Monument Healthcare Bountiful: Abuse Response Failures - UT
Federal inspectors rated the finding immediate jeopardy, the most severe level of harm designation available under the inspection system.
The director of nursing told inspectors that missing latches left the lifts "not in good working condition" and that without them, slings could slip off during a transfer. That is not a theoretical risk. A resident suspended in a sling above a floor has no way to stop a fall if the attachment gives way.
The Viking XL Mobile Lift, the model used at the facility, comes with an instruction guide that states missing or damaged latches must always be replaced. The guide specifies that after installation, the spring-loaded latch must sit taut against the sling bar and move freely in the hook. The latches are not optional hardware.
The facility had its own written policy, last revised in February 2024, requiring staff to examine all hooks, clips, and fasteners before a resident is lifted and to double-check the security of the sling attachment. The policy required at least two nursing assistants to be present for any mechanical lift transfer. It spelled out, step by step, what a safe lift looks like.
The latches were missing anyway.
What the inspection report does not say is how long the lifts had been used in that condition, or how many residents had been transferred in them before an inspector arrived and the director of nursing confirmed the risk out loud.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Monument Healthcare Bountiful in Bountiful, UT was cited for abuse-related violations during a health inspection on November 6, 2025.
Federal inspectors rated the finding immediate jeopardy, the most severe level of harm designation available under the inspection system.
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.