Composite
62.8 / 100 percentile
Screener / 465097
C
Monument Healthcare American Fork
snfUT
350 East 300 North, American Fork, UT 84003 · CCN 465097 · chain HEALTH GROUP MANAGEMENT LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
106
Model
v1.2
Reads as: riskier than 62.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals10Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies59Licensure0Ownership39Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.5 | 82.6 | 0.30 | 0.2308 | 19.73 | in index |
| financial risk | 79.0 | 66.1 | 0.30 | 0.2308 | 18.23 | in index |
| staffing risk | 29.6 | 29.7 | 0.25 | 0.1923 | 5.69 | in index |
| chow risk | 44.3 | 50.2 | 0.15 | 0.1154 | 5.11 | in index |
| billing conduct | 18.9 | 23.7 | 0.30 | 0.2308 | 4.36 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
10| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.8 vs natl | WEST CHRISTIAN | 31 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | ROBERTSON BRETT | 31 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | FRAGOSO LINDSAY | 31 facilities |
| connection | Owner fleet risk far above national | +21.4 vs natl | ESPINOSA STEPHANIE | 29 facilities |
| connection | Owner fleet risk far above national | +21.2 vs natl | SAMUELIAN SPENCER | 31 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | MARRIOTT STEPHEN | 9 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | MONUMENT HEALTH GROUP LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | CLAWSON TRAVIS | 11 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | MONUMENT HEALTH PROPERTIES LLC | 9 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | MURRAY BRIAN | 15 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 23.7 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.4 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 76.9 | D | v0.6 | default · in composite | |
| financial risk | 66.1 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.4 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 82.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 29.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 76.2 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 57.4 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 68.8 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 82.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 82.5 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 29.7 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 29.7 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
51.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Occupancy | 0.18 | +1.50 | |
| Current owner tenure (years) | 6.08 | -1.26 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.43 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.65 | -0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
63.9
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.18 | +2.40 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.08 | -0.20 | |
| Total nurse staffing (HPRD) | 3.65 | -0.18 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | UT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.65 | 3.19 | 3.28 | 2.90–3.77 |
| RN | 1.26 | 0.78 | 0.39 | 0.25–0.58 |
| Weekend total | 3.60 | 3.04 | 3.11 | — |
| Weekday total | 3.66 | 3.25 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 18.9 | 3.65 | 1.26 | 0.02 | 2.37 | 3.60 | 0.0% |
| 2025Q3 | 92 | 18.9 | 3.85 | 1.30 | 0.11 | 2.44 | 3.71 | 0.0% |
| 2025Q2 | 91 | 24.9 | 4.22 | 1.36 | 0.41 | 2.45 | 4.11 | 0.0% |
| 2025Q1 | 90 | 44.6 | 2.09 | 0.59 | 0.21 | 1.28 | 2.08 | 0.0% |
| 2024Q4 | 92 | 46.5 | 3.67 | 0.99 | 0.37 | 2.32 | 3.51 | 0.7% |
| 2024Q3 | 92 | 51.3 | 3.43 | 0.64 | 0.63 | 2.16 | 3.18 | 2.2% |
| 2024Q2 | 91 | 59.6 | 3.53 | 0.58 | 0.80 | 2.14 | 3.42 | 9.0% |
| 2024Q1 | 91 | 64.3 | 3.77 | 0.77 | 0.67 | 2.33 | 3.62 | 33.0% |
| 2023Q4 | 92 | 67.4 | 3.33 | 0.67 | 0.68 | 1.99 | 3.18 | 39.3% |
| 2023Q3 | 92 | 75.7 | 2.92 | 0.70 | 0.45 | 1.76 | 2.64 | 40.6% |
| 2023Q2 | 91 | 68.1 | 3.31 | 0.81 | 0.43 | 2.08 | 3.12 | 44.5% |
| 2023Q1 | 90 | 67.3 | 3.21 | 0.65 | 0.46 | 2.10 | 3.13 | 59.4% |
| 2022Q4 | 92 | 63.9 | 3.40 | 0.59 | 0.60 | 2.20 | 3.36 | 65.3% |
| 2022Q3 | 92 | 67.0 | 3.38 | 0.60 | 0.56 | 2.22 | 3.33 | 66.7% |
| 2022Q2 | 91 | 56.2 | 3.58 | 0.56 | 0.71 | 2.31 | 3.54 | 57.0% |
| 2022Q1 | 90 | 63.9 | 3.44 | 0.60 | 0.78 | 2.06 | 3.48 | 54.2% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-12-06 | Fine | $35,437 | CMS provider data |
Total fines on record: $35,437
Deficiencies
59C × 1D × 30E × 22G × 6
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-04 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-29 |
