Monument Healthcare Cottonwood CreekCMS ratings, inspections and fines
- Address
- 1205 East Bonner Way, Salt Lake City, UT 84117
- CCN
- 465074
- Ownership type
- For-profit, corporation
- Certified beds
- 77
- Residents per day
- 65
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Monument Healthcare Cottonwood Creek an overall rating of 3 of 5 stars. The last standard survey was on 4 Apr 2024. The latest survey cycle has 6 health citations. The median for nursing homes in Utah is 7. CMS lists 1 fine of $17,940 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Salt Lake County median | Utah median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 35 homes in the county, 97 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Utah median |
|---|---|---|---|
| Cycle 1 (latest) | 4 Apr 2024 | 6 | 7 |
| Cycle 2 | 5 May 2022 | 13 | 6 |
| Cycle 3 | No date | 9 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Apr 2024 | F0584 | 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. | E | Standard survey | 25 Apr 2024 |
| 4 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Mar 2024 |
| 4 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 15 Mar 2024 |
| 4 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Apr 2024 |
| 4 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 25 Apr 2024 |
| 4 Apr 2024 | F0758 | 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. | D | Standard survey | 25 Apr 2024 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 May 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0688 | 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. | D | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 9 Jun 2022 |
| 5 May 2022 | F0887 | 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. | E | Standard survey | 9 Jun 2022 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2019 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 20 Jan 2020 |
| 5 Dec 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jan 2020 |
| 5 Dec 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 20 Jan 2020 |
| 5 Dec 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jan 2020 |
| 5 Dec 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jan 2020 |
| 5 Dec 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 15 Jan 2020 |
| 5 Dec 2019 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 20 Jan 2020 |
| 5 Dec 2019 | F0761 | 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. | E | Standard survey | 17 Jan 2020 |
| 5 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Apr 2024 | Fine | $17,940 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Utah median | Utah average (CMS) |
|---|---|---|---|
| All nurse staff | 3.51 | 3.70 | 4.07 |
| Registered nurses (RN) | 0.90 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.39 | 0.48 | |
| Nurse aides | 2.22 | 2.35 | |
| All nurse staff, weekends | 3.13 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- No data
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Utah median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.3% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 10.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Gunnison Valley Hospital
- Chain
- Monument Health Group (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gunnison Valley Hospital | Operational/managerial control | 7 Feb 2025 | |
| Health Group Management LLC | Operational/managerial control | 7 Feb 2025 | |
| Monument Health Group LLC | Operational/managerial control | 7 Feb 2025 | |
| Gunnison Valley Hospital | Adp of the snf | 24 Mar 2025 | |
| Health Group Management LLC | Adp of the snf | 24 Mar 2025 | |
| Monument Health Group LLC | Adp of the snf | 24 Mar 2025 | |
| Monument Health Properties LLC | Adp of the snf | 7 Feb 2025 | |
| Monument Real Estate Cottonwood Creek LLC | Adp of the snf | 7 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Salt Lake County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Monument Healthcare Millcreek | Salt Lake City | 4 of 5 | 10 | $0 | 20 Nov 2025 | |
| Spring Creek Healthcare Center | Salt Lake City | 2 of 5 | 12 | $53,472 | 3 Feb 2025 | |
| Highland Care Center | Holladay | 5 of 5 | 5 | $0 | 11 Jun 2024 | |
| Monument Healthcare Murray Creek | Millcreek | 2 of 5 | 16 | $81,468 | 28 Jun 2025 | |
| Paramount Health and Rehabilitation | Salt Lake City | 3 of 5 | 4 | $106,480 | 21 May 2026 | |
| Rocky Mountain Care - Cottage on Vine | Murray | 3 of 5 | 17 | $78,946 | 6 Mar 2025 | |
| Holladay Healthcare Center | Salt Lake City | 3 of 5 | 11 | $0 | 24 Mar 2025 | |
| Aspen Ridge West Transitional Rehab | Murray | 5 of 5 | 6 | $0 | 14 Jan 2026 | |
| Aspen Ridge Transitional Rehab | Murray | 5 of 5 | 0 | $0 | 26 Feb 2026 | |
| Mt. Olympus Rehabilitation Center | Salt Lake City | 2 of 5 | 17 | $149,703 | 9 May 2024 | |
| Little Cottonwood Rehabilitation and Nursing | South Salt Lake | 5 of 5 | 5 | $0 | 9 Oct 2025 | |
| Millcreek Rehabilitation and Nursing | Salt Lake City | 2 of 5 | 15 | $25,441 | 31 Mar 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Monument Healthcare Cottonwood Creek (CCN 465074). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/monument-healthcare-cottonwood-creek-salt-lake-city-ut-465074/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Monument Healthcare Cottonwood Creek last inspected?
- The latest inspection with a citation in the CMS record was on 4 Apr 2024. It was a standard survey and a complaint investigation. It gave 6 citations. The standard survey before the last one was on 5 May 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Monument Healthcare Cottonwood Creek?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Monument Health Group. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Monument Healthcare Cottonwood Creek a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Utah as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.