CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4650742026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Monument Healthcare Cottonwood Creek

1205 East Bonner Way · Salt Lake City, UT 84117 · Salt Lake County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds77CMS provider file
Recent citation rows29current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-04-0462024-04-040
Cycle 22022-05-05132022-05-050
Cycle 32019-12-0592019-12-051
02 / CITATION DETAIL

29 rows in the current release

3 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-04-04 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-04-25
2024-04-04 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Past Non-Compliance · 2024-03-25 · complaint
2024-04-04 · HEALTHF0609Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Past Non-Compliance · 2024-03-15
2024-04-04 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2024-04-25
2024-04-04 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-04-25
2024-04-04 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Correction field: Deficient, Provider has date of correction · 2024-04-25
2022-05-05 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0692Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0744Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0770Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0867Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2022-05-05 · HEALTHF0887Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction field: Deficient, Provider has date of correction · 2022-06-09
2019-12-05 · FIREE0004Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2020-01-16
2019-12-05 · HEALTHF0604Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction field: Deficient, Provider has date of correction · 2020-01-20
2019-12-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2020-01-17
2019-12-05 · HEALTHF0676Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction field: Deficient, Provider has date of correction · 2020-01-20
2019-12-05 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2020-01-17
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-04-04Fine$17,9400
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • MURRAY, BRIANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2020
  • GUNNISON VALLEY HOSPITALOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • HEALTH GROUP MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • MONUMENT HEALTH GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • CLAWSON, TRAVISIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • ESPINOSA, STEPHANIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • FRAGOSO, LINDSAYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/10/2021
  • MARRIOTT, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • MCKINNIE-REDMOND, FAITHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • MORRIS, JACEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • MURRAY, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2020
  • ROBERTSON, BRETTIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • SAMUELIAN, SPENCERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • SEASTRAND, JASONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • WEST, CHRISTIANIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • WORKMAN, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/07/2025
  • GUNNISON VALLEY HOSPITALOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/24/2025
  • HEALTH GROUP MANAGEMENT LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/24/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.51per resident day
RN hours0.90per resident day
Weekend nurse hours3.13per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Salt Lake City ledger →
City Creek Post Acute108 beds · CMS overall 3/521 citation rowsHolladay Healthcare Center120 beds · CMS overall 3/534 citation rowsMaple Ridge Rehabilitation And Nursing36 beds · CMS overall 1/547 citation rowsMeadow Brook Rehabilitation And Nursing41 beds · CMS overall 2/565 citation rowsMidtown Manor82 beds · CMS overall 1/542 citation rowsMillcreek Rehabilitation And Nursing61 beds · CMS overall 2/545 citation rowsMonument Healthcare Millcreek120 beds · CMS overall 4/518 citation rowsMonument Healthcare South Salt Lake140 beds · CMS overall 1/560 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.