Monument Healthcare Millcreek

Nursing Home · Salt Lake City, UT

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number465139

Contact & location

1201 East 4500 South
Salt Lake City, UT 84117
Salt Lake County
Phone
(801) 261-3664
ZIP code
84117 – all care providers

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Facility details

Certified beds
120
Residents per day
84.1 (70% occupied)
Ownership
For profit - Limited Liability company
Legal name
Milford Memorial Hospital
Chain
Monument Health Group (11 facilities, avg 2.8★)
Medicare certified since
June 15, 1994
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 4/5
State avg 3.3
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.0
Quality measures★★★★★ 5/5
State avg 4.6
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.74 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
1.05 (state 1.25 · U.S. 0.69)
Licensed practical nurses
0.71 (state 0.48 · U.S. 0.86)
Nurse aides
1.98 (state 2.35 · U.S. 2.32)
Weekend total
3.28 (state 3.56 · U.S. 3.42)
Nursing staff turnover
46.9 (state 50.7 · U.S. 45.8)%
RN turnover
31.8 (state 40.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
November 20, 2025
Health deficiencies (last cycle)
10.0 (state 8.6 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
16 health · 2 fire safety
DateCitationSeverityStatus
2026-01-21 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-16
2026-01-21 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-16
2025-11-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
F0779 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2023-11-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31
2023-11-02 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31
2023-11-02 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31
2023-11-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31
2023-11-02 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31
2023-11-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Milford Area Health Care Service District #3 (organization)5%+ Direct Ownership Interest · 100%
Monument Health Properties LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Monument Real Estate Millcreek LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Allen, Richard (individual)Administrator · NOT APPLICABLE
Clawson, Travis (individual)Administrator · NOT APPLICABLE
Dansie, Guy (individual)Administrator · NOT APPLICABLE
Devashrayee, Travis (individual)Administrator · NOT APPLICABLE
Espinosa, Stephanie (individual)Administrator · NOT APPLICABLE
Fragoso, Lindsay (individual)Administrator · NOT APPLICABLE
Health Group Management LLC (organization)Administrator · NOT APPLICABLE
Izatt, Brenda (individual)Administrator · NOT APPLICABLE
Langford, Scott (individual)Administrator · NOT APPLICABLE
Monument Health Properties LLC (organization)Administrator · NOT APPLICABLE
Monument Real Estate Millcreek LLC (organization)Administrator · NOT APPLICABLE
Moss, Tyler (individual)Administrator · NOT APPLICABLE
Robertson, Brett (individual)Administrator · NOT APPLICABLE
Samuelian, Spencer (individual)Administrator · NOT APPLICABLE
Seastrand, Jason (individual)Administrator · NOT APPLICABLE
West, Christian (individual)Administrator · NOT APPLICABLE
Dansie, Guy (individual)Corporate Officer · NOT APPLICABLE
Langford, Scott (individual)Corporate Officer · NOT APPLICABLE
Moss, Tyler (individual)Corporate Officer · NOT APPLICABLE
Allen, Richard (individual)Operational/managerial Control · NOT APPLICABLE
Beaver Valley Hospital (organization)Operational/managerial Control · NOT APPLICABLE
Carter, Laurel (individual)Operational/managerial Control · NOT APPLICABLE
Clawson, Travis (individual)Operational/managerial Control · NOT APPLICABLE
Devashrayee, Travis (individual)Operational/managerial Control · NOT APPLICABLE
Dotson, Ward (individual)Operational/managerial Control · NOT APPLICABLE
Espinosa, Stephanie (individual)Operational/managerial Control · NOT APPLICABLE
Fragoso, Lindsay (individual)Operational/managerial Control · NOT APPLICABLE
Health Group Management LLC (organization)Operational/managerial Control · NOT APPLICABLE
Izatt, Brenda (individual)Operational/managerial Control · NOT APPLICABLE
Mayer, Shauna (individual)Operational/managerial Control · NOT APPLICABLE
Moss, Tyler (individual)Operational/managerial Control · NOT APPLICABLE
Robertson, Brett (individual)Operational/managerial Control · NOT APPLICABLE
Samuelian, Spencer (individual)Operational/managerial Control · NOT APPLICABLE
Seastrand, Jason (individual)Operational/managerial Control · NOT APPLICABLE
Symond, Scott (individual)Operational/managerial Control · NOT APPLICABLE
West, Christian (individual)Operational/managerial Control · NOT APPLICABLE
Wiseman, Brandon (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Monument Healthcare Millcreek?

Monument Healthcare Millcreek has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Utah.

How many beds does Monument Healthcare Millcreek have?

It has 120 certified beds and cares for about 84 residents per day.

Has Monument Healthcare Millcreek been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Monument Healthcare Millcreek?

It is part of Monument Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Monument Healthcare Millcreek?

(801) 261-3664. The facility is located at 1201 East 4500 South, Salt Lake City, UT 84117.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.