SNF

Monument Healthcare Cottonwood Creek

CCN: 465074 · Salt Lake City, UT 84117 · Salt Lake County

Overview

Address
1205 East 4725 South, Salt Lake City, UT 84117
Phone
8012622908
Certified beds
77
Avg daily residents
66 (86% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1980-05-16
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.83 3.17 3.46 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.46 0.55 0.56 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.73 0.70 0.89 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.64 1.91 2.01 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.19 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.49
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
3.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
New facility — insufficient data.
RN turnover
New facility — insufficient data.
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.12
near national average
Case-Mix Index Ratio
0.81
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-04-04 6 6 1 48 1 48
Cycle 2/3 (prior) 2022-05-05 13 13 0 108 1 108
Total weighted health score
63.0
lower is better

Deficiencies (28)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

25 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-04-04 2024-04-25
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2024-04-04 2024-03-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-04 2024-04-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-04-04 2024-04-25
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-04-04 2024-04-25
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-04-04 2024-03-25
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2022-05-05 2022-06-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2022-05-05 2022-06-09
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2022-05-05 2022-06-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2022-05-05 2022-06-09
0692 Provide enough food/fluids to maintain a resident's health. G 2022-05-05 2022-06-09
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. E 2022-05-05 2022-06-09
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2022-05-05 2022-06-09
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2022-05-05 2022-06-09
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2022-05-05 2022-06-09
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2022-05-05 2022-06-09
0880 Provide and implement an infection prevention and control program. E 2022-05-05 2022-06-09
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2022-05-05 2022-06-09
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2022-05-05 2022-06-09
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2019-12-05 2020-01-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2019-12-05 2020-01-17
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2019-12-05 2020-01-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2019-12-05 2020-01-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2019-12-05 2020-01-20
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2019-12-05 2020-01-15
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2019-12-05 2020-01-20
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. E 2019-12-05 2020-01-17
0880 Provide and implement an infection prevention and control program. D 2019-12-05 2020-01-16

Penalties (1)

Fines issued
1
last 3 years
Total fines
$17,940
Date Type Fine amount
2024-04-04 Fine $17,940

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 1.3% Medicaid 93.4% Other 5.3%

Operating performance

Operating Margin
21.2%
Total Margin
22.1%
Occupancy Rate
75.5%

Revenue & costs

Net Patient Revenue
$8.5M
Total Costs
$279K
Net Income
$1.9M

Balance sheet

Total Assets
$5.1M
Total Liabilities
$3.8M
Fund Balance
$1.3M
Current Ratio
1.52

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: MONUMENT HEALTH GROUP

Chain ID
770
Facilities in chain
14
Legal business name
GUNNISON VALLEY HOSPITAL
Chain-average star ratings (for peer context)
Overall
3.3
Health
2.6
Staffing
2.6
QM
4.7

Owner / manager organizations (4)

Organization Role Association
GUNNISON VALLEY HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2020
GUNNISON VALLEY HOSPITAL OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
HEALTH GROUP MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
MONUMENT HEALTH GROUP LLC OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025

Owner / manager individuals (13)

Name Role Association
CLAWSON, TRAVIS OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
ESPINOSA, STEPHANIE OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
FRAGOSO, LINDSAY OPERATIONAL/MANAGERIAL CONTROL since 05/10/2021
MARRIOTT, STEPHEN OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
MCKINNIE-REDMOND, FAITH OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
MORRIS, JACE OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
MURRAY, BRIAN OPERATIONAL/MANAGERIAL CONTROL since 07/01/2020
ROBERTSON, BRETT OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
SAMUELIAN, SPENCER OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
SEASTRAND, JASON OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
WEST, CHRISTIAN OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
WORKMAN, DAVID OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
MURRAY, BRIAN CORPORATE OFFICER since 07/01/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.52 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 93.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.3% metrics.medicare_day_share
Cost Report Net Income ($) $1,916,177 metrics.net_income
Cost Report Net Patient Revenue ($) $8,546,595 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 75.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 21.2% metrics.operating_margin
Cost Report Total Assets ($) $5,106,108 metrics.total_assets
Cost Report Total Costs ($) $278,575 metrics.total_costs
Cost Report Total Fund Balances ($) $1,307,006 metrics.fund_balance
Cost Report Total Liabilities ($) $3,799,102 metrics.total_liabilities
Cost Report Total Margin (%) 22.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.89434 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.00554 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.55724 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.45712 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.03989 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 66.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.70257 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.90944 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.55378 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.16580 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.79032 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 770 Chain ID
Provider Information Chain Name MONUMENT HEALTH GROUP Chain Name
Provider Information City/Town Salt Lake City City/Town
Provider Information CMS Certification Number (CCN) 465074 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Salt Lake County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1980-05-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.7598 Latitude
Provider Information Legal Business Name GUNNISON VALLEY HOSPITAL Legal Business Name
Provider Information Location 1205 East 4725 South,Salt Lake City,UT,84117 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -111.87 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 77 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 14 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.12150 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.81407 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1205 East 4725 South Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Monument Healthcare Cottonwood Creek Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 170 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 48 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-04-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 48 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 6 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-05-05 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 108 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 108 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.22503 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.19023 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.73332 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.64446 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00490 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.45691 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.83469 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State UT State
Provider Information Telephone Number 8012622908 Telephone Number
Provider Information Total Amount of Fines in Dollars 17940.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.49258 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover — Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 63.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 84117 ZIP Code