Monument Healthcare Millcreek
1201 East 4500 South
Salt Lake City, UT, 84117
8012613664
CCN: 465139
4
Overall3
Health2
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MONUMENT HEALTH PROPERTIES LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| MONUMENT REAL ESTATE MILLCREEK LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| LANGFORD, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| MOSS, TYLER | CORPORATE OFFICER | NOT APPLICABLE |
| DANSIE, GUY | CORPORATE OFFICER | NOT APPLICABLE |
| BEAVER VALLEY HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ALLEN, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DEVASHRAYEE, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DOTSON, WARD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| IZATT, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAYER, SHAUNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MOSS, TYLER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROBERTSON, BRETT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAMUELIAN, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SEASTRAND, JASON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SYMOND, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WEST, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WISEMAN, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARTER, LAUREL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLAWSON, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (18)
2026-01-21 · Health
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F694 · Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
2025-11-20 · Health
E
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F779 · Administration Deficiencies
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-11-02 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F584 · Resident Rights Deficiencies
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.
2023-07-20 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.79
RN Hrs/Resident/Day0.54
1.21
LPN Hrs/Resident/Day0.81
0.54
CNA Hrs/Resident/Day2.33
2.03
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01