Monument Healthcare Millcreek: Drug Regimen Failures - UT
Federal inspectors cited the facility on November 20, 2025, after finding that staff were not consistently wearing gowns and gloves when entering the rooms of residents on contact precautions, and were not always removing that protective equipment before leaving.
The failures were not minor procedural gaps. Contact precautions exist specifically to stop MRSA from moving from one resident to another on the hands and clothing of caregivers. When a staff member removes gloves and then touches a contaminated surface, or leaves a room without removing a gown, the pathogen travels with them.
Inspectors also found concerns about equipment. Blood pressure cuffs and other patient-care items used on a resident with MRSA are supposed to be dedicated to that resident or disinfected before use on anyone else. The inspection record does not specify which residents were affected, but notes that a few residents were involved.
MRSA is not a background risk in nursing homes. It spreads readily in facilities where residents share staff, common spaces, and equipment, and it hits hardest in people who are already medically vulnerable. Older adults with wounds, catheters, or weakened immune systems face the greatest danger if the infection reaches them.
The deficiency was cited at a level of minimal harm or potential for actual harm, the lower end of the federal harm scale. That designation reflects what inspectors documented at the time of the visit. It does not mean the lapse carried no risk for residents who were not yet infected.
Monument Healthcare Millcreek is located at 1201 East 4500 South in Salt Lake City.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Monument Healthcare Millcreek from 2025-11-20 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 4, 2026 · Our methodology
Monument Healthcare Millcreek in Salt Lake City, UT was cited for violations during a health inspection on November 20, 2025.
The failures were not minor procedural gaps.
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.