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Complaint Investigation

Monument Healthcare Millcreek

Inspection Date: November 20, 2025
Total Violations 8
Facility ID 465139
Location Salt Lake City, UT
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0580 during a complaint investigation conducted on 2025-11-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0757

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0757 during a complaint investigation conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0760 during a complaint investigation conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0773

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0773 during a complaint investigation conducted on 2025-11-20.

Category: Administration Deficiencies

The facility was found deficient in the following area: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0779

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0779 during a complaint investigation conducted on 2025-11-20.

Category: Administration Deficiencies

The facility was found deficient in the following area: Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-11-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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F-Tag F0919

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Monument Healthcare Millcreek in Salt Lake City, UT for a deficiency under regulatory tag F-F0919 during a complaint investigation conducted on 2025-11-20.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that a working call system is available in each resident's bathroom and bathing area.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 8 deficiencies cited during this inspection of Monument Healthcare Millcreek.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-26.

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