| 2025-09-04 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-09-29 |
| 2025-09-04 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-23 |
| 2023-12-06 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-01-17 |
| 2023-12-06 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0584 | 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. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0758 | 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. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0838 | 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. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | E | 2024-01-17 |
| 2023-12-06 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-01-17 |
| 2022-02-28 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2022-04-15 |
| 2022-02-28 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-04-15 |
| 2022-02-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-04-15 |
| 2022-02-28 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-04-15 |
| 2022-02-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | 2022-04-15 |
| 2022-02-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2022-04-15 |
| 2022-02-28 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-04-15 |
| 2022-02-28 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-04-15 |
| 2022-02-28 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-04-15 |
| 2022-02-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-04-15 |
| 2022-02-28 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2022-04-15 |
| 2022-02-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-04-15 |
| 2022-02-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-04-15 |
| 2022-02-28 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-04-15 |
| 2022-02-28 | Health | F0910 | Ensure resident rooms meet each resident's needs. | D | 2022-04-15 |
| 2022-02-28 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2022-04-15 |
| 2022-02-28 | Health | F0915 | Ensure each resident room has a window to the outside that meets requirements | D | 2022-04-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
39| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MONUMENT PROPERTIES LLC | Other (financial or non-financial) | 47% | 2024-07-01 | current | hcris_a_8_1 |
| 350 EAST 300 NORTH PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 18% | 2023-07-01 | current | hcris_a_8_1 |
| 350 EAST 300 NORTH PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 18% | 2024-07-01 | current | hcris_a_8_1 |
| BENNETT, TIM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| CLAWSON, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| GUNNISON VALLEY HOSPITAL | ADP OF THE SNF | — | 2025-07-03 | current | pecos_ownership |
| GUNNISON VALLEY HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-07-01 | current | pecos_ownership |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| HEALTH GROUP MANAGEMENT LLC | ADP OF THE SNF | — | 2025-05-28 | current | pecos_ownership |
| MARRIOTT, STEPHEN | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| MONUMENT HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| MONUMENT HEALTH GROUP LLC | ADP OF THE SNF | — | 2025-05-28 | current | pecos_ownership |
| MONUMENT HEALTH PROPERTIES LLC | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| MONUMENT REAL ESTATE AMERICAN FORK LLC | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| MURRAY, BRIAN | CORPORATE OFFICER | — | 2020-07-01 | current | pecos_ownership |
| OTTLEY, BRETT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| ROBERTSON, BRETT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | current | pecos_ownership |
| SAMUELIAN, SPENCER | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| SEASTRAND, JASON | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| WEST, CHRISTIAN | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| WORKMAN, DAVID | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| 350 EAST 300 NORTH PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 18% | 2022-07-01 | ended 2023-06-30 | hcris_a_8_1 |
| AMERICAN FORK REALTY INC. | Other (financial or non-financial) | — | 2020-07-01 | ended 2021-06-30 | hcris_a_8_1 |
| AMERICAN FORK REALTY INC. | Other (financial or non-financial) | — | 2022-07-01 | ended 2023-06-30 | hcris_a_8_1 |
| AMERICAN FORK REALTY INC. | Other (financial or non-financial) | — | 2021-07-01 | ended 2022-06-30 | hcris_a_8_1 |
