Monument Healthcare South Salt Lake, Salt Lake City, Utah

58
Citations from health inspectionsUtah average: 27 a home: 9
Residents harmed or put in dangerUtah average: 3.1 a home: $36,546
Fines from the federal governmentUtah average: $23,954 a home: 1 out of 5
Overall rating in starsUtah average: 3.3

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Four inspection visits produced 58 citations. Residents were in immediate danger in two findings. Residents were found hurt in seven cases. Federal fines came to $36,546 (two fines).

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 3 out of 5
Rating for quality of care: 4 out of 5
Nurse time for each resident: 3.72 hours each dayThe Utah average is 4.09 hours
Time from registered nurses: 1.39 hours each dayThe Utah average is 1.25 hours
Nursing staff who left during one year: 47.2%against the Utah average of 50.7%
Beds that are certified: 140
Ownership: Hospital district (government)
Chain: Monument Health Group, with 11 homes
Street address: 2472 South 300 East, Salt Lake City, Utah 84115
County: Salt Lake

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated July 8, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

20 citations dated June 19, 2025

F921 A Safe, Clean Building: immediate danger to residents, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F840 Outside Professionals When Needed: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: immediate danger to residents, widespread, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Nine citations dated Jan. 25, 2024

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.

28 citations dated March 21, 2022

F914 Bedroom Privacy Between Residents: risk of harm, no one found hurt, one or a few residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F867 Ongoing Quality Review Group and Correction Plans: residents were harmed, one or a few residents.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F697 Pain Management: residents were harmed, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F687 Proper Foot Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
F684 Quality of Care: residents were harmed, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, a pattern, several residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
June 19, 2025	Fine	$18,155
Jan. 25, 2024	Fine	$18,391

Ownership and Management of the Home

The home is run by Gunnison Valley Hospital (operational or managerial control).
The home is run by Health Group Management LLC (operational or managerial control).
The home is run by Monument Health Group LLC (operational or managerial control).
The direct owner is Gunnison Valley Hospital.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 465146. Other homes in Utah.