Monument Healthcare Millcreek

Nursing home in Salt Lake City, UT

Medicare & Medicaid certified4★ overall (CMS)

Call (801) 261-3664 Send a message Map ↗

Public-record details

Address: 1201 East 4500 South, Salt Lake City, UT 84117
Phone: (801) 261-3664
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 465139
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 120
Average residents per day: 84
Ownership: For-profit, limited Liability company
Legal business name: Milford Memorial Hospital
Chain: Monument Health Group (11 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 15, 1994
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: Yes
Sprinklers in all required areas: Yes

CMS certification number 465139. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 20, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 2, 2023 to Jan 21, 2026): 10 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jan 21, 2026	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jan 21, 2026	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Nov 20, 2025	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Nov 2, 2023	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. Resident Rights	D Potential for more than minimal harm, isolated
Nov 2, 2023	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.74 hours
Registered nurse (RN) time per resident per day: 1.05 hours
Nurse aide time per resident per day: 1.98 hours
Total nurse staffing on weekends: 3.28 hours
Nursing staff turnover (yearly): 47%
RN turnover (yearly): 32%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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