SENIORTRUST HUB

Facility record

Monument Healthcare Canyon Rim has 90 certified beds in Millcreek, Utah. The CMS overall rating is 3 of 5, compared with the Utah average of 3.3. The CMS health inspection rating is 3 of 5, compared with the Utah average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Jun 27, 2024 lists 0 deficiencies, compared with the Utah average of 5.6. CMS records a fine of $6,676 dated Dec 16, 2024. Total nurse staffing is 3.43 hours per resident day in 2026Q1, compared with the Utah average of 4.08.

Nearby facilities

CMS nursing homes in Utah

CMS nursing home

Monument Healthcare Canyon Rim

Also known publicly as Monument Health Canyon Rim

Millcreek, UT

CMS CCN 4650968014870897Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 465096.

At a glance

CMS research snapshot

CMS overall rating

3 of 5

CMS health inspection rating

3 of 5

CMS staffing rating

3 of 5

CMS quality-measure rating

4 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Operators

  • BALSER, BRANDONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CLAWSON, TRAVISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ESPINOSA, STEPHANIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • FRAGOSO, LINDSAYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GALINDO, MICHAELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GUNNISON VALLEY HOSPITALOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • HEALTH GROUP MANAGEMENT LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MARRIOTT, STEPHENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MONUMENT HEALTH GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MURRAY, BRIANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ROBERTSON, BRETTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SAMUELIAN, SPENCERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SEASTRAND, JASONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TONGA, ELAINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WEST, CHRISTIANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BALSER, BRANDONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • CLAWSON, TRAVISIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • ESPINOSA, STEPHANIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • FRAGOSO, LINDSAYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • GALINDO, MICHAELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • GUNNISON VALLEY HOSPITALOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • HEALTH GROUP MANAGEMENT LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • MARRIOTT, STEPHENIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • MONUMENT HEALTH GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • MURRAY, BRIANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Showing 25 of 30 relationships from CMS/PECOS evidence.

Enrollment organizations

  • GUNNISON VALLEY HOSPITALOrganization · CURRENTMedicare-enrolled legal organization
  • GUNNISON VALLEY HOSPITALOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2020-07-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    GUNNISON VALLEY HOSPITAL
    Seller legal entity
    AVALON CARE CENTER CANYON RIM LLC
    Effective date
    2020-07-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

3 of 5

Health inspection

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
90
Ownership descriptor
For profit - Limited Liability company
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
8014870897CMS Provider Information
Also known publicly as
Monument Health Canyon RimVerified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1861965600 · enrollment O20200707001582
  • NPI 1861965600 · enrollment O20200707001582

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 97.282609
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 97.297297
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.804348 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 24.844720
  • Percentage of long-stay residents who lose too much weight (Long Stay): 1.212121
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 37.869822
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 17.808219 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 14.940854 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 15.625000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.516839 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.111111 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 16.239790
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 2.859841 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 90.228013
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 84.615385

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2020-02-25 · tag 0001 · scope/severity E — Establish an Emergency Preparedness Program (EP).

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.98 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 34 ownership or control parties.

CMS records show an ownership change effective July 2020.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 11 facilities across 1 states or territories.

View chain evidence
Enforcement record

CMS records show a $6,676 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - Limited Liability companyCMS
Chain
MONUMENT HEALTH GROUPCMS identifies this facility as part of the MONUMENT HEALTH GROUP chain.
Related facilities
15Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • CMS reports 25 individual ownership interests
  • a CMS chain / common-control group
  • recorded ownership-change events

Related facilities

15 currently connected nursing homes share this CMS organization identity with GUNNISON VALLEY HOSPITAL.

Average CMS overall rating
2.9 stars across 15 reporting facilities
CMS monetary penalties
12 of 15 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
6 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
5 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
10 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$482,600

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records
34
Organizations shown
9
Individuals shown
25
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • BALSER, BRANDON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLAWSON, TRAVIS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ESPINOSA, STEPHANIE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FRAGOSO, LINDSAY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GALINDO, MICHAEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GUNNISON VALLEY HOSPITAL

    Organization · ADP OF THE SNF

    Association date reported to CMS: Aug 21, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HEALTH GROUP MANAGEMENT LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: May 28, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MARRIOTT, STEPHEN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MONUMENT HEALTH GROUP LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: May 28, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MONUMENT HEALTH PROPERTIES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MONUMENT REAL ESTATE CANYON RIM LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MURRAY, BRIAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ROBERTSON, BRETT

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SAMUELIAN, SPENCER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SEASTRAND, JASON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TONGA, ELAINE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WEST, CHRISTIAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MURRAY, BRIAN

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BALSER, BRANDON

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLAWSON, TRAVIS

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ESPINOSA, STEPHANIE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FRAGOSO, LINDSAY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GALINDO, MICHAEL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GUNNISON VALLEY HOSPITAL

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HEALTH GROUP MANAGEMENT LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MARRIOTT, STEPHEN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MONUMENT HEALTH GROUP LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MURRAY, BRIAN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ROBERTSON, BRETT

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SAMUELIAN, SPENCER

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SEASTRAND, JASON

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TONGA, ELAINE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WEST, CHRISTIAN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GUNNISON VALLEY HOSPITAL

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 16 across UT.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPAVALON CARE CENTER CANYON RIM LLC to GUNNISON VALLEY HOSPITAL
    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Change of Ownership
    CMS dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Aug 24, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS enrollment records show a change of ownership effective Jul 1, 2020. What operational or leadership changes followed that event?
  • CMS records connect GUNNISON VALLEY HOSPITAL to 17 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with MONUMENT HEALTH GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 770 is a grouping identifier, not a legal organization.

