nursing home in Brigham City, UT

Msm Brigham City LLC

1010 South Medical Drive, Brigham City, UT 84302 · (435) 310-5800

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Msm Brigham City LLC at a glance

Msm Brigham City LLC is a 41-bed for-profit nursing home in Brigham City, Utah (Box Elder County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Utah average of 3.3.

Residents receive about 4.2 hours of nursing care per day (1.2 of them from registered nurses), close to the state average of 4.1 hours.

Its most recent standard health inspection (December 15, 2025) found 13 health citations. The Utah average is 8.8.

Federal regulators fined it 2 times in the past three years, totaling $67,436.

Nursing staff turnover is 60% per year (state average 50.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
41
Certified for
Medicare and Medicaid
Chain / affiliated entity
Mission Health Services
Medicare-certified since
January 28, 2008
Continuing care retirement community
Yes
Resident/family council
Resident
County
Box Elder County
CMS Certification Number
465165

Ratings

MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.3 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.2 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 54.6 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 54.4 / 53.3 / 5Better

Staffing

This facility4.16 hrsUtah average4.09 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Utah and U.S. averages
MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.16 hrs4.09 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)1.19 hrs1.25 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.93 hrs2.36 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.16 hrs3.58 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)60%50.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)52.9%40.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility13Utah average9U.S. average9
Health citations in the most recent inspection: this facility vs. Utah and U.S. averages
MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1399Worse
Citations from complaint investigations (latest cycle) (lower is better)033Better
Weighted health inspection score ⓘ (lower is better)9683.880.6Worse

Penalties

This facility2Utah average1U.S. average1
Fines in the past 3 years: this facility vs. Utah and U.S. averages
MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$67,436$23,954$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Certified beds4186107
Average residents per day406186
Occupancy97.8%74.7%80.9%

Long-stay residents

This facility0%Utah average2.5%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Utah and U.S. averages
MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%2.5%3.2%Better
Long-stay residents with pressure ulcers (lower is better)6.8%3.9%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)8.8%14.2%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2.2%1.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.9%0.7%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)4.3%11.3%13.9%Better
Long-stay residents whose walking worsened (lower is better)8.7%15.1%14.1%Better
Long-stay residents who lose too much weight (lower is better)7.9%3.4%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)5.4%16.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)36.8%25.3%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)19.5%21.5%19%Average
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%97.4%93.6%Better

Short-stay residents

This facility1.1%Utah average0.9%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Utah and U.S. averages
MeasureThis facilityUtah avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.1%0.9%1.6%Better
Short-stay residents given a flu vaccine (higher is better)92.2%91%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.8%93.8%82%Better

Inspection citations

State inspectors cited this home for 47 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
December 15, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected December 31, 2025
December 15, 2025
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected December 31, 2025
December 15, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected December 31, 2025
December 15, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
D
Potential harm, isolated
Corrected December 31, 2025
December 15, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected December 31, 2025
December 15, 2025
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
G
Actual harm, isolated
Corrected December 31, 2025
December 15, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 12, 2026
December 15, 2025
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected January 16, 2026
December 15, 2025
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0801
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Standard
Keep complete, dated laboratory records in the resident's record.
Administration Deficiencies · Tag F0775
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected December 31, 2025
December 15, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected December 31, 2025
December 15, 2025
Standard
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Administration Deficiencies · Tag F0779
D
Potential harm, isolated
Corrected December 31, 2025
December 15, 2025
Standard
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Tag F0773
D
Potential harm, isolated
Corrected December 31, 2025
December 15, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected January 16, 2026
December 15, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected January 13, 2026
December 15, 2025
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 16, 2026
December 18, 2023
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
E
Potential harm, pattern
Corrected January 31, 2024
December 18, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected December 31, 2023
December 18, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected February 7, 2024
December 18, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
D
Potential harm, isolated
Corrected December 31, 2023
December 18, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected December 12, 2023
December 18, 2023
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected January 18, 2024
December 18, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected January 18, 2024
December 18, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected January 18, 2024
December 18, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected January 18, 2024
December 18, 2023
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected January 18, 2024
December 18, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected January 18, 2024
March 2, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected March 10, 2022
March 2, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected March 10, 2022
March 2, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
L
Immediate jeopardy, widespread
Corrected April 15, 2022
March 2, 2022
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
G
Actual harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 15, 2022
March 2, 2022
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Tag F0888
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0585
E
Potential harm, pattern
Corrected April 15, 2022
March 2, 2022
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Tag F0825
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services Deficiencies · Tag F0729
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
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.
Resident Rights Deficiencies · Tag F0622
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected April 15, 2022
March 2, 2022
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected April 15, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $67,436 in fines.

