Monument Healthcare South Salt LakeCMS ratings, inspections and fines
- Address
- 2472 South 300 East, Salt Lake City, UT 84115
- CCN
- 465146
- Ownership type
- Government, hospital district
- Certified beds
- 140
- Residents per day
- 102
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
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 South Salt Lake an overall rating of 1 of 5 stars. The last standard survey was on 19 Jun 2025. The latest survey cycle has 20 health citations. The median for nursing homes in Utah is 7. CMS lists 2 fines with a total of $36,546 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 | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 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) | 19 Jun 2025 | 20 | 7 |
| Cycle 2 | 25 Jan 2024 | 9 | 6 |
| Cycle 3 | No date | 28 | 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 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Jun 2025 |
| 19 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint investigation | 30 Jun 2025 |
| 19 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | 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 | 30 Jun 2025 |
| 19 Jun 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | F | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2025 |
| 19 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | K | Standard survey | 30 Jun 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 14 Feb 2024 |
| 25 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Jan 2024 |
| 25 Jan 2024 | 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 | 31 Jan 2024 |
| 25 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 15 Feb 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jan 2024 |
| 25 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Jan 2024 |
| 25 Jan 2024 | 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 | 31 Jan 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jan 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Jan 2024 |
Survey cycle 3: 28 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 |
|---|---|---|---|---|---|
| 21 Mar 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | 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 | 6 May 2022 |
| 21 Mar 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 6 May 2022 |
| 21 Mar 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 | 6 May 2022 |
| 21 Mar 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0687 | Provide appropriate foot care. | D | Standard survey | 6 May 2022 |
| 21 Mar 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 | 6 May 2022 |
| 21 Mar 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 6 May 2022 |
| 21 Mar 2022 | 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 | 6 May 2022 |
| 21 Mar 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 May 2022 |
| 21 Mar 2022 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard survey | 6 May 2022 |
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 |
|---|---|---|---|
| 19 Jun 2025 | Fine | $18,155 | |
| 25 Jan 2024 | Fine | $18,391 |
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 | 3.72 | 3.70 | 4.07 |
| Registered nurses (RN) | 1.39 | 1.00 | 1.25 |
| Licensed practical nurses (LPN) | 0.33 | 0.48 | |
| Nurse aides | 2.01 | 2.35 | |
| All nurse staff, weekends | 3.18 | 3.20 | 3.56 |
- Nurse staff turnover in a year
- 47.2%
- Nurse staff turnover, Utah median
- 50.9%
- RN turnover in a year
- 45.2%
- 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 | 10.0% | 10.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.9% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | 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
- Government, hospital district
- Setting
- In a hospital
- 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 | Direct ownership interest | 1 Jul 2020 | |
| Monument Health Properties LLC | 5% or greater mortgage interest | 7 Feb 2025 | |
| Monument Real Estate South Salt Lake LLC | 5% or greater mortgage interest | 7 Feb 2025 | |
| Gunnison Valley Hospital | Operational/managerial control | 1 Jul 2020 | |
| 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 | 11 Mar 2025 | |
| Health Group Management LLC | Adp of the snf | 4 Mar 2025 | |
| Monument Health Group LLC | Adp of the snf | 7 Feb 2025 | |
| Monument Health Properties LLC | Adp of the snf | 7 Feb 2025 | |
| Monument Real Estate South Salt Lake 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 | |
|---|---|---|---|---|---|---|
| Meadow Brook Rehabilitation and Nursing | Salt Lake City | 2 of 5 | 12 | $31,331 | 20 Nov 2025 | |
| St Joseph Villa | Salt Lake City | 3 of 5 | 5 | $0 | 16 Jul 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 | |
| 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 | |
| Mt. Olympus Rehabilitation Center | Salt Lake City | 2 of 5 | 17 | $149,703 | 9 May 2024 | |
| Maple Ridge Rehabilitation and Nursing | Salt Lake City | 1 of 5 | 24 | $11,887 | 2 Jun 2025 | |
| Pine Creek Rehabilitation and Nursing | Salt Lake City | 3 of 5 | 6 | $56,121 | 9 Oct 2025 | |
| Monument Healthcare Millcreek | Salt Lake City | 4 of 5 | 10 | $0 | 20 Nov 2025 | |
| Alpine Meadow Rehabilitation and Nursing | West Valley City | 3 of 5 | 6 | $15,025 | 22 Apr 2026 | |
| City Creek Post Acute | Salt Lake City | 3 of 5 | 6 | $0 | 30 Mar 2026 |
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 South Salt Lake (CCN 465146). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/monument-healthcare-south-salt-lake-salt-lake-city-ut-465146/
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 South Salt Lake last inspected?
- The latest inspection with a citation in the CMS record was on 19 Jun 2025. It was a standard survey and a complaint investigation. It gave 20 citations. The standard survey before the last one was on 25 Jan 2024.
- Who operates Monument Healthcare South Salt Lake?
- The CMS record gives the ownership type as government, hospital district. 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.
- What does the Special Focus status mean for Monument Healthcare South Salt Lake?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. 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.