| BRETT OTTLEY | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| BRETT ROBERTSON | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| BRIAN MURRAY | CORPORATE OFFICER | — | 2020-07-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTIAN WEST | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| DAVID WORKMAN | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| JASON SEASTRAND | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| LINDSAY FRAGOSO | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| SPENCER SAMUELIAN | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| STEPHANIE ESPINOSA | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| STEPHEN MARRIOTT | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| TIM BENNETT | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
| TRAVIS CLAWSON | ADP OF THE SNF | — | 2025-02-07 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-07-01 | — | GUNNISON VALLEY HOSPITAL | AMERICAN FORK CARE CENTER,LLC | chow |
Comparable trades — UT snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-11-01 | Stonehenge of South Jordan | — | — | — | 32 | TRILITHON HEALTHCARE LLC |
| 2025-11-01 | Stonehenge of Orem | — | — | — | 34 | SARSEN HEALTHCARE LLC |
| 2024-06-05 | Midtown Manor | — | — | — | 82 | MILFORD MEMORIAL HOSPITAL |
| 2024-05-01 | South Davis Specialty Care | — | — | — | 95 | HOLBROOK HEALTHCARE LLC |
| 2024-02-01 | Monument Healthcare Bountiful | — | — | — | 100 | MILFORD MEMORIAL HOSPITAL |
| 2024-02-01 | Monument Healthcare Millcreek | — | — | — | 120 | MILFORD MEMORIAL HOSPITAL |
| 2022-10-02 | Sunshine Terrace Skilled Nursing | — | — | — | 172 | MILFORD MEMORIAL HOSPITAL |
| 2020-07-01 | Monument Healthcare Stonecreek | — | — | — | 122 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Canyon Rim | — | — | — | 90 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare American Forkthis facility | — | — | — | 106 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Mission at Richfield Nursing and Rehabilitation | — | — | — | 98 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Cottonwood Creek | — | — | — | 77 | GUNNISON VALLEY HOSPITAL |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 49049 | acs median gross | 0 | $1,379 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | fmr | 0 | $1,257 | 2025-10-01 | HUD_USER_FMR |
| county 49049 | acs median gross | 1 | $1,181 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | fmr | 1 | $1,265 | 2025-10-01 | HUD_USER_FMR |
| county 49049 | acs median gross | 2 | $1,303 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | fmr | 2 | $1,460 | 2025-10-01 | HUD_USER_FMR |
| county 49049 | acs median gross | 3 | $1,774 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | fmr | 3 | $2,031 | 2025-10-01 | HUD_USER_FMR |
| county 49049 | acs median gross | 4 | $2,013 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | fmr | 4 | $2,449 | 2025-10-01 | HUD_USER_FMR |
| county 49049 | acs median gross | 5 | $2,268 | 2024-12-31 | CENSUS_ACS5 |
| county 49049 | acs median gross | $1,541 | 2024-12-31 | CENSUS_ACS5 | |
| county 49049 | acs recent mover gross | $1,663 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 84003 | acs median gross | 1 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84003 | acs median gross | 2 | $1,533 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84003 | acs median gross | 3 | $1,930 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84003 | acs median gross | 4 | $1,897 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84003 | acs median gross | 5 | $3,065 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84003 | acs median gross | $1,721 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 84003 | acs recent mover gross | $1,755 | 2024-12-31 | CENSUS_ACS5 | |
| zip 84003 | payment standard 110 | 0 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 90 | 0 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | safmr | 0 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 110 | 1 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 90 | 1 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | safmr | 1 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 110 | 2 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 90 | 2 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | safmr | 2 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 110 | 3 | $2,596 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 90 | 3 | $2,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | safmr | 3 | $2,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 110 | 4 | $3,135 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | payment standard 90 | 4 | $2,565 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84003 | safmr | 4 | $2,850 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.