Monument Healthcare Canyon Rim

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 90 beds and averages 65.8 residents a day — about 73% occupied, or roughly 24 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.69 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.16 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 15 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-12-16 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined for 2 out of 10 sampled residents that in response to allegations of abuse, the facility failed to report allegations immediately. Specifically, allegations of abuse were not reported to the State Survey Agency (SSA), Adult Protective Services (APS), or the police. This was determined to have occurred at an Immediate Jeopardy level for resident 5. Resident identifiers: 1 and 5. On 12/12/2024, a finding of Immediate Jeopardy (IJ) (immediate threat to the health and safety of patients) was identified in the area of 483.12 Freedom from Abuse, Neglect, and Exploitation. The facility was notified of this finding verbally and in writing on 12/12/2024 at 10:20 AM. The facility submitted an IJ removal plan on 12/12/2024 at 3:41 PM, alleging removal as of 12/12/2024 at 2:30 PM. The plan was accepted, and the facility was notified at 5:36 PM on 12/12/2024. An onsite visit was conducted on 12/16/2024, and surveyors determined that the IJ had been removed on 12/12/2024…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-12-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that in response to allegations of abuse, the facility failed to have evidence that all alleged violations were thoroughly investigated for 2 of 10 sampled residents and prevent further potential abuse while an investigation was being processed for 1 of 10 sampled residents. Specifically, the facility did not have evidence that abuse allegations were thoroughly investigated and allowed an alleged perpetrator to continue to have access to the alleged victim and other vulnerable residents. This was determined to have occurred at an Immediate Jeopardy level for resident 5. Resident identifiers: 1 and 5. On 12/12/2024, a finding of Immediate Jeopardy (IJ) (immediate threat to the health and safety of patients) was identified in the area of 483.12 Freedom from Abuse, Neglect, and Exploitation. The facility was notified of this finding verbally and in writing on 12/12/2024 at 10:20 AM. The facility submitted an IJ removal plan on 12/12/2024 at 3:41 PM, alleging…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · H2020-02-25 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 8 of 35 sampled residents, that the facility failed to ensure the residents were free from abuse and neglect. Specifically, the facility did not provide protection to ensure that residents were free from verbal and physical abuse from other residents. Resident identifiers: 10, 14, 17, 32, 35, 43, 47, and 59. Findings include: 1. Resident 10 was admitted to the facility on [DATE] with diagnoses which included vascular dementia with behavioral disturbance, encephalopathy, cognitive communication deficit, and unspecified sequelae of cerebral infarction. On 2/19/2020 at 8:43 AM, resident 10 was observed sitting in a wheelchair. Another resident forcefully kicked resident 10's wheelchair twice while he was sitting in it, swore at resident 10, and accused resident 10 of blocking the hall. Staff escorted the other resident away. There was no incident report completed. On 2/23/2020 at 5:07 PM, resident 10 and another resident were observed during a verbal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2020-02-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 2 of 35 sampled residents, that the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice. Specifically, full and complete neuro checks were not performed on three separate occasions for two residents who suffered falls with head injuries, and a resident was not taken to the hospital upon being found unresponsive. Additionally, it was discovered this resident had a hip fracture three days later. Resident identifiers: 10 and 32. Findings include: 1. Resident 10 was admitted to the facility on [DATE] with diagnoses which included vascular dementia with behavioral disturbance, encephalopathy, cognitive communication deficit, and unspecified sequelae of cerebral infarction. On 2/19/20 resident 10's medical record was reviewed. Nursing progress notes revealed the following incidents: a. On 10/27/19 at 12:10 PM, Resident [10] was ambulating down hall headed east by shower room when he came up…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2020-02-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, it was determined for 1 of 35 sampled residents, that the facility failed to ensure that the resident environment remained as free of accident hazards as is possible and that each resident receives adequate supervision and assistance devices to prevent accidents. Specifically, one resident's care plan was not updated, the resident was not monitored more frequently, moved closer to the nurses' station, nor moved to the third floor for better supervision. Also, the facility failed to keep the facility in good repair and caused the resident to have a fall. Resident identifier: 18. Findings include: Resident 18 was admitted to the facility on [DATE] and readmitted on [DATE] with a diagnosis of fracture left femur, osteoporosis, and diabetes mellitus, and