Monument Healthcare Canyon Rim
2730 East 3300 South, Millcreek, UT 84109 · CCN 465096
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 64.1
- Phone
- 8014870897
Inspection history vs Utah & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Utah avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-06-27 | 0 | 9.1 | 9.5 | -9.1 better |
| 2 | 2022-08-17 | 12 | 8.4 | 9.8 | +3.6 worse |
| 3 | 2020-02-25 | 13 | 10.3 | 9.3 | +2.7 worse |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.29 | 65.9% |
| RN staffing (reported) | 1.08 | 66.7% |
| Total nurse staffing (adjusted) | 3.33 | — |
Fines & penalties
- Total fines
- $6,676
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- MONUMENT HEALTH GROUP
- Facilities in chain
- 14
- Chain avg overall
- 3.30 / 5
Inspection citations (25)2 immediate jeopardy3 actual harm
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-16 · Health · corrected 2024-12-16
Immediate jeopardy
- JF0610Respond appropriately to all alleged violations.2024-12-16 · Health · corrected 2024-12-16
Immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0758Implement 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.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-17 · Health · corrected 2022-09-09
Potential for more than minimal harm
- HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2020-02-25 · Health · corrected 2020-07-25
Actual harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-25 · Health · corrected 2020-07-25
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-02-25 · Health · corrected 2020-07-25
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2020-02-25 · Health · corrected 2020-07-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUNNISON VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-07-01 |
| GUNNISON VALLEY HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MONUMENT HEALTH GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| BALSER, BRANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| CLAWSON, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| ESPINOSA, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| FRAGOSO, LINDSAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| GALINDO, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MARRIOTT, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MURRAY, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-07-01 |
| ROBERTSON, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| SAMUELIAN, SPENCER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| SEASTRAND, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| TONGA, ELAINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 |
| MURRAY, BRIAN | Individual | CORPORATE OFFICER | — | 2020-07-01 |
Other facilities in Millcreek
| Name | Overall | Beds |
|---|---|---|
| Monument Healthcare Murray Creek | ★★☆☆☆ | 184 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.