Monument Healthcare Taylorsville

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision to prevent accidents. Specifically, for 1 out of 41 sampled residents, one resident sustained a second-degree burn from a heat therapy treatment and will be cited at a harm level. Resident identifier: 76. Findings included:Resident 76 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included anterior cord syndrome at C3 level of cervical spinal cord; completed lesion at C4, C5, and C6 level of cervical spinal cord; cognitive communication deficit; spastic hemiplegia; and paresthesia of skin.On 2/2/26 at 8:31 AM, an interview was conducted with resident 76 who stated he was in the shower last Friday and the hot, hot water… […]

• Actual harm, isolatedF689Mar 12, 2024

  Based on observation, interview, and record review it was determined that for 2 of 7 sampled residents, that the facility did not ensure that the resident environment remains as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, the facility did not ensure that a resident transported to a dialysis appointment was properly secured with a seatbelt, and subsequently sustained fractures of both of his legs. In addition, the facility did not ensure that a resident's call light was within reach and the resident reached for the call light, fell out of bed, and fractured his hip. This will be cited at a HARM. Resident Identifiers: 4, 7. Findings included: 1. […]

• No harm, potential for more than minimal, patternF761Feb 3, 2026

  Based on observation and interview, the facility did not ensure that drugs and biologicals were labeled in accordance with accepted professional principles and stored in locked compartments. Specifically, observations were made of resident medications left unlocked and unattended on top of the medication cart, a multidose vial of insulin was available for use past its expiration date, and a multidose vial of tuberculin did not contain an open date for the vial. Resident identifiers: 7 and 70. Findings included:1. On 1/28/26 at 8:25 AM, an observation was made of Licensed Practical Nurse (LPN) 1 during morning medication administration. LPN 1 left a blister pack of simvastatin for resident 70 on the top of the medication cart outside the resident's room. […]

• No harm, potential for more than minimal, patternF565Nov 16, 2023

  Based on interview and record review, it was determined that the facility did not consider the views of a resident or family group and act promptly upon the grievances and the recommendations of such groups concerning issues of resident care and life in the facility. Specifically, the facility did not follow up on grievances filed by residents. Findings include: On 11/16/23, the facility grievance long was reviewed for the past year. The following grievances were found with no resolutions: On 1/26/23, a grievance was filed about food at the facility. No resolution or follow up on the grievance was documented in the grievance log. On 2/26/23, a grievance was filed about a resident to staff interaction. No resolution or follow up on the grievance was documented in the grievance log. […]

• No harm, potential for more than minimal, patternF640Nov 16, 2023

  Based on interview and record review, the facility did not transmit to the Centers for Medicare/Medicaid (CMS) System information for each resident contained in the Minimum Data Set (MDS) within 7 days after completion. Resident identifiers: 2, 4, 28, 38, 48, 61, and 78. Findings include: 1. Resident 38 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included chronic kidney disease, atrial fibrillation, and congestive heart failure. Resident 38's record was reviewed on 11/14/23. Resident 38's record indicated that an MDS dated [DATE] indicated in the Electronic Health Record (EHR) was export ready. Review of the CMS System indicated that the 8/31/23 MDS for resident 38 had not been transmitted as of 11/14/23. 2. […]