Monument Healthcare Canyon Rim
CCN: 465096 · Millcreek, UT 84109 · Salt Lake County
Overview
- Address
- 2730 East 3300 South, Millcreek, UT 84109
- Phone
- 8014870897
- Certified beds
- 90
- Avg daily residents
- 64 (71% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1984-08-03
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.29 | 3.82 | 3.33 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.08 | 0.67 | 1.09 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.30 | 0.85 | 0.30 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.92 | 2.30 | 1.94 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.37 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.00 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-06-27 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cycle 2/3 (prior) | 2022-08-17 | 12 | 10 | 2 | 198 | 1 | 198 |
Deficiencies (25)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2024-12-16 | 2024-12-16 |
| 0610 | Respond appropriately to all alleged violations. | J | 2024-12-16 | 2024-12-16 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-08-17 | 2022-09-09 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2022-08-17 | 2022-09-09 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-08-17 | 2022-09-09 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2022-08-17 | 2022-09-09 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-08-17 | 2022-09-09 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-08-17 | 2022-09-09 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-08-17 | 2022-09-09 |
| 0758 | 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 | 2022-08-17 | 2022-09-09 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2022-08-17 | 2022-09-09 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-08-17 | 2022-09-09 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | 2020-02-25 | 2020-07-25 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2020-02-25 | 2020-07-25 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2020-02-25 | 2020-07-25 |
| 0610 | Respond appropriately to all alleged violations. | E | 2020-02-25 | 2020-07-25 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2020-02-25 | 2020-07-25 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2020-02-25 | 2020-07-25 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2020-02-25 | 2020-07-25 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2020-02-25 | 2020-07-25 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2020-02-25 | 2020-07-25 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2020-02-25 | 2020-07-25 |
| 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. | E | 2020-02-25 | 2020-07-25 |
| 0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | E | 2020-02-25 | 2020-07-25 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2020-02-25 | 2020-07-25 |
Penalties (1)
| Date | Type | Fine amount |
|---|---|---|
| 2024-12-16 | Fine | $6,676 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: MONUMENT HEALTH GROUP
- Chain ID
770- Facilities in chain
- 14
- Legal business name
- GUNNISON VALLEY HOSPITAL
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| GUNNISON VALLEY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/01/2020 |
| GUNNISON VALLEY HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| MONUMENT HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
Owner / manager individuals (13)
| Name | Role | Association |
|---|---|---|
| BALSER, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| CLAWSON, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| GALINDO, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| MARRIOTT, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| MURRAY, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2020 |
| ROBERTSON, BRETT | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| SAMUELIAN, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| SEASTRAND, JASON | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| TONGA, ELAINE | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| WEST, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | since 02/07/2025 |
| MURRAY, BRIAN | CORPORATE OFFICER | since 07/01/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $27 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.17 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 90.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $982,626 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,098,857 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 45.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 14.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,072,932 | metrics.total_assets |
| Cost Report | Total Costs ($) | $402,701 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $349,476 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,723,456 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 15.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.29969 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.93744 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.08860 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.32574 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.65986 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 64.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84736 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.30293 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66790 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.81819 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.36533 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.7 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 770 | Chain ID |
| Provider Information | Chain Name | MONUMENT HEALTH GROUP | Chain Name |
| Provider Information | City/Town | Millcreek | City/Town |
| Provider Information | CMS Certification Number (CCN) | 465096 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Salt Lake | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1984-08-03 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.6999 | Latitude |
| Provider Information | Legal Business Name | GUNNISON VALLEY HOSPITAL | Legal Business Name |
| Provider Information | Location | 2730 East 3300 South,Millcreek,UT,84109 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -111.81 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 90 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 14 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.35261 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.98183 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2730 East 3300 South | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Monument Healthcare Canyon Rim | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 0 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 0 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-06-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 0 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 0 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 10 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-08-17 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 198 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 198 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 12 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.59125 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 66.7 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.37293 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.29638 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.91599 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00378 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.07655 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.28892 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | UT | State |
| Provider Information | Telephone Number | 8014870897 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 6676.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.63041 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 65.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 49.500 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 84109 | ZIP Code |