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Nursing home report

Avalon Valley Rehabilitation

Registered name: Monument Healthcare South Salt Lake

Salt Lake City, UT · Medicare-certified · 140 beds

Needs attention
Special Focus candidateGovernment-runChain member
Data as of July 1, 2026
1 of 5 overall

Avalon Valley Rehabilitation has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, SFF Candidate special-focus status, and $18,155 in fines over the last 24 months. Staffing is 3.72 hours per resident per day, below the 4.1 federal benchmark, even though its staffing rating is 3 stars and its quality measures rating is 4 stars.

Facility ratings

Health inspections

Staffing

3.7227 hrs/resident/day

Quality measures

Last inspection: June 19, 2025Penalties, last 24 months: $18,155special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7227.

Staffing detail

Registered nurses
1.39
Licensed practical nurses
0.33
Nurse aides
2.01
Weekend nursing
3.18

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 45%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.6%18.4%Worsening

Residents with a fall causing major injury

1.9%3.2%Worsening

Residents with pressure ulcers (bedsores)

3.9%4.1%No change

Residents with a urinary tract infection

1.9%2.2%No change

Residents who lost too much weight

0%1.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.7%1.2%Improving

Residents whose ability to walk got worse

14.6%5.6%Improving

Long-stay residents on antianxiety or sleep medication

10.6%12.5%Worsening

Short-stay residents newly given an antipsychotic

3.3%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14.8%21.9%Worsening

Residents with depressive symptoms

14.6%20%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.9%

Long-stay residents given the pneumonia vaccine

100%98.9%Worsening

Short-stay residents given the seasonal flu vaccine

90.1%

Short-stay residents given the pneumonia vaccine

100%97.4%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: L

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: K

The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited June 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 742 — 42 CFR §483.40 — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: G

Recent history

  1. PENALTY

    A federal fine of $18,155 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. PENALTY

    A federal fine of $13,000 was recorded.

  4. INSPECTION

    Health inspection found 20 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 28 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $36,546 in total fines.

  • Federal fine

    Jun 19, 2025

    $18,155
  • Federal fine

    Jan 25, 2024

    $18,391

Operator & ownership

Recent ownership change · Jul 1, 2020

Now operated by Monument Healthcare South Salt Lake, previously Avalon Valley Rehabilitation.

Ownership
Government - Hospital district
Chain
Part of MONUMENT HEALTH GROUP · 11 homes · 2.8 stars avg
Occupancy
101.8 residents on an average day (73% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.