Starfile / Utah

MSM Brigham City LLC

1010 South Medical Drive, Brigham City, UT 84302 · CCN 465165

Inspection history vs Utah & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$40,565

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

MISSION HEALTH SERVICES

Facilities in chain

4

Chain avg overall

3.30 / 5

Inspection citations (47)2 immediate jeopardy3 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-15 · Health · corrected 2026-01-16

   Potential for more than minimal harm

2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-15 · Health · corrected 2025-12-31

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-15 · Health · corrected 2026-01-13

   Potential for more than minimal harm

4. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-15 · Health · corrected 2025-12-31

   Actual harm

5. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-15 · Health · corrected 2026-01-16

   Potential for more than minimal harm

6. EF0761Ensure 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.2025-12-15 · Health · corrected 2025-12-31

   Potential for more than minimal harm

7. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-12-15 · Health · corrected 2025-12-31

   Potential for more than minimal harm

8. EF0775Keep complete, dated laboratory records in the resident's record.2025-12-15 · Health · corrected 2025-12-31

   Potential for more than minimal harm

9. DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2025-12-15 · Health · corrected 2025-12-31

   Potential for more than minimal harm

10. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-12-15 · Health · corrected 2025-12-31

    Potential for more than minimal harm

11. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-15 · Health · corrected 2026-01-16

    Potential for more than minimal harm

12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-15 · Health · corrected 2026-01-12

    Potential for more than minimal harm

13. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-15 · Health · corrected 2025-12-31

    Potential for more than minimal harm

14. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

15. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-18 · Health · corrected 2024-01-18

    Actual harm

16. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

17. DF0610Respond appropriately to all alleged violations.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

19. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

20. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

21. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

22. EF0761Ensure 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.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

23. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

24. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

25. EF0880Provide and implement an infection prevention and control program.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

26. DF0881Implement a program that monitors antibiotic use.2023-12-18 · Health · corrected 2024-01-18

    Potential for more than minimal harm

27. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

28. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

29. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

30. DF0583Keep residents' personal and medical records private and confidential.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

31. EF0585Honor 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.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

32. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-03-02 · Health · corrected 2022-04-15

    Immediate jeopardy

33. GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2022-03-02 · Health · corrected 2022-04-15

    Actual harm

34. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

36. DF0610Respond appropriately to all alleged violations.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

37. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

38. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

39. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

40. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

41. EF0759Ensure medication error rates are not 5 percent or greater.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

43. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

44. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

45. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

46. LF0880Provide and implement an infection prevention and control program.2022-03-02 · Health · corrected 2022-04-15

    Immediate jeopardy

47. EF0888Ensure staff are vaccinated for COVID-192022-03-02 · Health · corrected 2022-04-15

    Potential for more than minimal harm

Ownership

Other facilities in Brigham City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.