Monument Healthcare Pioneer Trail
815 South 200 West, Brigham City, UT 84302 · Box Elder County · (435) 723-5289
72 certified beds, about 37 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 465020 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 3, 2025, inspectors cited 8 health deficiencies (the Utah average is 8.8, the national average 9.2).
Of 11 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,579 in the last three years; the largest was $7,579, and the latest is dated April 3, 2025.
Nurses and nurse aides worked 3.68 hours per resident per day, against 4.09 across Utah and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.
36.2% of nursing staff left within the year CMS measured (Utah average 50.7%).
CMS links it to Monument Health Group, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
310/21
008/23
804/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
0E
1F
Potential for minimal harm
0A
0B
0C
April 3, 2025Standard inspection, Complaint inspection · 8 citations
- G Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections. Specifically, for 1 out of 27 sampled residents, a resident was not given an oral antibiotic that was susceptible to treat her urinary tract infection (UTI) and then required intravenous (IV) antibiotics. Resident identifier: 15.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, there was expired food in the dairy refrigerator, expired food in the main refrigerator, expired food in the resident refrigerator, unlabeled and undated food in the resident refrigerator, and the facility dish machine was not testing at the required levels.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility did not ensure that all alleged violations involving abuse were reported immediately, but not later than two hours after the allegation was made, to the State Survey Agency (SSA) and Adult Protective Services (APS). Specifically, for 2 out of 27 sampled residents, notification to the SSA and APS was not done when a resident with cognitive impairments punched another resident in the back. Resident identifiers: 20 and 36.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility in response to allegations of abuse did not have evidence that all alleged violations were thoroughly investigated. Specifically, for 2 out of 27 sampled residents, a resident to resident allegation of abuse was not investigated. Resident identifiers: 20 and 36.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review, the facility did not develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care. Specifically, for 1 out of 27 sampled residents, a resident that was a fall risk on admission did not have a baseline care plan developed within 48 hours of the resident's admission. Resident identifier: 36.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility did not keep the resident environment as free of accident hazards as was possible; and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 2 out of 27 sampled residents, a resident was observed to have medication left at bedside and a resident that was a high risk for falls did not have interventions in place prior to the resident having a fall. Resident identifiers: 20 and 36.
- 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.
Inspectors wroteBased on interview and record review, the facility did not ensure that residents who used psychotropic drugs received gradual dose reductions (GDR), unless clinically contraindicated, in an effort to discontinue these drugs. Specifically, for 1 out of 27 sampled residents, the provider failed to implement a GDR for a resident who had been receiving an antidepressant medication for depression since April 2024. There was no documentation stating that a GDR would be clinically contraindicated. Resident identifier: 9.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility did not establish an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use. Specifically, for 1 out of 27 sampled residents, a resident was given an oral antibiotic that was resistant to treat her urinary tract infection (UTI) and then required intravenous (IV) antibiotics. Resident identifier: 15.
August 24, 2023Standard inspection · 0 citations
October 14, 2021Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on interview and observation, the facility did not provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. Specifically, one resident was missing a personal item that was not located and not replaced. Resident identifier: 33.
- 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.
Inspectors wroteBased on interview and record review it was determined, for 1 of 28 sample residents, that the facility did not ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections. Specifically, a resident did not receive catheter care treatment after developing signs of a urinary tract infection (UTI) and after a positive urine culture. Resident identifier: 7.
- D Perform COVID19 testing on residents and staff.
