Monument Healthcare Millcreek: Infection Control Gaps - UT
Inspectors cited the facility under the infection control tag, finding that staff failed to properly use personal protective equipment when caring for residents known to carry or be infected with methicillin-resistant Staphylococcus aureus, a bacteria that can cause infections resistant to many common antibiotics and spreads readily through direct contact in healthcare settings.
The failures were specific. Staff were not consistently donning gowns and gloves before entering the rooms of residents on contact precautions, and not removing that protective equipment before leaving. Gloves were not always changed after contact with infective material such as wound drainage. Equipment like blood pressure cuffs was not being properly dedicated to individual residents or disinfected between uses.
The inspection cited guidance from the Centers for Disease Control and Prevention, which instructs healthcare workers to wear a gown and gloves for all interactions that may involve contact with a patient or their environment when contact precautions are in place, and to discard that equipment before leaving the room. The CDC's MRSA-specific guidance states the same requirements apply whether a resident is colonized, meaning they carry the bacteria without active infection, or actively infected.
The deficiency was classified as causing minimal harm or potential for actual harm, and inspectors noted that few residents were affected.
The concern with lapses like these is straightforward. MRSA can move from one resident to another on the hands or clothing of a staff member who skipped a gown, or on a blood pressure cuff that went from one room to the next without being wiped down. Residents in nursing facilities are often elderly, immunocompromised, or recovering from surgery, and a MRSA infection in that population can turn serious quickly.
The inspection was triggered by a complaint, not a routine survey.
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 5, 2026 · Our methodology
Monument Healthcare Millcreek in Salt Lake City, UT was cited for violations during a health inspection on November 20, 2025.
Gloves were not always changed after contact with infective material such as wound drainage.
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.