Monument Healthcare Pioneer Trail
815 South 200 West · Brigham City, UT · 84302 · 4357235289
72 certified beds For profit - Corporation Chain: Monument Health Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 3.29 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $19,747 |
Inspection citations (16 in the current record)
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Actual harm · G April 3, 2025
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 April 11, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Respond appropriately to all alleged violations.
Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
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.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · F April 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025
Implement a program that monitors antibiotic use.
Corrected April 11, 2025 · Infection Control
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Potential for harm · D April 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 24, 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 September 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 24, 2023 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected September 22, 2023 · Resident Rights
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Potential for harm · D August 24, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 24, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 24, 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 September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 14, 2021
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 November 16, 2021 · Resident Rights
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Potential for harm · D October 14, 2021
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 November 4, 2021 · Quality of Life and Care
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Potential for harm · D October 14, 2021
Perform COVID19 testing on residents and staff.
Corrected November 5, 2021 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2025 | Fine | $7,579 |
| August 24, 2023 | Fine | $12,168 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 465020 · certified since October 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.