Inspectors wroteBased on interview and record review it was determined, for 1 of 5 sample staff, that the facility did not conducted testing based on parameters. Specifically, a staff member was not tested twice weekly according to the community transmission rate. Staff identifiers: Staff 1.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 3, 2025 | Fine | $7,579 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Utah | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.68 | 4.09 | 3.86 |
| Registered nurses | 1.19 | 1.25 | 0.69 |
| All nursing staff on weekends | 3.21 | 3.58 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.43 | ||
| Nursing staff turnover (share who left in a year) | 36.2% | 50.7% | 45.8% |
| Registered nurse turnover | 25.0% | 40.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.21 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 3.68 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.68 | 1.19 | 3.87 | 3.21 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.76 | 1.03 | 3.95 | 3.29 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.76 | 1.08 | 3.93 | 3.32 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.71 | 1.20 | 3.87 | 3.29 | 2.0% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Utah, Jan to Mar 2026 | 3.91 | 1.11 | 4.10 | 3.44 | 2.8% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Utah
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Utah, all employers | |||
| CNAs (nursing assistants) | $19.15 | $17.81 to $21.32 | 12,260 |
| LPNs and LVNs | $30.40 | $25.71 to $35.86 | 1,680 |
| Registered nurses | $40.67 | $38.49 to $50.54 | 27,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Utah | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.7 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.9 | 15.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.2 | 14.2 | 15.4 |
Owners and operators
Legal business name: GUNNISON VALLEY HOSPITAL. CMS links this home to Monument Health Group, a group of 11 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Murray, Brian | Corporate officer | Individual | 07/01/2018 | |
| Health Group Management LLC | Operational/managerial control | Organization | 02/07/2025 | |
| Monument Health Group LLC | Operational/managerial control | Organization | 02/07/2025 | |
| Anderson, Richard | Operational/managerial control | Individual | 02/07/2025 | |
| Clawson, Travis | Operational/managerial control | Individual | 02/07/2025 | |
| Espinosa, Stephanie | Operational/managerial control | Individual | 02/01/2025 | |
| Fragoso, Lindsay | Operational/managerial control | Individual | 02/07/2025 | |
| Hardy, Amanda | Operational/managerial control | Individual | 02/07/2025 | |
| Marriott, Stephen | Operational/managerial control | Individual | 02/07/2025 | |
| Murray, Brian | Operational/managerial control | Individual | 07/01/2018 | |
| Nixon, Tyler | Operational/managerial control | Individual | 02/07/2025 | |
| Robertson, Brett | Operational/managerial control | Individual | 02/07/2025 | |
| Samuelian, Spencer | Operational/managerial control | Individual | 02/07/2025 | |
| Seastrand, Jason | Operational/managerial control | Individual | 02/07/2025 | |
| West, Christian | Operational/managerial control | Individual | 02/07/2025 | |
| Health Group Management LLC | Adp of the SNF | Organization | 04/02/2025 | |
| Monument Health Group LLC | Adp of the SNF | Organization | 04/02/2025 | |
| Monument Health Properties LLC | Adp of the SNF | Organization | 02/07/2025 | |
| Monument Real Estate Pioneer Trail LLC | Adp of the SNF | Organization | 02/07/2025 | |
| Anderson, Richard | Adp of the SNF | Individual | 02/07/2025 | |
| Clawson, Travis | Adp of the SNF | Individual | 02/07/2025 | |
| Espinosa, Stephanie | Adp of the SNF | Individual | 02/01/2025 | |
| Fragoso, Lindsay | Adp of the SNF | Individual | 02/07/2025 | |
| Hardy, Amanda | Adp of the SNF | Individual | 02/01/2025 | |
| Marriott, Stephen | Adp of the SNF | Individual | 02/07/2025 | |
| Murray, Brian | Adp of the SNF | Individual | 07/01/2018 | |
| Nixon, Tyler | Adp of the SNF | Individual | 02/07/2025 | |
| Robertson, Brett | Adp of the SNF | Individual | 02/07/2025 | |
| Samuelian, Spencer | Adp of the SNF | Individual | 02/07/2025 | |
| Seastrand, Jason | Adp of the SNF | Individual | 02/01/2025 | |
| West, Christian | Adp of the SNF | Individual | 02/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 3, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Implement a program that monitors antibiotic use."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Utah average of 3.58.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Msm Brigham City LLC Brigham City, 0.2 mi · 3 of 5 stars · 47 citations
- Monument Healthcare Brigham City Brigham City, 2.2 mi · 2 of 5 stars · 21 citations
- George E. Wahlen Ogden Veterans Home Ogden, 15.1 mi · 4 of 5 stars · 12 citations
- Lomond Peak Nursing and Rehabilitation Ogden, 15.6 mi · 3 of 5 stars · 21 citations
- Sunshine Terrace Skilled Nursing Logan, 19.2 mi · 2 of 5 stars · 29 citations
- Harrison Pointe Healthcare and Rehabilitation Ogden, 20.6 mi · 4 of 5 stars · 16 citations
- Logan Regional Hospital Transitional Care Unit Logan, 20.8 mi · 5 of 5 stars · 2 citations
- Crestwood Rehabilitation and Nursing Ogden, 20.9 mi · 2 of 5 stars · 55 citations
Utah contacts for a concern about a nursing home
These are the official offices in Utah. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Utah Department of Health and Human Services, Division of Licensing and Background Checks, Health Facilities Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Utah Long Term Care Ombudsman Program, Division of Aging and Adult Services, 801-538-3910. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Utah DLBC Find a Facility (licensing records and compliance history), where Utah publishes its own records on licensed homes.
Common questions
- What is Monument Healthcare Pioneer Trail's Medicare star rating?
- CMS rates Monument Healthcare Pioneer Trail 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Monument Healthcare Pioneer Trail get at its last inspection?
- 8 health deficiencies at the standard inspection on April 3, 2025. The Utah average is 8.8.
- Has Monument Healthcare Pioneer Trail been fined?
- Yes. CMS lists 1 fine totaling $7,579 in the last three years.
- Does Monument Healthcare Pioneer Trail accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Monument Healthcare Pioneer Trail?
- CMS lists 31 owners and managers, and links the home to Monument Health Group. Legal business name: GUNNISON VALLEY HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.