Facilities
11
States and territories
1
Average overall rating
2.8
Average staffing rating
2.8
Average total nurse HPRD
3.9
Total fines
14
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul112.82.8
Mon Jun113.22.7
Fri May113.22.7
Wed Apr113.22.7
Sun Mar143.32.6
Sun Feb143.22.6

Questions to ask

  • CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 14 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Dec 16, 2024
Survey type
Health Complaint
Linked findings
2
Highest linked CMS classification
J — Isolated; Immediate jeopardy to resident health or safety
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
465096
Source record locator
csv-row:120706:ccn:465096
View official CMS source
Dec 16, 2024 — Health Complaint — 2 linked findings
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Dec 16, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332226:ccn:465096
    View official CMS source
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Dec 16, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332227:ccn:465096
    View official CMS source
Jun 27, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 27, 2024 — Health Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 17, 2022 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 17, 2022 — Health Standard — 10 linked findings
  • F0550 — Resident Rights Deficiencies

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332228:ccn:465096
    View official CMS source
  • F0568 — Resident Rights Deficiencies

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332230:ccn:465096
    View official CMS source
  • F0636 — Resident Assessment and Care Planning Deficiencies

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332231:ccn:465096
    View official CMS source
  • F0638 — Resident Assessment and Care Planning Deficiencies

    Assure that each resident’s assessment is updated at least once every 3 months.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332229:ccn:465096
    View official CMS source
  • F0641 — Resident Assessment and Care Planning Deficiencies

    Ensure each resident receives an accurate assessment.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332232:ccn:465096
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332233:ccn:465096
    View official CMS source
  • F0757 — Pharmacy Service Deficiencies

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332234:ccn:465096
    View official CMS source
  • F0758 — Pharmacy Service Deficiencies

    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.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332235:ccn:465096
    View official CMS source
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332236:ccn:465096
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 9, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332237:ccn:465096
    View official CMS source
Feb 25, 2020 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 25, 2020 — Health Standard — 13 linked findings
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332238:ccn:465096
    View official CMS source
  • F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332250:ccn:465096
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332241:ccn:465096
    View official CMS source
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332242:ccn:465096
    View official CMS source
  • F0656 — Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332243:ccn:465096
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332239:ccn:465096
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332240:ccn:465096
    View official CMS source
  • F0725 — Nursing and Physician Services Deficiencies

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332244:ccn:465096
    View official CMS source
  • F0740 — Quality of Life and Care Deficiencies

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332245:ccn:465096
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332246:ccn:465096
    View official CMS source
  • F0838 — Administration Deficiencies

    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.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332247:ccn:465096
    View official CMS source
  • F0841 — Nursing and Physician Services Deficiencies

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332248:ccn:465096
    View official CMS source
  • F0867 — Administration Deficiencies

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 25, 2020)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:332249:ccn:465096
    View official CMS source

Tags appearing across inspections

  • F0609 appears in 2 linked inspections.
  • F0610 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Dec 16, 2024

    Published fine amount: $6,676.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    465096
    Source record locator
    csv-row:12565:ccn:465096
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0609 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0610 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records include an Immediate Jeopardy-level finding. What corrective actions were taken after that inspection?
  • CMS records show a monetary penalty dated Dec 16, 2024. What changes were made after that enforcement action?

Facility history

Facility History

9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • RN staffing decreasedRN staffing decreased from 1.08 to 0.88 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

2025

  1. RN staffing decreased

    RN staffing decreased from 1.08 to 0.88 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    1.08 → 0.88

    CMS · Reported in a source release · View related evidence

  2. Total nurse staffing decreased

    Total nurse staffing decreased from 3.53 to 3.29 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    3.53 → 3.29

    CMS · Reported in a source release · View related evidence

  3. RN staffing decreased

    RN staffing decreased from 1.28 to 1.08 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    1.28 → 1.08

    CMS · Reported in a source release · View related evidence

2024

  1. Complaint inspection recorded

    2 deficiencies were recorded. That includes 2 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $6,676 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  3. Health inspection completed

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

2022

  1. Health inspection completed

    10 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2020

  1. Ownership change recorded

    An ownership change was recorded. New organization: GUNNISON VALLEY HOSPITAL.

    AVALON CARE CENTER CANYON RIM LLC → GUNNISON VALLEY HOSPITAL

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    13 deficiencies were recorded. That includes 3 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
3.432
reported hours per resident day
RN categories
0.981
reported hours per resident day
LPN/LVN categories
0.463
reported hours per resident day
CNA
1.977
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.6872.805
RN categories1.1560.551

Contract staff accounted for 4.6% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.097 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q23.5291.2780.1682.08321.5%91
2025Q33.2891.0770.2961.91610.7%92
2025Q43.2740.8850.481.9095.7%92
2026Q13.4320.9810.4631.9774.6%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 3-star overall rating.
  • CMS reports a 3-star health inspection rating.
  • CMS reports a 3-star staffing rating.
  • CMS reports a 4-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Change of Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Aug 24, 2026
Retrieved
Aug 15, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Nursing Home Chain Performance Measures
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage
Wed Jul
Source updated
Aug 12, 2026
Retrieved
Aug 16, 2026
Supports
CMS chain context, performance, and monthly history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.