SNF

Monument Healthcare American Fork

CCN: 465097 · American Fork, UT 84003 · Utah County

Overview

Address
350 East 300 North, American Fork, UT 84003
Phone
8017565293
Certified beds
106
Avg daily residents
19 (18% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1984-08-21
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures — Data not available.

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
 4.44 3.54 4.84 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.89 0.62 2.06 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.11 0.79 0.12 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.44 2.14 2.66 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.00 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

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

Total nurse (weekend)
3.71
hrs / resident / day
RN (weekend)
1.25
hrs / resident / day
Total nurse (adjusted, weekend)
4.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
68.0%
annual
RN turnover
50.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.25
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio

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) 2025-09-04 3 3 2 12 1 12
Cycle 2/3 (prior) 2023-12-06 39 39 38 292 1 292
Total weighted health score
82.0
lower is better

Deficiencies (59)

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).

1 A/B/C No actual harm — minor
52 D/E/F Actual harm — potential for minor
6 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0880 Provide and implement an infection prevention and control program. D 2025-09-04 2025-09-23
0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D 2025-09-04 2025-09-29
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2025-09-04 2025-09-29
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-12-06 2024-01-17
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-12-06 2024-01-17
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2023-12-06 2024-01-17
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-12-06 2024-01-17
0567 Honor the resident's right to manage his or her financial affairs. D 2023-12-06 2024-01-17
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D 2023-12-06 2024-01-17
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. E 2023-12-06 2024-01-17
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2023-12-06 2024-01-17
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. E 2023-12-06 2024-01-17
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2023-12-06 2024-01-17
0610 Respond appropriately to all alleged violations. E 2023-12-06 2024-01-17
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-12-06 2024-01-17
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-12-06 2024-01-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-12-06 2024-01-17
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-12-06 2024-01-17
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. E 2023-12-06 2024-01-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-12-06 2024-01-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2023-12-06 2024-01-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-12-06 2024-01-17
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. D 2023-12-06 2024-01-17
0692 Provide enough food/fluids to maintain a resident's health. G 2023-12-06 2024-01-17
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 2023-12-06 2024-01-17
0732 Post nurse staffing information every day. C 2023-12-06 2024-01-17
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-12-06 2024-01-17
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 2023-12-06 2024-01-17
0760 Ensure that residents are free from significant medication errors. D 2023-12-06 2024-01-17
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2023-12-06 2024-01-17
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. E 2023-12-06 2024-01-17
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2023-12-06 2024-01-17
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2023-12-06 2024-01-17
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2023-12-06 2024-01-17
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. E 2023-12-06 2024-01-17
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. E 2023-12-06 2024-01-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-12-06 2024-01-17
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 2023-12-06 2024-01-17
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. G 2023-12-06 2024-01-17
0881 Implement a program that monitors antibiotic use. D 2023-12-06 2024-01-17
0924 Put firmly secured handrails on each side of hallways. E 2023-12-06 2024-01-17
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2023-12-06 2024-01-17
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2022-02-28 2022-04-15
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2022-02-28 2022-04-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-02-28 2022-04-15
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2022-02-28 2022-04-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. G 2022-02-28 2022-04-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2022-02-28 2022-04-15
0692 Provide enough food/fluids to maintain a resident's health. D 2022-02-28 2022-04-15
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2022-02-28 2022-04-15

Showing 50 most recent of 59. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$35,437
Date Type Fine amount
2023-12-06 Fine $35,437

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 3.8% Medicaid 72.3% Other 23.9%

Operating performance

Operating Margin
-4.0%
Total Margin
-2.8%
Occupancy Rate
62.5%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$8.1M
Total Costs
$527K
Net Income
-$230K

Balance sheet

Total Assets
$4.7M
Total Liabilities
$4.4M
Fund Balance
$335K
Current Ratio
1.14

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
Chain-average star ratings (for peer context)
Overall
3.3
Health
2.6
Staffing
2.6
QM
4.7

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 07/01/2020
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 (12)

Name Role Association
BENNETT, TIM 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
MARRIOTT, STEPHEN OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
OTTLEY, BRETT OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
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
WEST, CHRISTIAN OPERATIONAL/MANAGERIAL CONTROL since 02/07/2025
WORKMAN, DAVID 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
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 1.14 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 72.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.8% metrics.medicare_day_share
Cost Report Net Income ($) $-229,740 metrics.net_income
Cost Report Net Patient Revenue ($) $8,092,362 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 62.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.0% metrics.operating_margin
Cost Report Total Assets ($) $4,699,921 metrics.total_assets
Cost Report Total Costs ($) $527,227 metrics.total_costs
Cost Report Total Fund Balances ($) $335,309 metrics.fund_balance
Cost Report Total Liabilities ($) $4,364,612 metrics.total_liabilities
Cost Report Total Margin (%) -2.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.12257 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.65664 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 2.05645 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.83566 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.03922 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 18.9 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 0.78602 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.13621 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61955 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.54178 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.12171 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 American Fork City/Town
Provider Information CMS Certification Number (CCN) 465097 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Utah County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1984-08-21 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.383 Latitude
Provider Information Legal Business Name GUNNISON VALLEY HOSPITAL Legal Business Name
Provider Information Location 350 East 300 North,American Fork,UT,84003 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 -111.79 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 106 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 1.25470 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91075 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 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 350 East 300 North 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 American Fork Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 240 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 12 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 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-09-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 12 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 39 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-12-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 292 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 38 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 292 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 39 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 1.25096 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 50.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.99890 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.11244 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.43704 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01249 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.88647 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 4.43595 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 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State UT State
Provider Information Telephone Number 8017565293 Telephone Number
Provider Information Total Amount of Fines in Dollars 35437.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.70534 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 68.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 82.000 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 84003 ZIP Code