MSM Brigham City LLC

Continuing care retirement community · Box Elder · UT · For profit - Limited Liability company · MISSION HEALTH SERVICES chain · 41 certified beds · CCN 465165 · GUNNISON VALLEY HOSPITAL


MSM Brigham City LLC operates 41 certified beds in Brigham City, Utah. Its Medicare and Medicaid certification dates to 2008-01-28. It averages 40.1 residents a day.

What harm was found in the violations cited at MSM Brigham City LLC?

CMS lists 47 health-inspection deficiencies for MSM Brigham City LLC since 2022-03-02, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2025-12-15.

Survey dateTagDeficiencySeverity
2025-12-15F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2025-12-15F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-15F0761, F0775, F0801, F0804, F0842Ensure 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. / Keep complete, dated laboratory records in the resident's record. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-12-15F0580, F0628, F0689, F0755, F0773, F0779Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Keep signed and dated reports of x-rays and other diagnostic services in the residents record.D
2023-12-18F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2023-12-18F0609, F0761, F0812, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2023-12-18F0554, F0610, F0689, F0755, F0756, F0757, F0770, F0881Allow residents to self-administer drugs if determined clinically appropriate. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Implement a program that monitors antibiotic use.D
2022-03-02F0880Provide and implement an infection prevention and control program.L
2022-03-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2022-03-02F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G
2022-03-02F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-03-02F0585, F0607, F0759, F0835, F0867, F0888Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure medication error rates are not 5 percent or greater. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Ensure staff are vaccinated for COVID-19E
2022-03-02F0554, F0561, F0580, F0583, F0609, F0610, F0622, F0656, F0729, F0745, F0825Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide or get specialized rehabilitative services as required for a resident.D

Why was MSM Brigham City LLC fined 2 times?

DateTypeAmount
2025-12-15Fine$26,871
2023-12-18Fine$40,565

Has MSM Brigham City LLC had payment denied by Medicare?

Payment denial startLength in days
2024-01-0632

How is MSM Brigham City LLC staffed?

MeasureThis facilityUT average
Total nurse staffing hours per resident per day4.164314.07030
Total nursing staff turnover (%)60.050.7
Average number of residents per day40.160.9

Who owns MSM Brigham City LLC, and what chain is it in?

MSM Brigham City LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name GUNNISON VALLEY HOSPITAL and belongs to the MISSION HEALTH SERVICES chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYLARSEN, RYAN, RAWLS, DANIELLEsince 04/01/2025
CORPORATE DIRECTORANDERSEN, JEANETTE, ANDERSON, STEVE, BARTHOLOMEW, LAMAR, BLACKHAM, BRADY, DYRENG, CASEY, PICKETT, KIM, SORENSON, MERRI LYNNsince 01/01/2015
CORPORATE OFFICERBARTHOLOMEW, BRENDA, MURRAY, BRIANsince 05/01/2014
OPERATIONAL/MANAGERIAL CONTROLMSM BRIGHAM CITY, DUNN, MARC, LARSEN, NICHOLAS, LARSEN, RYAN, RAWLS, DANIELLEsince 04/01/2025
ADP OF THE SNFMSM BRIGHAM CITY, PATH ACCOUNTING LLC, DUNN, MARC, LARSEN, NICHOLAS, LARSEN, RYAN, RAWLS, DANIELLEsince 02/01/2019

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