Elder Care Record

Utah › Box Elder County › Brigham City

Msm Brigham City LLC

1010 South Medical Drive, Brigham City, UT 84302

CCN 465165 · For-profit, limited liability company · 41 certified beds · chain Mission Health Services

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Msm Brigham City LLC is a For-profit, limited liability company nursing home in Brigham City, Utah, certified for 41 beds and caring for about 40 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Utah median; the health inspection rating is 2, staffing 4 and quality measures 5.

Inspectors recorded 47 health deficiencies across the three most recent survey cycles (13, 13, 21 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 114.6 per 100 beds, more than the state median of 26.0.

CMS lists 3 penalties in the period covered: fines totalling $67K and 1 payment denial.

Reported nurse staffing is 4.2 hours per resident per day (1.2 RN), close to the Utah median of 3.7; nursing staff turnover is 60.0%.

47health deficiencies, 3 survey cycles5 at actual harm or worse
$67Kfines listed by CMS3 penalties in period
4.2nurse hours per resident per daystate median 3.7
98%occupancy (residents ÷ beds)40 residents a day

Compared with county, state and nation

MeasureThis facilityBox Elder Co. medianUtah medianUS average
Overall star rating3333.0
Health citations, 3 cycles47212228.7
Citations per 100 beds114.625.026.026.8
Total nurse hours per resident day4.24.23.73.9
RN hours per resident day1.21.21.00.7
Nursing staff turnover60.0%60.0%50.9%45.8%
Fines listed$67,436$19,747$6,351—

County and state figures are medians across facilities (3 in the county, 97 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 213
Cycle 321

Dark bar: this facility. Grey bar: Utah average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Dec 2025, 18 Dec 2023.

Severity mix: J ×1 L ×1 G ×3 D ×25 E ×15 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard survey31 Dec 2025
15 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Jan 2026
15 Dec 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey31 Dec 2025
15 Dec 2025F0775Keep complete, dated laboratory records in the resident's record.EStandard survey31 Dec 2025
15 Dec 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard survey31 Dec 2025
15 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey16 Jan 2026
15 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey31 Dec 2025
15 Dec 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey16 Jan 2026
15 Dec 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey31 Dec 2025
15 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey13 Jan 2026
15 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey16 Jan 2026
15 Dec 2025F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey31 Dec 2025
15 Dec 2025F0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.DStandard survey31 Dec 2025
18 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation18 Jan 2024
18 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey18 Jan 2024
18 Dec 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey18 Jan 2024
18 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Jan 2024
18 Dec 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation18 Jan 2024
18 Dec 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey18 Jan 2024
18 Dec 2023F0610Respond appropriately to all alleged violations.DStandard survey18 Jan 2024
18 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation18 Jan 2024
18 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Jan 2024
18 Dec 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey18 Jan 2024
18 Dec 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey18 Jan 2024
18 Dec 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey18 Jan 2024
18 Dec 2023F0881Implement a program that monitors antibiotic use.DStandard survey18 Jan 2024
2 Mar 2022F0880Provide and implement an infection prevention and control program.LStandard survey15 Apr 2022
2 Mar 2022F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard survey15 Apr 2022
2 Mar 2022F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).GStandard survey15 Apr 2022
2 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Apr 2022
2 Mar 2022F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey15 Apr 2022
2 Mar 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey15 Apr 2022
2 Mar 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey15 Apr 2022
2 Mar 2022F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard survey15 Apr 2022
2 Mar 2022F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey15 Apr 2022
2 Mar 2022F0888Ensure staff are vaccinated for COVID-19EStandard survey15 Apr 2022
2 Mar 2022F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey15 Apr 2022
2 Mar 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey15 Apr 2022
2 Mar 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey15 Apr 2022
2 Mar 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey15 Apr 2022
2 Mar 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey15 Apr 2022
2 Mar 2022F0610Respond appropriately to all alleged violations.DStandard survey15 Apr 2022
2 Mar 2022F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey15 Apr 2022
2 Mar 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Apr 2022
2 Mar 2022F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard survey15 Apr 2022
2 Mar 2022F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey15 Apr 2022
2 Mar 2022F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey15 Apr 2022

Penalties

DateTypeAmountDetail
15 Dec 2025Fine$26,871
18 Dec 2023Payment denial—32 days
18 Dec 2023Fine$40,565

Staffing

Total nursing4.16 h
Nurse aides2.93 h
LPN0.04 h
RN1.19 h
Weekend total4.16 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Utah average. Turnover: nursing staff 60.0%, RNs 52.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityUtah medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.3%10.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.7%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.8%3.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.8%10.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Gunnison Valley Hospital. Chain: Mission Health Services (7 facilities).

OrganisationRole in the CMS recordInterestSince
Msm Brigham CityOperational/managerial controlNOT APPLICABLE07/01/2023
Msm Brigham CityAdp of the snfNOT APPLICABLE02/27/2026
Path Accounting LLCAdp of the snfNOT APPLICABLE04/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Box Elder County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Monument Healthcare Pioneer TrailBrigham City724341622.2$20K3 Apr 2025
Monument Healthcare Brigham Cityabuse iconBrigham City842112125.0$10K1 Jul 2026

All 3 facilities in Box Elder County

Questions and answers

How many deficiencies has Msm Brigham City LLC been cited for?

47 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Utah median is 22 per facility.

Has Msm Brigham City LLC been fined?

Yes. CMS lists fines totalling $67K in the period covered, plus 1 payment denial.

How does staffing at Msm Brigham City LLC compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Utah median of 3.7 and a national average of 3.9.

Who operates Msm Brigham City LLC?

It is part of the Mission Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Msm Brigham City. Individual owners and managers are not listed on this site.

When was Msm Brigham City LLC last inspected?

The most recent survey or investigation in the CMS record is dated 15 Dec 2025; the most recent standard health survey was 15 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.