F

Monument Healthcare Cottonwood Creek

1205 East 4725 South, Salt Lake City, UT 84117
Score: 28 / 100

Monument Healthcare Cottonwood Creek has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Utah. Families considering this Salt Lake City facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Monument Healthcare Cottonwood Creek, with 2.83 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 28 deficiencies at Monument Healthcare Cottonwood Creek. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.83 3.8 Below Average
Registered Nurses (RN) 0.46 0.7 Below Average
Licensed Practical Nurses (LPN) 0.73 0.7 Average
Certified Nursing Assistants (CNA) 1.64 2.4 Below Average
Weekend Total Nursing 2.49 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

28
Total Deficiencies
Apr 3, 2024
Most Recent Inspection
🟠 28 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 3, 2024 · Quality of Life and Care Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Apr 3, 2024 · Resident Rights Deficiencies
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Apr 3, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Apr 3, 2024 · Quality of Life and Care Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Apr 3, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.0% 4.5% Better
Falls with major injury 9.0% 3.0% Worse
On antipsychotic medication 15.7% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 12.0% 14.0% Better
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 18.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $17,940

How This Grade Was Calculated

This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
77
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 3, 2024
Deficiencies (Cycle 1)
6