Monument Healthcare Millcreek
1201 East 4500 South, Salt Lake City, UT 84117 · All homes in Salt Lake City
Monument Healthcare Millcreek, a 120-bed for profit - limited liability company nursing facility in Salt Lake City, UT, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #25 of 96 rated homes in UT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8012613664
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #25 of 96
- In-state rank among rated UT homes
- 3.74
- About average · nurse hrs/day · nat'l 3.86
- 16
- Inspection findings
The verdict
Monument Healthcare Millcreek, a 120-bed for profit - limited liability company nursing facility in Salt Lake City, UT, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #25 of 96 rated homes in UT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #25 of 96
- In-state rank among rated UT homes
- 3.74
- Nurse hrs/resident-day · national 3.86
- 16
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 97 UT nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 465139
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 84
- In Hospital
- Yes
- County
- Salt Lake
- Last Inspection
- Nov 20, 2025
Staffing Data
How the 3.74 total nursing hours per resident-day are staffed:
- RN Hours
- 1.05 (nat'l avg: 0.69)
- LPN Hours
- 0.71
- CNA Hours
- 1.98
- Total Nursing Hours
- 3.74 (nat'l avg: 3.86)
- PT Hours
- 0.06
- Nursing Turnover
- 46.9%
- RN Turnover
- 31.8%
What the CMS Record Reveals About Monument Healthcare Millcreek
According to CMS Nursing Home Compare, Monument Healthcare Millcreek ranks #25 of 96 rated nursing homes in UT on overall stars (tie-broken by health+staffing+quality, then fewer fines). Monument Healthcare Millcreek operates 120 certified beds in Salt Lake City, UT with approximately 84 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 4★ · quality 5★).
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.74 total hours per resident day (national average 3.86); RN hours specifically are 1.05 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Monument Healthcare Millcreek falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.9% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 16, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 16, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 26, 2025
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Category: Administration Deficiencies
Corrected: Dec 26, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Dec 26, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Dec 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 26, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Dec 26, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Dec 26, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Dec 31, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Dec 31, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 31, 2023
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.
Category: Resident Rights Deficiencies
Corrected: Dec 31, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 27.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.2% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.5% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Monument Healthcare Millcreek, both outside UT so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside UT (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside UT (3.78 here).
Nearby Nursing Homes in UT
96 other nursing homes are on record in UT; 6 are shown here.
Advanced Health Care of Salem
Salem, UT
Advanced Health Care of St. George
St George, UT
Alpine Meadow Rehabilitation and Nursing
West Valley City, UT
Aspen Ridge of Utah Valley
Orem, UT
Aspen Ridge Transitional Rehab
Murray, UT
Aspen Ridge West Transitional Rehab
Murray, UT
Understanding Nursing Home Data
What the CMS records show for Monument Healthcare Millcreek
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The UT registry aggregates state averages and the highest-rated homes in this cohort. View UT registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in UT. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Monument Healthcare Millcreek?
Where does Monument Healthcare Millcreek rank among nursing homes in UT?
What are the staffing levels at Monument Healthcare Millcreek?
How many beds does Monument Healthcare Millcreek have?
Does Monument Healthcare Millcreek have any deficiencies on record?
Has Monument Healthcare Millcreek received any fines or penalties?
Who owns Monument Healthcare Millcreek?
When was Monument Healthcare Millcreek last inspected?
What quality measures are tracked for Monument Healthcare Millcreek?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
