mortgage interest | — | 2024-02-01 |
| Health Group Management LLC Organization | adp of the snf | — | 2025-01-23 |
| Monument Health Properties LLC Organization | adp of the snf | — | 2025-01-23 |
| Monument Real Estate Millcreek LLC Organization | adp of the snf | — | 2025-01-23 |
| Beaver Valley Hospital Organization | operational/managerial control | — | 2024-12-06 |
| Health Group Management LLC Organization | operational/managerial control | — | 2024-12-05 |
| Allen, Richard Individual | adp of the snf | — | 2024-02-01 |
| Clawson, Travis Individual | adp of the snf | — | 2024-02-01 |
| Dansie, Guy Individual | adp of the snf | — | 2025-01-23 |
| Devashrayee, Travis Individual | adp of the snf | — | 2024-02-01 |
| Espinosa, Stephanie Individual | adp of the snf | — | 2024-02-01 |
| Fragoso, Lindsay Individual | adp of the snf | — | 2024-02-01 |
| Izatt, Brenda Individual | adp of the snf | — | 2024-02-01 |
| Langford, Scott Individual | adp of the snf | — | 2025-01-23 |
| Moss, Tyler Individual | adp of the snf | — | 2024-02-01 |
| Robertson, Brett Individual | adp of the snf | — | 2024-02-01 |
| Samuelian, Spencer Individual | adp of the snf | — | 2024-02-01 |
| Seastrand, Jason Individual | adp of the snf | — | 2024-02-01 |
| West, Christian Individual | adp of the snf | — | 2024-02-01 |
| Dansie, Guy Individual | corporate officer | — | 2024-02-01 |
| Langford, Scott Individual | corporate officer | — | 2024-02-01 |
| Moss, Tyler Individual | corporate officer | — | 2024-02-01 |
| Allen, Richard Individual | operational/managerial control | — | 2024-02-01 |
| Carter, Laurel Individual | operational/managerial control | — | 2024-12-06 |
| Clawson, Travis Individual | operational/managerial control | — | 2024-02-01 |
| Devashrayee, Travis Individual | operational/managerial control | — | 2024-02-01 |
| Dotson, Ward Individual | operational/managerial control | — | 2024-12-06 |
| Espinosa, Stephanie Individual | operational/managerial control | — | 2024-02-01 |
| Fragoso, Lindsay Individual | operational/managerial control | — | 2024-02-01 |
| Izatt, Brenda Individual | operational/managerial control | — | 2024-02-01 |
| Mayer, Shauna Individual | operational/managerial control | — | 2024-12-06 |
| Moss, Tyler Individual | operational/managerial control | — | 2024-02-01 |
| Robertson, Brett Individual | operational/managerial control | — | 2024-02-01 |
| Samuelian, Spencer Individual | operational/managerial control | — | 2024-02-01 |
| Seastrand, Jason Individual | operational/managerial control | — | 2024-02-01 |
| Symond, Scott Individual | operational/managerial control | — | 2024-12-06 |
| West, Christian Individual | operational/managerial control | — | 2024-02-01 |
| Wiseman, Brandon Individual | operational/managerial control | — | 2024-12-06 |
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 Millcreek.
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.