Monument Healthcare Canyon Rim is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Millcreek, Utah, the facility meets baseline standards across most quality metrics.
Staffing levels are a potential concern at Monument Healthcare Canyon Rim, with 3.29 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 25 deficiencies at Monument Healthcare Canyon Rim, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.29 | 3.8 | Below Average |
| Registered Nurses (RN) | 1.08 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.30 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.92 | 2.4 | Below Average |
| Weekend Total Nursing | 2.63 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 15, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity JRespond appropriately to all alleged violations.Dec 15, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Aug 16, 2022 · Resident Rights Deficiencies
- Tag 0638 Severity EAssure that each resident’s assessment is updated at least once every 3 months.Aug 16, 2022 · Resident Assessment and Care Planning Deficiencies
- Tag 0568 Severity DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Aug 16, 2022 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.9% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 10.8% | 14.5% | Better |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 18.1% | 14.0% | Worse |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 16.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $6,676
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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