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Nursing HomeMedicaid

Monument Healthcare Richfield (mission at Richfiel

Strong Medicare quality ratings; families often praise compassionate and friendly nursing staff. Still worth an in-person visit.

163 East 1000 North, Richfield, UT 8470198 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 44 Google reviews

5
4
3
2
1
Monument Healthcare Richfield (mission at Richfiel Nursing Home in Richfield, UT — Street View
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What this means for your family

This facility offers a strong activity program and a dedicated therapy team that many families appreciate. However, because multiple reviewers have raised serious concerns about understaffing and responsiveness, we strongly recommend you visit during off-hours or weekends to observe staffing levels firsthand and ask management specifically about their call-light response protocols.

Google Reviews

Google Reviews

44 reviews on Google
Monument Healthcare Richfield (formerly Sandstone) presents a polarized experience for families. While many reviewers praise the compassionate staff, engaging activity programs, and professional therapy team, others report severe concerns regarding chronic understaffing, poor hygiene, and unresponsive administrative communication. Families should carefully weigh the positive reports of daily activities and kindness against serious allegations of neglect and slow response times.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean7.0Activities9.0MedsN/AMemory5.0Comms3.0Value2.0

Strengths

  • Compassionate and friendly nursing staff
  • Engaging daily activity programs
  • Professional physical therapy team
  • Clean and well-maintained facility

Concerns

  • Severe understaffing leading to long wait times for call lights (mentioned by 2 reviewers)
  • Poor hygiene and lack of basic personal care (bathing/shaving) (mentioned by 2 reviewers)
  • Unresponsive or poor administrative communication (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'18(4)1.02.0'21(2)4.01.0'23(1)4.04.3'25(12)5.0'26(3)

Distribution · 45 analyzed

5
32
4
1
3
2
2
1
1
9

How They Respond to Reviews

37%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has a robust calendar of daily activities; could you walk me through what a typical afternoon looks like for a resident here?
  • 2With the current staffing levels, what is your facility's protocol for responding to call lights, and how do you ensure residents receive timely assistance with personal care needs like bathing and grooming?
  • 3I see that the facility has a 5-star CMS rating, but I also noticed a lower staffing rating; how do you manage your team's workload to ensure that residents still receive consistent, high-quality attention?
  • 4When family members have questions or concerns regarding their loved one's care, what is the best way to ensure we get a timely and clear response from the administrative team?
  • 5How does your nursing and physical therapy team coordinate to handle medical emergencies or sudden changes in a resident's health status?
  • 6I appreciate that the leadership team actively engages with feedback online; how do you incorporate that family input into your daily operations to improve the resident experience?

Personalized based on this facility's data


Key Review Excerpts

The staff was amazing, sweet, and kind. On the other hand they were way understaffed and my disabled mentally and physically sister had to wait after pushing the button for help some waits were 45 minutes she was soiled before help came every time.

Memory care family member · 2025★★☆☆☆

I loved the food, the daily newspaper telling fun facts about the day and its possible activities. It wasn’t uncommon to pick Mom up and see that her nails had been painted and she had participated in some fun craft or cooking class.

Respite care family member · 2024★★★★★

The administrator of the facility is friendly, engaging and available to discuss what is happening with my brother and should he need assistance in any way he will either do it himself or request a staff member to provide the support that is needed.

Long-term resident's family · 2024★★★★★
Source: 44 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.98hrs
OK
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility40.0%
Worse than Avg
Here
40.0%
US
12.1%
UT
16.5%
Sevier
7.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
14.4%
UT
12.1%
Sevier
16.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
15.3%
UT
16.8%
Sevier
20.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
19.4%
UT
21.8%
Sevier
20.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
UT
98.0%
Sevier
88.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
UT
97.1%
Sevier
90.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
UT
91.0%
Sevier
82.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
UT
93.8%
Sevier
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
UT
0.8%
Sevier
0.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (9.1)
1 complaint-triggered
$8,148 in fines

Monument Healthcare Richfield has experienced recurring safety and resident rights issues across three surveys, with one family complaint triggering an inspection in 2024 regarding accident prevention. The facility has struggled with maintaining safe environments, protecting resident rights, and medication management oversight. While all deficiencies show correction dates, the persistence of safety concerns—including the same accident hazard issue appearing in both 2020 and 2024—suggests ongoing challenges families should carefully consider.

Feb 7, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 7, 2024Routine
4
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Jun 15, 2022Routine
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jan 9, 2020Routine
12
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Feb 7, 2024

$8,148

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monument Healthcare Richfield (mission at Richfiel

Organization Type

for profit

Chain Affiliation

Chain Name

Mission Health Services

Chain Size

7 facilities nationwide

Chain avg rating: 3.3/5 · Rank 2 of 14 (Best)

Ownership & Management

Owners

Gunnison Valley Hospital

Owner · Organization

Key personnel

Keele, EddieOfficer / DirectorMurray, BrianOfficer / DirectorZimbelman, MichelleOfficer / DirectorGunnison Valley HospitalManagerMission Health ServicesManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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