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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E6 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 25, 2026 | Health | Health Complaint, Health Standard | 18 | Actual harm | — | Open → |
| Jan 5, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 29, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 29, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jan 3, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jul 11, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 11, 2022 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 25, 2026 | Civil money penalty (fine) | $41,695 | — | 465156|Fine|145811 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E6 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 17, 2026 | |
| Jun 25, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| Jun 25, 2026 | F-0554 |
“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 | Jul 1, 2018 |
| 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 |
| Travis Clawson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Lindsay Fragoso | 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 |
|---|---|---|---|---|---|---|
| South Davis Specialty Care 481 South 400 East, Bountiful, UT 84010 CCN 465187 | 1.4 km | 95 | Dec 11, 2025 | 151 harm | — | |
| Monument Healthcare Bountiful 460 West 2600 South, Bountiful, UT 84010 CCN 465112 | 3.8 km | 100 | Nov 6, 2025 | 221 IJ3 harm | $52k | |
| Midtown Manor 125 South 900 West, Salt Lake City, UT 84104 CCN 465124 | 14.6 km | 82 | Apr 30, 2025 | 42 | — | |
| City Creek Post Acute 165 South 1000 East, Salt Lake City, UT 84102 CCN 465072 | 15 km | 108 | Mar 30, 2026 | 213 harm | — | |
| Maple Ridge Rehabilitation and Nursing 455 South 900 East, Salt Lake City, UT 84102 CCN 46A058Abuse icon | 15.1 km | 36 | Jun 4, 2026 | 313 harm | — | |
| Pine Creek Rehabilitation and Nursing 876 West 700 South, Salt Lake City, UT 84104 CCN 46A064Abuse icon | 15.9 km | 34 | Aug 27, 2026 | 462 IJ2 harm1 open | $56k | |
| William E Christofferson Salt Lake Veterans Home 700 South Foothill Drive, Salt Lake City, UT 84113 CCN 465150 | 16.1 km | 81 | Mar 19, 2026 | 201 harm | $8,278 | |
| St Joseph Villa 451 East Bishop Federal Lane, Salt Lake City, UT 84115 CCN 465095 | 18.6 km | 221 | Jul 16, 2024 | 153 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 465156 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 465156 | 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 | F23-106768 | 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
| Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 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 Jul 17, 2026 |
| Jun 25, 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 | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 25, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0775 | Keep complete, dated laboratory records in the resident's record. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | 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 17, 2026 |
| Jun 25, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jan 5, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 | Complaint |
| Jan 5, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 3, 2026 | Complaint |
| Jan 5, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 3, 2026 | Complaint |
| Apr 29, 2024 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Apr 29, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Apr 29, 2024 | 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 | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | 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 | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 29, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 14, 2024 |
| Jan 3, 2024 | 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 Feb 1, 2024 | Complaint |
| Jan 3, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Jul 11, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jul 11, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| Jul 11, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jul 11, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 25, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.33 (case-mix index 1.48).
| 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 |
| David Merkley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 16, 2026 |
| 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 |
| Jorge Santibanez | 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 |
| Christian West | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2025 |
| Shay 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 | May 28, 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 North Bountiful LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| 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 |
| David Merkley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2026 |
| 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 |
| Jorge Santibanez | 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 |
| Christian West | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Shay 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 Canyon Rim 2730 East 3300 South, Millcreek, UT 84109 CCN 465096 | 90 | Aug 6, 2026 | 282 IJ4 harm | $6,676 |
| 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 Canyon Rim 2730 East 3300 South, Millcreek, UT 84109 CCN 465096 | 90 | Aug 6, 2026 | 282 IJ4 harm | $6,676 |
| 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 |