UtahMillcreek

Monument Healthcare Canyon Rim

2730 East 3300 South, Millcreek, UT 84109 · Salt Lake County · 90 certified beds · avg 66 residents/day · certified since Aug 3, 1984

Part of chain: MONUMENT HEALTH GROUP (11 facilities, chain avg rating 2.8★)

3/5
Health inspection rating (on-site)
5
Serious findings on record
$6,676
Fines, last 3 years
3.48
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Dec 16, 2024 · F-0609 · triggered by a complaint

The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

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

▲ Immediate jeopardy, one-off · Dec 16, 2024 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

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

▲ Actual harm, repeated · Feb 25, 2020 · F-0600

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.

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

▲ Actual harm, one-off · Feb 25, 2020 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

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

▲ Actual harm, one-off · Feb 25, 2020 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

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

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Dec 16, 2024▲ J · Immediate jeopardy, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 16, 2024▲ J · Immediate jeopardy, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Aug 17, 2022E · Potential for harm, repeatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 17, 2022E · Potential for harm, repeatedThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Aug 17, 2022D · Potential for harm, one-offThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Aug 17, 2022D · Potential for harm, one-offThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Aug 17, 2022D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 17, 2022D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 17, 2022D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 17, 2022D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 17, 2022D · Potential for harm, one-offThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Aug 17, 2022D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 25, 2020▲ H · Actual harm, repeatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Feb 25, 2020▲ G · Actual harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 25, 2020▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility.
Feb 25, 2020E · Potential for harm, repeatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Feb 25, 2020D · Potential for harm, one-offThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.

Inspection trend by year

YearCitationsSerious (G–L)Worst severity that year
2020133H ▲
2022100E
202422J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $6,676.

DateTypeAmount / length
Dec 16, 2024Fine$6,676

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityUtah avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.483.873.95bottom 42% in Utah; bottom 35% in the U.S.
Registered Nurse hours0.991.170.69top 50% in Utah; top 16% in the U.S.
Weekend total nurse staffing2.843.393.50bottom 24% in Utah; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)0.550.880.48bottom 21% in Utah; top 27% in the U.S.
Total nursing staff turnover (%)51.950.745.8bottom 49% in Utah; bottom 32% in the U.S.
RN turnover (%)57.940.642.9bottom 22% in Utah; bottom 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.98, weekend 2.80. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Balser, BrandonIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Balser, BrandonIndividualADP of the SNFNOT APPLICABLE02/07/2025
Clawson, TravisIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Clawson, TravisIndividualADP of the SNFNOT APPLICABLE02/07/2025
Espinosa, StephanieIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Espinosa, StephanieIndividualADP of the SNFNOT APPLICABLE02/07/2025
Fragoso, LindsayIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Fragoso, LindsayIndividualADP of the SNFNOT APPLICABLE02/07/2025
Galindo, MichaelIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Galindo, MichaelIndividualADP of the SNFNOT APPLICABLE02/07/2025
Gunnison Valley HospitalOrganizationOperational/Managerial ControlNOT APPLICABLE02/07/2025
Gunnison Valley HospitalOrganizationADP of the SNFNOT APPLICABLE08/21/2025
Health Group Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE02/07/2025
Health Group Management LLCOrganizationADP of the SNFNOT APPLICABLE05/28/2025
Marriott, StephenIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2025
Marriott, StephenIndividualADP of the SNFNOT APPLICABLE02/07/2025
Monument Health Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE02/07/2025
Monument Health Group LLCOrganizationADP of the SNFNOT APPLICABLE05/28/2025
Monument Health Properties LLCOrganizationADP of the SNFNOT APPLICABLE02/07/2025
Monument Real Estate Canyon Rim LLCOrganizationADP of the SNFNOT APPLICABLE02/07/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Mt. Olympus Rehabilitation Center1.1 miSalt Lake City, UT★★☆☆☆1/5
Highland Care Center2.2 miHolladay, UT★★★★★4/5
Millcreek Rehabilitation and Nursing2.2 miSalt Lake City, UT★★☆☆☆1/5abuse
Holladay Healthcare Center2.4 miSalt Lake City, UT★★★☆☆2/5
Spring Creek Healthcare Center2.7 miSalt Lake City, UT★★☆☆☆2/5
Monument Healthcare Millcreek3.2 miSalt Lake City, UT★★★★☆3/5
Monument Healthcare Murray Creek3.3 miMillcreek, UT★★☆☆☆1/5abuse
Monument Healthcare Cottonwood Creek3.5 miSalt Lake City, UT★★★☆☆2/5
Meadow Brook Rehabilitation and Nursing3.8 miSalt Lake City, UT★★☆☆☆1/5abuse
Paramount Health and Rehabilitation3.8 miSalt Lake City, UT★★★☆☆2/5
Monument Healthcare South Salt Lake3.9 miSalt Lake City, UT★☆☆☆☆1/5SFF
William E Christofferson Salt Lake Veterans Home3.9 miSalt Lake City, UT★★★★★4/5

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Facility data as of CMS processing date 2026-08-01. CCN 465096.