Monument Healthcare Bountiful: Abuse Reporting Failures - UT
Federal inspectors cited Monument Healthcare Bountiful for immediate jeopardy after finding that Viking XL Mobile Lifts used to transfer residents were missing their safety latches, the small but critical components that keep a sling locked onto the lift bar while a person is suspended in the air.
The facility's own Director of Nursing described exactly what that meant. Without the latches, the DON told inspectors, the lifts were not in good working condition. The slings could slip off.
The Viking XL's instruction guide is unambiguous on this point. Latches must be intact. Missing or damaged latches must always be replaced. The guide specifies that after installation, the spring-loaded latch should sit taut against the sling bar and move freely in the hook, a check that exists precisely because the alternative is a resident falling from mid-air during a transfer.
The facility had its own written policy requiring staff to examine all hooks, clips, and fasteners before any lift, to verify the sling is securely attached and properly balanced, and to double-check the security of the sling attachment before a resident leaves the ground. That policy was revised as recently as February 2024. The same policy required at least two nursing assistants present for every mechanical lift transfer.
None of that prevented the latches from going missing. None of it caught the problem before inspectors arrived.
Mechanical lift failures are among the most physically catastrophic events that can happen to a nursing home resident. A person suspended in a sling has no way to catch themselves. The DON's own words to inspectors captured the stakes plainly: it was open, it posed a risk of malfunction and harm.
The inspection, triggered by a complaint, was completed November 6, 2025. The deficiency was tagged at immediate jeopardy, the most serious level CMS assigns, reserved for situations where harm or death is likely without immediate correction.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Monument Healthcare Bountiful from 2025-11-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Monument Healthcare Bountiful in Bountiful, UT was cited for abuse-related violations during a health inspection on November 6, 2025.
The facility's own Director of Nursing described exactly what that meant.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.