Monument Healthcare Canyon Rim

In the surveyor’s words

From the most serious findings on record at Monument Healthcare Canyon Rim, in the surveyor’s own words.

• Immediate jeopardy, isolatedF609Dec 16, 2024

  Based on interview and record review, it was determined for 2 out of 10 sampled residents that in response to allegations of abuse, the facility failed to report allegations immediately. Specifically, allegations of abuse were not reported to the State Survey Agency (SSA), Adult Protective Services (APS), or the police. This was determined to have occurred at an Immediate Jeopardy level for resident 5. Resident identifiers: 1 and 5. On 12/12/2024, a finding of Immediate Jeopardy (IJ) (immediate threat to the health and safety of patients) was identified in the area of 483.12 Freedom from Abuse, Neglect, and Exploitation. The facility was notified of this finding verbally and in writing on 12/12/2024 at 10:20 AM. […]

• Immediate jeopardy, isolatedF610Dec 16, 2024

  Based on interview and record review, it was determined that in response to allegations of abuse, the facility failed to have evidence that all alleged violations were thoroughly investigated for 2 of 10 sampled residents and prevent further potential abuse while an investigation was being processed for 1 of 10 sampled residents. Specifically, the facility did not have evidence that abuse allegations were thoroughly investigated and allowed an alleged perpetrator to continue to have access to the alleged victim and other vulnerable residents. This was determined to have occurred at an Immediate Jeopardy level for resident 5. Resident identifiers: 1 and 5. […]

• Actual harm, isolatedF689Aug 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible, and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 2 out of 28 sampled residents, the facility failed to implement new interventions after every fall. This resulted in a finding of harm for resident 72. Resident identifiers: 6 and 72.Findings included:HARM1. […]

• No harm, potential for more than minimal, patternF550Aug 17, 2022

  Based on observation and interview it was determined the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner and in an environment that promoted maintenance or enhancement of their quality of life, recognizing each resident's individuality. Specifically, for 4 out of 28 sampled residents, staff referred to resident's who required dining assistance as feeders, a resident was told the location of where he needed to eat his meals, residents were observed to wait for their meal trays while their tablemate's ate, and a resident waited approximately 46 minutes for his lunch tray to be served. […]

• No harm, potential for more than minimal, patternF638Aug 17, 2022

  Based on interview and record review, it was determined, the facility did not assess residents using the quarterly review instrument specified by the State and approved by Centers for Medicare & Medicaid Services not less frequently than once every 3 months. Specifically, for 4 out of 28 sampled residents, quarterly Minimum Data Set (MDS) assessments were not completed every 3 months. In addition, quarterly MDS assessments were not completed no later than 14 days after the assessment reference date (ARD). Resident identifiers: 1, 4, 7, and 32. Findings included: 1. […]