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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H1 | I· |
| Potential harm | D10 | E12 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 6, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 16, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 27, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 27, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Aug 17, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 17, 2022 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Feb 25, 2020 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 25, 2020 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 16, 2024 | Civil money penalty (fine) | $6,676 | — | 465096|Fine|117230 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H1 | I· |
| Potential harm | D10 | E12 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 10, 2026 | Complaint |
| Aug 6, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 15 facilities.
11 facilities in 1 states. CMS chain ID 770.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gunnison Valley Hospital | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Health Group Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Monument Health Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Chaz Bullwinkel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 2, 2026 |
| Travis Clawson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Monument Healthcare Pioneer Trail 815 South 200 West, Brigham City, UT 84302 CCN 465020 | 72 | Apr 3, 2025 | 111 harm | $7,579 | |
| Mission at Richfield Nursing and Rehabilitation 163 East 1000 North, Richfield, UT 84701 CCN 465059 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Monument Healthcare Pioneer Trail 815 South 200 West, Brigham City, UT 84302 CCN 465020 | 72 | Apr 3, 2025 | 111 harm | $7,579 | |
| Monument Healthcare Taylorsville 6246 South Redwood Road, Salt Lake City, UT 84123 CCN 465066 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mt. Olympus Rehabilitation Center 2200 East 3300 South, Salt Lake City, UT 84109 CCN 465006 | 1.7 km | 100 | Jun 29, 2026 | 643 IJ2 harm | $144k | |
| Highland Care Center 4285 South Highland Drive, Holladay, UT 84124 CCN 465078 | 3.5 km | 103 | Jul 22, 2026 | 24 | — | |
| Millcreek Rehabilitation and Nursing 3520 South Highland Drive, Salt Lake City, UT 84106 CCN 465185Abuse icon | 3.6 km | 61 | Apr 7, 2026 | 452 IJ1 harm | $25k | |
| Holladay Healthcare Center 4782 South Holladay Boulevard, Salt Lake City, UT 84117 CCN 465109 | 3.9 km | 120 | Mar 24, 2025 | 30 | — | |
| Spring Creek Healthcare Center 4600 South Highland Drive, Salt Lake City, UT 84117 CCN 465049 | 4.3 km | 92 | Jul 30, 2026 | 1097 IJ19 harm | $53k | |
| Monument Healthcare Millcreek 1201 East 4500 South, Salt Lake City, UT 84117 CCN 465139 | 5.1 km | 120 | Jan 21, 2026 | 18 | — | |
| Monument Healthcare Murray Creek 3855 South 700 East, Millcreek, UT 84106 CCN 465094Abuse icon | 5.2 km | 184 | Mar 31, 2026 | 503 harm | $59k | |
| Monument Healthcare Cottonwood Creek 1205 East Bonner Way, Salt Lake City, UT 84117 CCN 465074 | 5.6 km | 77 | Jul 15, 2026 | 213 harm | $18k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465096 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465096 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Utah DLBC Licensed Facilities UT | F23-106497 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Mar 7, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 16, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Dec 16, 2024 | Complaint |
| Dec 16, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Dec 16, 2024 | Complaint |
| Aug 17, 2022 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 17, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Feb 25, 2020 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 25, 2020 |
| Feb 25, 2020 | E-0001 | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Apr 1, 2020 |
| Feb 25, 2020 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0838 | 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. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 25, 2020 |
| Feb 25, 2020 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 25, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.02 (case-mix index 1.58).
| Lindsay Fragoso |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 7, 2025 |
| Michael Galindo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Stephen Marriott | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Brian Murray | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Brett Robertson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Spencer Samuelian | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Jason Seastrand | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Elaine Tonga | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Christian West | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Brian Murray | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2020 |
| Gunnison Valley Hospital | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 21, 2025 |
| Health Group Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 28, 2025 |
| Monument Health Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 28, 2025 |
| Monument Health Properties LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Monument Real Estate Canyon Rim LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Chaz Bullwinkel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2026 |
| Travis Clawson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Lindsay Fragoso | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Michael Galindo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Stephen Marriott | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Brian Murray | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Brett Robertson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Spencer Samuelian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Jason Seastrand | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Elaine Tonga | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Christian West | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| 98 |
| Jun 11, 2026 |
161 harm |
| $8,148 |
| Monument Healthcare Taylorsville 6246 South Redwood Road, Salt Lake City, UT 84123 CCN 465066 | 120 | Feb 3, 2026 | 272 harm | $42k |
| Monument Healthcare Cottonwood Creek 1205 East Bonner Way, Salt Lake City, UT 84117 CCN 465074 | 77 | Jul 15, 2026 | 213 harm | $18k |
| Mission at Alpine Rehabilitation Center 25 East Alpine Drive, Pleasant Grove, UT 84062 CCN 465088SFF CandidateAbuse icon | 52 | Aug 20, 2025 | 475 IJ3 harm | $126k |
| Monument Healthcare Brigham City 775 North 200 East, Brigham City, UT 84302 CCN 465093Abuse icon | 84 | Jul 1, 2026 | 211 IJ1 harm | $47k |
| Monument Healthcare Murray Creek 3855 South 700 East, Millcreek, UT 84106 CCN 465094Abuse icon | 184 | Mar 31, 2026 | 503 harm | $59k |
| Monument Healthcare American Fork 350 East 300 North, American Fork, UT 84003 CCN 465097 | 106 | Sep 4, 2025 | 626 harm | $35k |
| Feb 3, 2026 |
272 harm |
| $42k |
| Monument Healthcare Cottonwood Creek 1205 East Bonner Way, Salt Lake City, UT 84117 CCN 465074 | 77 | Jul 15, 2026 | 213 harm | $18k |
| Monument Healthcare Brigham City 775 North 200 East, Brigham City, UT 84302 CCN 465093Abuse icon | 84 | Jul 1, 2026 | 211 IJ1 harm | $47k |
| Monument Healthcare Murray Creek 3855 South 700 East, Millcreek, UT 84106 CCN 465094Abuse icon | 184 | Mar 31, 2026 | 503 harm | $59k |
| Monument Healthcare American Fork 350 East 300 North, American Fork, UT 84003 CCN 465097 | 106 | Sep 4, 2025 | 626 harm | $35k |
| Monument Healthcare Bountiful 460 West 2600 South, Bountiful, UT 84010 CCN 465112 | 100 | Nov 6, 2025 | 221 IJ3 harm | $52k |
| Monument Healthcare Millcreek 1201 East 4500 South, Salt Lake City, UT 84117 CCN 465139 | 120 | Jan 21, 2026 | 18 | — |