Monument Healthcare American Fork

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 3
E
F
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 3, then 39, then 17 . Latest survey date: 2025-09-04.
Repeat citations
Tag Plain English Previous Latest Sev F0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. prior cycle latest cycle D CMS data shows 1 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-09-04 F0605 Resident protection deficiencies D complaint 2025-09-29 2025-09-04 F0676 Quality of Life and Care Deficiencies D complaint 2025-09-29 2025-09-04 F0880 Infection Control Deficiencies D standard 2025-09-23
Official CMS inspection narrative
F0605 · 2025-09-04 · severity D
Official inspection narrative not available for this citation.
F0676 · 2025-09-04 · severity D
Official inspection narrative not available for this citation.
F0880 · 2025-09-04 · severity D
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-09-04
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
3
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-09-04 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-09-04 | Tag F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Survey: 2025-09-04 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2023-12-06 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2023-12-06 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2023-12-06 | Tag F0553 | Resident Rights Deficiencies | Severity: D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Survey: 2023-12-06 | Tag F0561 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Survey: 2023-12-06 | Tag F0567 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to manage his or her financial affairs.
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Survey: 2023-12-06 | Tag F0568 | Resident Rights Deficiencies | Severity: D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2023-12-06 | Tag F0582 | Resident Rights Deficiencies | Severity: E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Survey: 2023-12-06 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2023-12-06 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2023-12-06 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2023-12-06 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2023-12-06 | Tag F0623 | Resident Rights Deficiencies | Severity: D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2023-12-06 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2023-12-06 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2023-12-06 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: D
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2023-12-06 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2023-12-06 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-12-06 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2023-12-06 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-12-06 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2023-12-06 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G
Provide enough food/fluids to maintain a resident's health.
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Survey: 2023-12-06 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Survey: 2023-12-06 | Tag F0732 | Nursing and Physician Services Deficiencies | Severity: C
Post nurse staffing information every day.
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Survey: 2023-12-06 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2023-12-06 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2023-12-06 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2023-12-06 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2023-12-06 | Tag F0801 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2023-12-06 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2023-12-06 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2023-12-06 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2023-12-06 | Tag F0806 | Nutrition and Dietary Deficiencies | Severity: E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Survey: 2023-12-06 | Tag F0809 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2023-12-06 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2023-12-06 | Tag F0838 | Administration Deficiencies | Severity: E
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.
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Survey: 2023-12-06 | Tag F0867 | Administration Deficiencies | Severity: G
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2023-12-06 | Tag F0881 | Infection Control Deficiencies | Severity: D
Implement a program that monitors antibiotic use.
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Survey: 2023-12-06 | Tag F0924 | Environmental Deficiencies | Severity: E
Put firmly secured handrails on each side of hallways.
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Survey: 2023-12-06 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Survey: 2022-02-28 | Tag F0559 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Survey: 2022-02-28 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2022-02-28 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2022-02-28 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Survey: 2022-02-28 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: G
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2022-02-28 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2022-02-28 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
---
Survey: 2022-02-28 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2022-02-28 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2022-02-28 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2022-02-28 | Tag F0867 | Administration Deficiencies | Severity: D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2022-02-28 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2022-02-28 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2022-02-28 | Tag F0908 | Environmental Deficiencies | Severity: D
Keep all essential equipment working safely.
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Survey: 2022-02-28 | Tag F0910 | Environmental Deficiencies | Severity: D
Ensure resident rooms meet each resident's needs.
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Survey: 2022-02-28 | Tag F0912 | Environmental Deficiencies | Severity: D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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Survey: 2022-02-28 | Tag F0915 | Environmental Deficiencies | Severity: D
Ensure each resident room has a window to the outside that meets requirements
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.