DatePenaltyAmount / length
December 15, 2025Fine$26,871
December 18, 2023Payment Denial32 days from January 6, 2024
December 18, 2023Fine$40,565

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
DUNN, MARC
Individual
adp of the snfNOT APPLICABLE02/01/2019
LARSEN, NICHOLAS
Individual
adp of the snfNOT APPLICABLE02/01/2019
LARSEN, RYAN
Individual
adp of the snfNOT APPLICABLE04/01/2025
MSM BRIGHAM CITY
Organization
adp of the snfNOT APPLICABLE02/27/2026
PATH ACCOUNTING LLC
Organization
adp of the snfNOT APPLICABLE04/01/2025
RAWLS, DANIELLE
Individual
adp of the snfNOT APPLICABLE04/01/2025
ANDERSEN, JEANETTE
Individual
corporate directorNOT APPLICABLE01/01/2016
ANDERSON, STEVE
Individual
corporate directorNOT APPLICABLE01/01/2015
BARTHOLOMEW, LAMAR
Individual
corporate directorNOT APPLICABLE07/01/2014
BLACKHAM, BRADY
Individual
corporate directorNOT APPLICABLE07/01/2020
DYRENG, CASEY
Individual
corporate directorNOT APPLICABLE01/01/2018
PICKETT, KIM
Individual
corporate directorNOT APPLICABLE01/01/2015
SORENSON, MERRI LYNN
Individual
corporate directorNOT APPLICABLE05/31/2018
BARTHOLOMEW, BRENDA
Individual
corporate officerNOT APPLICABLE10/01/2021
MURRAY, BRIAN
Individual
corporate officerNOT APPLICABLE05/01/2014
LARSEN, RYAN
Individual
managing control - governing bodyNOT APPLICABLE04/01/2025
RAWLS, DANIELLE
Individual
managing control - governing bodyNOT APPLICABLE04/01/2025
DUNN, MARC
Individual
operational/managerial controlNOT APPLICABLE07/01/2023
LARSEN, NICHOLAS
Individual
operational/managerial controlNOT APPLICABLE07/01/2023
LARSEN, RYAN
Individual
operational/managerial controlNOT APPLICABLE04/01/2025
MSM BRIGHAM CITY
Organization
operational/managerial controlNOT APPLICABLE07/01/2023
RAWLS, DANIELLE
Individual
operational/managerial controlNOT APPLICABLE04/01/2025

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Frequently asked questions

What is Msm Brigham City LLC's rating?

Msm Brigham City LLC has 3 out of 5 stars on the CMS overall star rating. The average for Utah nursing homes is 3.3 stars.

How many inspection citations did Msm Brigham City LLC receive?

Its most recent standard health inspection found 13 citations, compared with a Utah average of 8.8. Every citation is listed on this page with its severity.

Does Msm Brigham City LLC accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Msm Brigham City LLC?

It is for profit - limited liability company and part of Mission Health Services. The ownership section on this page lists the owners and managers reported to CMS.

Where is Msm Brigham City LLC and how do I contact it?

Msm Brigham City LLC is at 1010 South Medical Drive, Brigham City, UT 84302. Phone: (435) 310-5800.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.