B

Monument Healthcare Millcreek

1201 East 4500 South, Salt Lake City, UT 84117
Score: 70 / 100

Monument Healthcare Millcreek earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Salt Lake City facility ranks in the 63th percentile among Utah nursing homes.

Staffing at Monument Healthcare Millcreek is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 18 deficiencies at Monument Healthcare Millcreek. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.79 3.8 Average
Registered Nurses (RN) 1.21 0.7 Above Average
Licensed Practical Nurses (LPN) 0.54 0.7 Below Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 3.29 3.8 Below Average
Weekend RN Hours 0.82 0.7 Above Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jan 20, 2026
Most Recent Inspection
🟠 18 Moderate
View recent deficiencies (5 shown)
  • Tag 0694 Severity D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    Jan 20, 2026 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity D
    Provide safe, appropriate pain management for a resident who requires such services.
    Jan 20, 2026 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Nov 19, 2025 · Pharmacy Service Deficiencies
  • Tag 0919 Severity E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    Nov 19, 2025 · Environmental Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Nov 19, 2025 · Resident Rights 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 1.2% 4.5% Better
Falls with major injury 0.8% 3.0% Better
On antipsychotic medication 3.3% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 22.5% 14.0% Worse
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 32.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 19, 2025
Deficiencies (Cycle 1)
10