dementia, insomnia, left artificial hip joint, dysphagia, and cognitive communication; hearing loss, gastro-esophageal reflux, and history of falls, abscesses. On 2/20/2020, resident 18's medical record revealed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-08-17 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner and in an environment that promoted maintenance or enhancement of their quality of life, recognizing each resident's individuality. Specifically, for 4 out of 28 sampled residents, staff referred to resident's who required dining assistance as feeders, a resident was told the location of where he needed to eat his meals, residents were observed to wait for their meal trays while their tablemate's ate, and a resident waited approximately 46 minutes for his lunch tray to be served. Resident identifiers: 12, 17, 37, and 49. Findings included: On 8/15/22 at 12:21 PM, a continuous observation was made of the assisted dining room on the third floor during the lunch meal service. The dining room was observed with 8 residents seated inside. 1. On 8/15/22 at 12:23 PM, the facility Administrator (ADM) and Assistant Director of Nursing (ADON) were observed to walk by the doorway to the assisted dining room. The ADON paused in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-08-17 · tag F0638 — pattern
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility did not assess residents using the quarterly review instrument specified by the State and approved by Centers for Medicare & Medicaid Services not less frequently than once every 3 months. Specifically, for 4 out of 28 sampled residents, quarterly Minimum Data Set (MDS) assessments were not completed every 3 months. In addition, quarterly MDS assessments were not completed no later than 14 days after the assessment reference date (ARD). Resident identifiers: 1, 4, 7, and 32. Findings included: 1. Resident 32 was admitted to the facility on [DATE] with diagnoses which included, but not limited to, type 2 diabetes mellitus, post-traumatic stress disorder, cognitive communication deficit, dysphagia, major depressive disorder, acidosis, sleep disorder, phantom limb syndrome with pain, essential hypertension, peripheral vascular disease, repeated falls, and retention of urine. Resident 32's medical record was reviewed on 8/17/22. Resident 32's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0568 — isolated
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, it was determined, the facility did not ensure that individual financial records were available to the residents through quarterly statements and upon request. Specifically, for 1 out of 28 sampled residents, a resident did not receive quarterly statements regarding his personal funds. Resident identifier: 12. Findings included: On 8/15/22 at 9:36 AM, an interview was conducted with resident 12. Resident 12 stated the facility held funds in a personal account for him. Resident 12 stated he did not receive a quarterly statement regarding his personal funds. Resident 12 stated he would like to receive a statement, so he was aware of the status of his personal funds. On 8/17/22 at 9:59 AM, an interview was conducted with the Business Office Manager (BOM). The BOM stated there were all kinds of statements that could be pulled from the Resident Funds Management System. The BOM stated residents did not automatically get a quarterly statement regarding their funds. The BOM stated if a resident requested a statement, a statement could be printed. The BOM stated a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility did not conduct comprehensive assessments of residents in accordance with the timeframe's specified. Specifically, for 2 out of 28 sampled residents, a residents comprehensive assessment was not completed at least once every 12 months. In addition, a residents admission Minimum Data Set (MDS) assessment was not completed within 14 days after admission. Resident identifiers: 40 and 105. Findings included: 1. Resident 105 was admitted to the facility on [DATE] with diagnoses which included, but not limited to, hypomagnesemia, hypokalemia, and cutaneous abscess of abdominal wall. Resident 105's medical record was reviewed on 8/17/22. Resident 105's admission MDS assessment was reviewed, and it was revealed that the assessment reference date (ARD) target date for completion of the admission MDS assessment was 8/9/22. The admission MDS assessment was not completed, and the status was marked as In Progress. 2. Resident 40 was initially admitted to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility assessments did not accurately reflect the resident's status. Specifically, for 1 out of 28 sampled residents, a resident's Minimum Data Set (MDS) annual assessment was coded incorrectly by indicating the resident was not on hospice when the resident was on hospice. Resident identifier: 40. Findings included: Resident 40 was initially admitted to the facility on [DATE] and was re-admitted on [DATE] with diagnoses that included Huntington's Disease, schizophrenia, anxiety disorder, mood disorder, nausea and vomiting, dysarthria and anarthria, contracture, tubule-interstitial nephritis, osteoporosis, dementia, dysphagia, and major depressive disorder. On 8/15/22, resident 40's medical record was reviewed. A physician's order dated 6/25/21, included Hospice to eval [evaluate] and treat and was documented as active. Resident 40's medical record included multiple