A Legacy of Care

Here, you'll work with a team of specialists with decades of experience in assisted living.

Residents enjoying time together in a warm, welcoming setting

Physician-Led From the Start

Manor on 1st was born out of the dream of Dr. Mark Cacciamani. As a leading assisted living physician, he observed widespread shortfalls and gaps in care caused by facilities guided by profit, and not medical science. So in 2025, he assembled a group of Utah specialists to craft the kind of experience that our team would want for ourselves.

The result is assisted living reimagined from the ground up, with more freedom and control for residents, and greater use of the latest medical science to create healthier and more fulfilling lives for each of our residents.

Built in a Gilded Age Mansion

We've chosen a location with an unparalleled history for our assisted living, the former Salisbury Mansion in downtown Salt Lake City.

  • A Luxurious and Historic Residence

    We've carefully maintained the historic facade and charm of the building while updating it with modern touches that make life comfortable for our residents.

  • Rooms for Every Desire

    With three sizes of residences, and the freedom to get adjoining suites, you can find a space that makes you feel at home.

  • A Convenient Central Location

    Our neighborhood is vibrant and practical, close to medical appointments, downtown culture, and the workplaces of many of our residents' families.

  • Exceptional Medical Support

    With a physician as our founder, we better assist our residents day-to-day and in health decisions, with care grounded in the latest research.

Downtown Salt Lake City view

Our Guiding Beliefs

Help Elders Regain Control of Their Lives

We believe in creating a supportive environment that empowers our residents to feel more whole and free every day.

Create a Place that Feels Like Home

We believe that home is a feeling of warmth and belonging, and we are dedicated to helping our residents create it at the Manor.

Offer Transparency in Every Aspect

We believe residents and families deserve clarity and guidance at every step of the assisted living journey.

Endorsements of Our Team

See what people who have worked with us before say about our team of specialists.

  • You color this text using the “Formats” menu in editor menu bar. The “Title” should be for the quote citation. The name of the Author followed by a comma (,) — For example, Jane D., Sister of Resident — everything after the comma will have the light font color styling. The order in which it appears on the home page is set with “Order” under Post Attributes. (negative numbers are allowed)

    Jane D., Sister of Resident
  • Dr. Mark Cacciamani’s dedication to personalized care is evident in every interaction. His expertise, combined with genuine compassion, creates a level of trust that’s rare in assisted living communities. We knew our mother was in the best hands.

    Sarah M., Daughter of Resident

Meet Our Specialists

We've assembled an unparalleled team of experienced specialists to create an assisted living environment like no other.

Dr. Mark Cacciamani

Dr. Mark Cacciamani

Founder & Owner

Dr. Mark Cacciamani

Donna McDonough

Executive Director

Begin Your Journey

Our team is ready to answer questions and offer guidance as you consider assisted living. Reach out to us however is most convenient.