Monument Healthcare American Fork
350 East 300 North · American Fork, UT · 84003 · 8017565293
106 certified beds For profit - Limited Liability company Chain: Monument Health Group
Why this verdict
- 6 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $35,437 |
Inspection citations (59 in the current record)
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Potential for harm · D September 4, 2025
Provide and implement an infection prevention and control program.
Corrected September 23, 2025 · Infection Control
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Potential for harm · D September 4, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 29, 2025 · Quality of Life and Care
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Actual harm · G December 6, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 17, 2024 · Quality of Life and Care
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Actual harm · G December 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2024 · Quality of Life and Care
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Actual harm · G December 6, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 17, 2024 · Quality of Life and Care
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Actual harm · G December 6, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 17, 2024 · Administration
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Potential for harm · D December 6, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · E December 6, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · E December 6, 2023 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · E December 6, 2023 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · E December 6, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 6, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 6, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 17, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 6, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2023 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected January 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 6, 2023 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D December 6, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D December 6, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 17, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 6, 2023 | Fine | $35,437 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465097 · certified since August 21, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.