hospice visit documents dating back to 2016. Resident 40's medical record contained a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility did not ensure that the pharmacist's reported irregularities of a resident's drug regimen were reported to the Medical Director (MD) and the reports were acted upon. Specifically, for 1 out of 28 sampled residents, the facility did not implement the MD orders as they pertained to the pharmacist's recommendations. Resident identifier: 12. Findings included: Resident 12 was admitted to the facility on [DATE] with diagnoses which consisted of tourette's disorder, type 2 diabetes mellitus, major depressive disorder, obsessive-compulsive disorder (OCD), anxiety disorder, gastro-esophageal reflux, chronic respiratory failure, hyperlipidemia, obstructive and reflux uropathy, retention of urine, dysphagia, benign prostatic hyperplasia, morbid obesity, hypertension, mild cognitive impairment, and insomnia. On 8/15/22, resident 12's medical record was reviewed. Resident 12's physician's orders revealed the following: a. Lisinopril Tablet 5 milligrams…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indications for its use; or in the presence of adverse consequences which indicate the dose should be reduced or discontinued; or any combinations of the reasons above. Specifically, for 2 out of 28 sampled residents, a resident's beta blocker medication to treat tremors, anxiety, and possibly high blood pressure was not monitored according to the physician ordered parameters. In addition, the facility did not implement the Medical Director (MD) orders as they pertained to the pharmacist's recommendations. Resident identifiers: 12 and 35. Findings included: 1. Resident 35 was admitted to the facility on [DATE] with diagnoses which included, but not limited to, multiple sclerosis, rheumatoid arthritis, generalized anxiety,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined, the facility did not ensure that residents who received psychotropic drugs were not prescribed the medication unless necessary to treat a specific condition as diagnosed in the clinical record; and residents who used psychotropic drugs received gradual dose reductions, monitoring, and behavioral interventions in an effort to discontinue the medication. Specifically, for 1 out of 28 sampled resident, the Medical Director (MD) ordered dose adjustments of psychotropic medications that were not implemented and doses of psychotropic medications were missed. Resident identifier: 12. Findings included: Resident 12 was admitted to the facility on [DATE] with diagnoses which consisted of tourette's disorder, type 2 diabetes mellitus, major depressive disorder, obsessive-compulsive disorder (OCD), anxiety disorder, gastro-esophageal reflux, chronic respiratory failure, hyperlipidemia, obstructive and reflux uropathy, retention of urine, dysphagia, benign prostatic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-08-17 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined, the facility did not ensure residents were free of any significant medication errors. Specifically, for 1 out of 28 sampled residents, a resident was administered the wrong medication during the medication administration task observation. Resident identifier: 41. Findings included: Resident 41 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included, but not limited to, schizoaffective disorder bipolar type, mental disorders due to known physiological condition, mood disorder due to known physiological condition with depressive features, chronic obstructive pulmonary disease, heart disease, mild cognitive impairment, schizoaffective disorder, cognitive communication deficit, drug induced akathisia, delusional disorders, generalized anxiety disorder, chronic pain, and repeated falls. On 8/17/22 at 10:22 AM, Licensed Practical Nurse (LPN) 1 was observed to prepare and administer a medication to resident 41.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-08-17 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, it was determined, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, food items in the walk-in freezer were open to air, and food items in the walk-in refrigerator were open to air. Findings included: On 8/15/22 at 8:28 AM, an initial walk through of the kitchen was conducted. In the walk-in refrigerator, a box containing bacon was observed to be open with the bacon open to air. On 8/17/22 at 10:53 AM, a second walk through of the kitchen was conducted. In the walk-in refrigerator, a box containing bacon was observed to be open with the bacon open to air. In the walk-in freezer, a box of garden burgers was open with the patties open to air, a box of cookie dough was observed to be open with the dough open to air, and a box of frozen dinner rolls was open with the dough open to air. On 8/17/22 at 11:04 AM, an interview was conducted with the Dietary Manager (DM). The DM stated dietary staff were educated with training videos they were required to watch…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$6,676 in federal fines across 1 penalty.

• $6,676 — penalty dated 2024-12-16

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to MONUMENT HEALTH GROUP — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 33 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 91% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 58% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in UT