Federal inspection record · CMS data as of October 1, 2026
Monument Healthcare South Salt Lake
2472 South 300 East, Salt Lake City, UT · (801) 466-2211
- Special Focus Facility
- Certified beds
- 140
- Residents per day
- 99
- Ownership
- Government
- Chain
- Monument Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 6, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Monument Healthcare South Salt Lake carries 314.25 inspection points. That is fewer than 2% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (9)
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
-
G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Everything else, by area of care
Quality of Life and Care11E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights7E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning7E
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Freedom from Abuse, Neglect, and Exploitation5E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration4F
- F
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Pharmacy Service4E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental1D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspection history
2025-06-19
21 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-01-25
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2022-03-21
28 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 1 h 21 min of it from a registered nurse.
This home
3 h 40 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 57% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$36,546 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-19 | Fine | $18,155 |
| 2024-01-25 | Fine | $18,391 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.6 | 1.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 99.3% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 98.2% | 98.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.9 pts worse | 19.8% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 2.1% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts better | 18.4% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 15.4% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.5 pts better | 4.2% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 6.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 1.3% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.5 pts better | 12.8% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 5.2% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 97.9% | 94.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.4 pts worse | 24.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 93.6% | 92.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse | 19.1% | 17.0% | 23.4% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Clawson, Travis | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Clawson, Travis | Adp Of The SNF · Individual | 0% | 11 facilities |
| Fragoso, Lindsay | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Fragoso, Lindsay | Adp Of The SNF · Individual | 0% | 31 facilities |
| Galindo, Michael | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Galindo, Michael | Adp Of The SNF · Individual | 0% | 3 facilities |
| Gunnison Valley Hospital | Direct Ownership Interest · Organization | 0% | 10 facilities |
| Gunnison Valley Hospital | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Gunnison Valley Hospital | Adp Of The SNF · Organization | 0% | 10 facilities |
| Health Group Management LLC | Operational/Managerial Control · Organization | 0% | 31 facilities |
| Health Group Management LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Lock, Chelsea | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lock, Chelsea | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marriott, Stephen | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Marriott, Stephen | Adp Of The SNF · Individual | 0% | 10 facilities |
| Monument Health Group LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Monument Health Group LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Monument Health Properties LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 9 facilities |
| Monument Health Properties LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Monument Real Estate South Salt Lake LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Monument Real Estate South Salt Lake LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Murray, Brian | Corporate Officer · Individual | 0% | 15 facilities |
| Murray, Brian | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Rios, Louie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rios, Louie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Robertson, Brett | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Robertson, Brett | Adp Of The SNF · Individual | 0% | 31 facilities |
| Samuelian, Spencer | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Samuelian, Spencer | Adp Of The SNF · Individual | 0% | 31 facilities |
| Seastrand, Jason | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Seastrand, Jason | Adp Of The SNF · Individual | 0% | 31 facilities |
| West, Christian | Operational/Managerial Control · Individual | 0% | 31 facilities |
| West, Christian | Adp Of The SNF · Individual | 0% | 31 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3E
- E
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Meadow Brook Rehabilitation and Nursing
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 9 min
- Fines
- $31,331
-
St Joseph Villa
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Little Cottonwood Rehabilitation and Nursing
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- Nursing / resident / day
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