Federal inspection record · CMS data as of October 1, 2026
Monument Healthcare American Fork
350 East 300 North, American Fork, UT · (801) 756-5293
- Certified beds
- 106
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- Monument Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 21, 1984
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Utah homes
Monument Healthcare American Fork carries 82 inspection points. That is fewer than 31% of Utah's 96 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Utah: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–38 pts
- 3★ 38–66 pts
- 2★ 66–118.25 pts
- 1★ over 118.25 pts
Bars show every rated home in Utah by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
59 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
G
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights10E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Nutrition and Dietary8E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care5E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Environmental5E
- E
Put firmly secured handrails on each side of hallways.
- D
Keep all essential equipment working safely.
- D
Ensure resident rooms meet each resident's needs.
- D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Ensure each resident room has a window to the outside that meets requirements
Pharmacy Service5E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Administration3E
- E
Conduct 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.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-09-04
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2023-12-06
39 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2022-02-28
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 52 min of nursing staff time a day, 1 h 51 min of it from a registered nurse.
This home
4 h 52 min
Utah average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 46% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$35,437 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-06 | Fine | $35,437 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 100.0% | 97.8% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 14.7% | 16.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 0.0% | 3.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts better | 14.5% | 25.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.8 pts better | 0.0% | 13.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.8 pts better | 3.9% | 12.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts better | 1.9% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.9 pts better | 8.4% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.2% | 3.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts better | 100.0% | 92.2% | 80.1% |
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Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Anderson, Dominic | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Anderson, Dominic | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bennett, Tim | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bennett, Tim | Adp Of The SNF · Individual | 0% | 1 facilities |
| Clawson, Travis | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Clawson, Travis | Adp Of The SNF · Individual | 0% | 11 facilities |
| Fragoso, Lindsay | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Fragoso, Lindsay | Adp Of The SNF · Individual | 0% | 31 facilities |
| Gunnison Valley Hospital | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Gunnison Valley Hospital | Adp Of The SNF · Organization | 0% | 10 facilities |
| Health Group Management LLC | Operational/Managerial Control · Organization | 0% | 31 facilities |
| Health Group Management LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Marriott, Stephen | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Marriott, Stephen | Adp Of The SNF · Individual | 0% | 10 facilities |
| Monument Health Group LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Monument Health Group LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Monument Health Properties LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Monument Real Estate American Fork LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Murray, Brian | Corporate Officer · Individual | 0% | 15 facilities |
| Robertson, Brett | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Robertson, Brett | Adp Of The SNF · Individual | 0% | 31 facilities |
| Samuelian, Spencer | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Samuelian, Spencer | Adp Of The SNF · Individual | 0% | 31 facilities |
| Seastrand, Jason | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Seastrand, Jason | Adp Of The SNF · Individual | 0% | 31 facilities |
| West, Christian | Operational/Managerial Control · Individual | 0% | 31 facilities |
| West, Christian | Adp Of The SNF · Individual | 0% | 31 facilities |
| Workman, David | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Workman, David | Adp Of The SNF · Individual | 0% | 9 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3E
- E
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
-
Stonehenge of American Fork
American Fork, UT · Stonehenge Of Utah
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0
-
Mission at Alpine Rehabilitation Center
Pleasant Grove, UT · Mission Health Services · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 18 min
- Fines
- $125,737
-
Pointe Meadows Health and Rehabilitation
Lehi, UT · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0