Monument Healthcare Cottonwood Creek
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$17,940
Outcome
Monument Healthcare Cottonwood Creek in Salt Lake City, UT was fined $17,940 by CMS following 28 deficiency citations identified during federal surveys.
Details
Monument Healthcare Cottonwood Creek (Salt Lake City, UT) — $17,940 in CMS Fines
Outcome: Monument Healthcare Cottonwood Creek in Salt Lake City, UT was fined $17,940 by CMS following 28 deficiency citations identified during federal surveys.
Deficiency areas cited:
- 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.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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