CCN 465112

Monument Healthcare Bountiful

460 West 2600 South, Bountiful, UT 84010 · Davis County

Phone: (801) 295-3135
Ownership: For profit - Limited Liability company
Certified beds: 100
Residents per day: 70.8
Health citations: 21
Penalties: 4
Fines: 3 · $51,852
Map: Open location

Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Overall

CMS overall star rating in this file.

Health inspection

Compared with other homes in the state.

Staffing

Based on reported PBJ nurse hours.

Quality measures

Long-stay 5 · short-stay 5.

Provider Information star ratings. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Staffing hours

Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.

Measure: This home; State; U.S.
Nurse aide: 2.01; 2.36; 2.32
LPN/LVN: 0.75; 0.48; 0.86
Registered nurse: 0.88; 1.25; 0.69
Total nurse staff: 3.64; 4.09; 3.86
Weekend total: 3.24; 3.58; 3.42
Weekend RN: 0.56; 0.89; 0.48

Adjusted total nurse hours: 3.24. Adjusted RN hours: 0.78. Case-mix total: 4.31. Case-mix index: 1.577.

Total nursing staff turnover: 52.3%. RN turnover: 62.5%. Administrators who left: 2.

How to read staffing hours

Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Fines and penalties

CMS reports 3 fines totaling $51,852, and 1 payment denial.

Date	Type	Amount or days
November 6, 2025	Fine	$31,838
November 6, 2025	Payment Denial	7 days
June 9, 2025	Fine	$11,190
December 18, 2024	Fine	$8,824

Cycle 1 standard survey: December 18, 2024. Health deficiencies counted in cycle 1: 9. Cycle 1 total health score: 139.

Cycle 2 standard survey: March 16, 2023. Cycle 2/3 health deficiencies: 7. Total weighted health survey score: 118.25.

Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Health inspection citations

The Health Deficiencies file lists 21 citations for this home, including 1 at immediate jeopardy and 3 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.

November 6, 2025

3 citations

Tag	What CMS cited	Scope and severity	Status
F689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1	J: isolated, immediate jeopardy to resident health or safety	Deficient, Provider has date of correction · November 26, 2025
F609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · November 26, 2025
F610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · November 26, 2025

June 9, 2025

2 citations

Tag	What CMS cited	Scope and severity	Status
F689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2	G: isolated, actual harm that is not immediate jeopardy	Past Non-Compliance · May 10, 2025
F760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Complaint survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Past Non-Compliance · May 17, 2025

December 18, 2024

6 citations

Tag	What CMS cited	Scope and severity	Status
F689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Standard survey · Cycle 1	G: isolated, actual harm that is not immediate jeopardy	Deficient, Provider has date of correction · January 20, 2025
F697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Standard survey · Cycle 1	G: isolated, actual harm that is not immediate jeopardy	Deficient, Provider has date of correction · January 20, 2025
F609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · January 17, 2025
F641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · January 20, 2025
F779	Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration Deficiencies · Standard survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · January 20, 2025
F880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · January 23, 2025

March 16, 2023

5 citations

Tag	What CMS cited	Scope and severity	Status
F761	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. Pharmacy Service Deficiencies · Standard survey · Cycle 2	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · April 25, 2023
F812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 2	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · April 25, 2023
F880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · April 25, 2023
F585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Standard survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · April 25, 2023
F689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Standard survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · April 25, 2023

August 18, 2022

5 citations

Tag	What CMS cited	Scope and severity	Status
F688	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. Quality of Life and Care Deficiencies · Standard survey · Cycle 3	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 22, 2022
F812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 22, 2022
F880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 3	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 22, 2022
F676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Standard survey · Cycle 3	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 22, 2022
F775	Keep complete, dated laboratory records in the resident's record. Administration Deficiencies · Standard survey · Cycle 3	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 22, 2022

Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Other facts in the provider file

Provider type: Medicare and Medicaid.
Chain name in the file: Monument Health Group (11 facilities). Chain average overall rating: 2.6.
Legal business name: Milford Memorial Hospital.
First approved for Medicare and Medicaid services: May 4, 1987.
Resident and family council: Resident.
Automatic sprinklers in all required areas: Yes.
Add this home to a comparison

Other homes in Bountiful

South Davis Specialty Care · overall 5
Monument Healthcare Stonecreek · overall 2

All nursing homes in Bountiful

Questions

What is the CMS overall rating for Monument Healthcare Bountiful?

Monument Healthcare Bountiful has an overall rating of 3 out of 5. The health inspection rating is 2, staffing is 2, and the quality measure rating is 5.

How many health citations does CMS list for Monument Healthcare Bountiful?

The Health Deficiencies file lists 21 health citations for this home. 1 are coded immediate jeopardy (J, K, or L) and 3 are coded actual harm that is not immediate jeopardy (G, H, or I).

What nurse staffing does CMS report for Monument Healthcare Bountiful?

CMS reports 3.64 total nurse hours per resident per day, including 0.88 registered nurse hours. These are Payroll-Based Journal measures in the Provider Information file.

CMS file

Staffing hours

Fines and penalties

Health inspection citations

November 6, 2025

June 9, 2025

December 18, 2024

March 16, 2023

August 18, 2022

Other facts in the provider file

Other homes in Bountiful

Questions

Opening the record…

Staffing hours

Fines and penalties

Health inspection citations

November 6, 2025

June 9, 2025

December 18, 2024

March 16, 2023

August 18, 2022

Other facts in the provider file

Other homes in Bountiful

Questions