About Monument Healthcare Millcreek
Monument Healthcare Millcreek, located in Salt Lake City, UT, is a for-profit organization that accepts Medicare and Medicaid. It is located within a hospital setting.
Why Families Choose Monument Healthcare Millcreek
- High Quality Care: With a 4-star CMS rating, this facility demonstrates high standards.
Key Performance Indicators
- CMS Overall Rating 4 Stars
- Nursing Hours 3.65 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the MONUMENT HEALTH GROUP network. This chain operates 11 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Monument Healthcare Millcreek provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 4 |
|
| Health Inspection | 3 |
|
| Quality Measures | 5 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 48 | Nov 20, 2025 |
| Weighted Average | 45 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 16.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.9% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 0.3% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 0.3% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.5% |
| Percentage of long-stay residents who lose too much weight (QM404) | 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.8% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.3% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 25.2% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 23.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.2% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 95.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 26.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 1.6% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2025: 8 complaints
- 2026: 2 complaints
- Total: 12 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 16, 2026 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| Feb 16, 2026 | Provide safe, appropriate pain management for a resident who requires such services. |
| 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. |
| Dec 26, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 26, 2025 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Dec 26, 2025 | Ensure that residents are free from significant medication errors. |
| Dec 26, 2025 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| Dec 26, 2025 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. |
| Dec 26, 2025 | Provide and implement an infection prevention and control program. |
| Dec 26, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Aug 31, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 31, 2023 | Respond appropriately to all alleged violations. |
Nearby Hospitals
HOLY CROSS HOSPITAL - SALT LAKE
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MOUNTAIN WEST MEDICAL CENTER
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AMERICAN FORK HOSPITAL
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VA SALT LAKE CITY HEALTHCARE - GEORGE E. WAHLEN VA MEDICAL CENTER
SALT LAKE CITY, UT
HOLY CROSS HOSPITAL-JORDAN VALLEY
WEST JORDAN, UT
ST MARK'S HOSPITAL
SALT LAKE CITY, UT
LDS HOSPITAL
SALT LAKE CITY, UT
LONE PEAK HOSPITAL
DRAPER, UT
INTERMOUNTAIN HEALTH RIVERTON HOSPITAL
RIVERTON, UT
PARK CITY HOSPITAL
PARK CITY, UT
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL
SANDY, UT
LAKEVIEW HOSPITAL
BOUNTIFUL, UT
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT
UNIVERSITY OF UTAH HOSPITAL AND CLINICS
SALT LAKE CITY, UT
WESTERN PEAKS SPECIALTY HOSPITAL
BOUNTIFUL, UT
INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL
HEBER CITY, UT
PRIMARY CHILDREN'S HOSPITAL
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MARIAN CENTER
SALT LAKE CITY, UT
SALT LAKE BEHAVIORAL HEALTH
SALT LAKE CITY, UT
Owner & Operator Information
Business Entity
MILFORD MEMORIAL HOSPITAL
Ownership Structure
- MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 Direct: 100%
Management & Direction
- RICHARD ALLEN ADP OF THE SNF
- RICHARD ALLEN OPERATIONAL/MANAGERIAL CONTROL
- BEAVER VALLEY HOSPITAL OPERATIONAL/MANAGERIAL CONTROL
- LAUREL CARTER OPERATIONAL/MANAGERIAL CONTROL
- TRAVIS CLAWSON ADP OF THE SNF
- TRAVIS CLAWSON OPERATIONAL/MANAGERIAL CONTROL
- GUY DANSIE CORPORATE OFFICER
- GUY DANSIE ADP OF THE SNF
- TRAVIS DEVASHRAYEE ADP OF THE SNF
- TRAVIS DEVASHRAYEE OPERATIONAL/MANAGERIAL CONTROL
- WARD DOTSON OPERATIONAL/MANAGERIAL CONTROL
- STEPHANIE ESPINOSA ADP OF THE SNF
- STEPHANIE ESPINOSA OPERATIONAL/MANAGERIAL CONTROL
- LINDSAY FRAGOSO OPERATIONAL/MANAGERIAL CONTROL
- LINDSAY FRAGOSO ADP OF THE SNF
- HEALTH GROUP MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- HEALTH GROUP MANAGEMENT LLC ADP OF THE SNF
- BRENDA IZATT OPERATIONAL/MANAGERIAL CONTROL
- BRENDA IZATT ADP OF THE SNF
- SCOTT LANGFORD ADP OF THE SNF
- SCOTT LANGFORD CORPORATE OFFICER
- SHAUNA MAYER OPERATIONAL/MANAGERIAL CONTROL
- MONUMENT HEALTH PROPERTIES LLC ADP OF THE SNF
- MONUMENT REAL ESTATE MILLCREEK LLC ADP OF THE SNF
- TYLER MOSS ADP OF THE SNF
- TYLER MOSS OPERATIONAL/MANAGERIAL CONTROL
- TYLER MOSS CORPORATE OFFICER
- BRETT ROBERTSON ADP OF THE SNF
- BRETT ROBERTSON OPERATIONAL/MANAGERIAL CONTROL
- SPENCER SAMUELIAN ADP OF THE SNF
- SPENCER SAMUELIAN OPERATIONAL/MANAGERIAL CONTROL
- JASON SEASTRAND ADP OF THE SNF
- JASON SEASTRAND OPERATIONAL/MANAGERIAL CONTROL
- SCOTT SYMOND OPERATIONAL/MANAGERIAL CONTROL
- CHRISTIAN WEST OPERATIONAL/MANAGERIAL CONTROL
- CHRISTIAN WEST ADP OF THE SNF
- BRANDON WISEMAN OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Aspen Ridge Transitional Rehab | N/A | 5 |
| Aspen Ridge West Transitional Rehab | N/A | 5 |
| Stonehenge of South Jordan | N/A | 4 |
| Little Cottonwood Rehabilitation and Nursing | N/A | 5 |
| South Davis Specialty Care | N/A | 5 |
| Copper Ridge Health Care | N/A | 5 |
| Stonehenge of American Fork | N/A | 4 |
| Monument Healthcare Stonecreek | N/A | 5 |
| Highland Care Center | N/A | 5 |
| William E Christofferson Salt Lake Veterans Home | N/A | 5 |
Related Analysis
Best Nursing Homes in Salt Lake City, UT
Compare Monument Healthcare Millcreek to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Monument Healthcare Millcreek directly at 8012613664. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.