Monument Healthcare Canyon Rim ratings, inspections, staffing, and fines

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Utah.
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.
Overall

3 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Utah homes

Monument Healthcare Canyon Rim carries 67.5 inspection points. That is fewer than 42% 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

27 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts

H 1 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts

E 11 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

August 6, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 10, 2026
J

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

December 16, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected December 16, 2024
J

Respond appropriately to all alleged violations.

December 16, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected December 16, 2024
H

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

February 25, 2020 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 25, 2020
G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

February 25, 2020 · Standard inspection · Quality of Life and Care · F684 · Corrected July 25, 2020
G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 25, 2020 · Standard inspection · Quality of Life and Care · F689 · Corrected July 25, 2020

Everything else, by area of care

Resident Assessment and Care Planning4E

E
Assure that each resident’s assessment is updated at least once every 3 months.
August 17, 2022 · Standard · F638 · Corrected September 9, 2022
D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
August 17, 2022 · Standard · F636 · Corrected September 9, 2022
D
Ensure each resident receives an accurate assessment.
August 17, 2022 · Standard · F641 · Corrected September 9, 2022
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
February 25, 2020 · Standard · F656 · Corrected July 25, 2020

Pharmacy Service4D

D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
August 17, 2022 · Standard · F756 · Corrected September 9, 2022
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
August 17, 2022 · Standard · F757 · Corrected September 9, 2022
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.
August 17, 2022 · Standard · F758 · Corrected September 9, 2022
D
Ensure that residents are free from significant medication errors.
August 17, 2022 · Standard · F760 · Corrected September 9, 2022

Freedom from Abuse, Neglect, and Exploitation3E

E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 25, 2020 · Standard · F609 · Corrected July 25, 2020
E
Respond appropriately to all alleged violations.
February 25, 2020 · Standard · F610 · Corrected July 25, 2020
D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
February 25, 2020 · Standard · F604 · Corrected July 25, 2020

Quality of Life and Care2E

D
Provide care and assistance to perform activities of daily living for any resident who is unable.
August 6, 2026 · Complaint · F677 · Corrected August 10, 2026
E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
February 25, 2020 · Standard · F740 · Corrected July 25, 2020

Resident Rights2E

E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
August 17, 2022 · Standard · F550 · Corrected September 9, 2022
D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
August 17, 2022 · Standard · F568 · Corrected September 9, 2022

Nutrition and Dietary2E

D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 17, 2022 · Standard · F812 · Corrected September 9, 2022
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 25, 2020 · Standard · F812 · Corrected July 25, 2020

Nursing and Physician Services2E

E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
February 25, 2020 · Standard · F725 · Corrected July 25, 2020
E
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
February 25, 2020 · Standard · F841 · Corrected July 25, 2020

Administration2E

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.
February 25, 2020 · Standard · F838 · Corrected July 25, 2020
E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
February 25, 2020 · Standard · F867 · Corrected July 25, 2020

Inspection history

2024-06-27
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-08-17
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2020-02-25
13 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 24 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.

This home

3 h 24 min

Utah average

4 h 5 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 53% of nursing staff and 61% of registered nurses left in the past year.

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

$6,676 in federal fines on record over the past three years.

Date	Penalty	Amount
2024-12-16	Fine	$6,676

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 vaccine0.2 pts better	98.0%	97.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better	100.0%	98.2%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse	4.5%	2.5%	3.2%
Percentage of long-stay residents who have depressive symptoms11.8 pts worse	28.7%	16.9%	13.5%
Percentage of long-stay residents who lose too much weight0.4 pts better	2.9%	3.3%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.1 pts worse	39.9%	25.8%	19.5%
Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse	18.1%	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 worsened3.8 pts better	8.9%	12.7%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse	11.8%	10.7%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better	0.0%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better	1.5%	1.9%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts better	15.4%	20.3%	18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better	3.1%	3.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts worse	92.9%	94.1%	82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better	0.8%	1.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.1 pts better	98.3%	92.2%	80.1%

·

Who owns and runs it

31 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
Bullwinkel, Chaz	Operational/Managerial Control · Individual	0%	1 facilities
Bullwinkel, Chaz	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
Galindo, Michael	Operational/Managerial Control · Individual	0%	3 facilities
Galindo, Michael	Adp Of The SNF · Individual	0%	3 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 Canyon Rim LLC	Adp Of The SNF · Organization	0%	1 facilities
Murray, Brian	Corporate Officer · Individual	0%	15 facilities
Murray, Brian	Operational/Managerial Control · Individual	0%	15 facilities
Murray, Brian	Adp Of The SNF · 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
Tonga, Elaine	Operational/Managerial Control · Individual	0%	1 facilities
Tonga, Elaine	Adp Of The SNF · Individual	0%	1 facilities
West, Christian	Operational/Managerial Control · Individual	0%	31 facilities
West, Christian	Adp Of The SNF · Individual	0%	31 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness1E

E
Establish an Emergency Preparedness Program (EP).
February 25, 2020 · E1 · Corrected April 1, 2020

·

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