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.
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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.
CMS nursing home
Also known publicly as Monument Health Canyon Rim
Millcreek, UT
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
3 of 5
3 of 5
3 of 5
4 of 5
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
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 30 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2020-07-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
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 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
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS 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.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
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 evidenceThe latest standard inspection on Jun 27, 2024 cited 0 deficiencies.
View inspection evidenceCMS-published records list 34 ownership or control parties.
CMS records show an ownership change effective July 2020.
View ownership evidenceCMS groups this facility with a chain covering 11 facilities across 1 states or territories.
View chain evidenceCMS records show a $6,676 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
15 currently connected nursing homes share this CMS organization identity with GUNNISON VALLEY HOSPITAL.
Ownership
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
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.
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
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.
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.
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 7, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across UT.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across UT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across UT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 7, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 16 across UT.
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.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 770 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 11 | 2.8 | 2.8 |
| Mon Jun | 11 | 3.2 | 2.7 |
| Fri May | 11 | 3.2 | 2.7 |
| Wed Apr | 11 | 3.2 | 2.7 |
| Sun Mar | 14 | 3.3 | 2.6 |
| Sun Feb | 14 | 3.2 | 2.6 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
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)
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)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
No health-deficiency rows were deterministically linked to this inspection.
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
Penalties & enforcement
Published fine amount: $6,676.00
Questions to ask
Facility history
9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
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
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
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
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $6,676 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
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
13 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Staffing
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).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.687 | 2.805 |
| RN categories | 1.156 | 0.551 |
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.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.529 | 1.278 | 0.168 | 2.083 | 21.5% | 91 |
| 2025Q3 | 3.289 | 1.077 | 0.296 | 1.916 | 10.7% | 92 |
| 2025Q4 | 3.274 | 0.885 | 0.48 | 1.909 | 5.7% | 92 |
| 2026Q1 | 3.432 | 0.981 | 0.463 | 1.977 | 4.6% | 90 |
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 sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
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