Richfield, UT

Monument Healthcare Richfield (Mission at Richfiel

5-star overall rating with 4-star inspections with $8,148 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

163 East 1000 North, Richfield, UT

(435) 896-8211

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

29

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monument Health Group

Operator or chain grouping

Approved since

1976-01-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing · state 1.19 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.37 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 4.06 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.31

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.84 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.12 · national 0.07

Adjusted RN hours

0.80

CMS adjusted RN staffing hours

Adjusted total hours

3.21

CMS adjusted total nurse staffing hours

Case-mix index

1.58

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,272

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.42

Composite VBP score used to determine payment impact.

Payment multiplier

0.9877

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.68

Baseline 63.27% · Performance 36.36% · Measure score 6.68 · Achievement 6.68 · Improvement 6.50

Adjusted total nurse staffing

0

Baseline 3.59 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.44%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 6.14%
Discharge to community	54.99%	50.57% 4.4 pts better	No Different than the National Rate · Eligible stays 31 · Observed rate 58.06% · Lower 95% interval 41.68%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 69
Staff flu vaccination coverage	52.24%	42% 10.2 pts better	Numerator 35 · Denominator 67
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.2 0.5 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.9 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.5 0.8 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.8% 3.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.0% 2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	8.8%	2.6% 6.2 pts worse	3.3% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.7% · Q3 14.3% · Q4 3.7% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	25.5%	16.1% 9.4 pts worse	11.4% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 13.8% · Q3 33.3% · Q4 53.8% · 4Q avg 25.5%
Percentage of long-stay residents who lose too much weight	0.0%	3.8% 3.8 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.8%	24.1% 1.7 pts worse	19.6% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 26.9% · Q3 25.0% · Q4 31.8% · 4Q avg 25.8%
Percentage of long-stay residents who received an antipsychotic medication	10.3%	15.4% 5.1 pts better	16.7% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q2 10.0% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.3%	18.3% 13 pts better	16.3% 11 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.1%	13.6% 12.5 pts better	14.9% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	0.9% 0.1 pts worse	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.8% About the same	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 3.8% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.0%	22.4% 16.4 pts better	19.8% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 3.7% · Q3 8.1% · Q4 4.7% · 4Q avg 6.0%
Percentage of long-stay residents with pressure ulcers	0.0%	4.1% 4.1 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.3% 6.7 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	0.9% 0.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	91.0% 9 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-07 · Fire 2024-02-07

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2022-06-15 · Fire 2022-06-15

2 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-01-09 · Fire 2020-01-09

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-05

F · Potential for more than minimal harm 2024-02-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-04-05

Inspection history

Recent health citations

G · Actual harm 2024-02-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-05

D · Potential for more than minimal harm 2024-02-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-05

D · Potential for more than minimal harm 2024-02-07

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-05

D · Potential for more than minimal harm 2022-06-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-07-06

D · Potential for more than minimal harm 2022-06-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-07-06

G · Actual harm 2020-01-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-02-14

E · Potential for more than minimal harm 2020-01-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-02-14

E · Potential for more than minimal harm 2020-01-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-02-14