MSM Brigham City LLC
1010 South Medical Drive, Brigham City, UT 84302
MSM Brigham City LLC is a nursing home in Brigham City, Utah. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (435) 310-5800
- Last standard health inspection
- December 15, 2025 (10 months ago)
- Certified beds
- 41
- Residents per day, on average
- 36.3
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Gunnison Valley Hospital
- Chain
- Mission Health Services
- Takes part in
- Medicare and Medicaid
More health citations than the Utah average (47 vs 26).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from December 15, 2025 from $41,340 to $26,871.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
13 citations
Health inspection on December 15, 2025
CMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
23 of 97 Utah homes (24%) got a citation at the actual harm level in 2025.
Citation F0690. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on December 31, 2025.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 12, 2026.
CMS has cited this home for F0812 3 times since 2022.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 31, 2025.
CMS has cited this home for F0761 2 times since 2023.
Citation F0775. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep complete, dated laboratory records in the resident's record.
CMS lists it as corrected on December 31, 2025.
Citation F0801. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 31, 2025.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on January 16, 2026.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on December 31, 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 16, 2026.
CMS has cited this home for F0580 2 times since 2022.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on December 31, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 13, 2026.
CMS has cited this home for F0689 2 times since 2023.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 16, 2026.
CMS has cited this home for F0755 2 times since 2023.
Citation F0773. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
CMS lists it as corrected on December 31, 2025.
Citation F0779. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
CMS lists it as corrected on December 31, 2025.
7 citations
Fire safety inspection on December 15, 2025
CMS lists this as a standard inspection.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 31, 2025.
CMS has cited this home for K0321 3 times since 2022.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 31, 2025.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on December 31, 2025.
CMS has cited this home for K0921 2 times since 2023.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 31, 2025.
CMS has cited this home for K0211 2 times since 2023.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 31, 2025.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 31, 2025.
Citation K0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on December 31, 2025.
Fine
December 15, 2025 (10 months ago)
CMS fine of $26,871 on December 15, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.6 to 3.7 hours per resident per day.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from December 18, 2023 from $62,408 to $40,565.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Name
CMS lists a new name for this home. It was MISSION AT MAPLE SPRINGS.
Staffing
Total nurse staffing reported to CMS went from 4.6 to 3.6 hours per resident per day.
Payment stopped
January 6, 2024 (2 years ago)
CMS stopped payment for new admissions from January 6, 2024, for 32 days.
13 citations
Health inspection on December 18, 2023
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
17 of 97 Utah homes (18%) got a citation at the actual harm level in 2023.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 18, 2024.
CMS has cited this home for F0600 2 times since 2022.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 18, 2024.
CMS has cited this home for F0609 2 times since 2022.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 18, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 18, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 18, 2024.
CMS has cited this home for F0880 2 times since 2022.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on January 18, 2024.
CMS has cited this home for F0554 2 times since 2022.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 18, 2024.
CMS has cited this home for F0610 2 times since 2022.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 18, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 18, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on January 18, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on January 18, 2024.
Citation F0770. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely, quality laboratory services/tests to meet the needs of residents.
CMS lists it as corrected on January 18, 2024.
Citation F0881. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on January 18, 2024.
5 citations
Fire safety inspection on December 18, 2023
CMS lists this as a standard inspection.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 7, 2024.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 31, 2023.
Citation K0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on January 31, 2024.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 12, 2023.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 31, 2023.
Fine
December 18, 2023 (2 years ago)
CMS fine of $40,565 on December 18, 2023.
21 citations
Health inspection on March 2, 2022
CMS lists this as a standard inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
4 of 97 Utah homes (4%) got a citation at the immediate jeopardy level in 2022.
Citation F0880. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 15, 2022.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on April 15, 2022.
Citation F0603. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
CMS lists it as corrected on April 15, 2022.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 15, 2022.
Citation F0585. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 15, 2022.
Citation F0607. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on April 15, 2022.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on April 15, 2022.
Citation F0835. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on April 15, 2022.
Citation F0867. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on April 15, 2022.
Citation F0888. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure staff are vaccinated for COVID-19
CMS lists it as corrected on April 15, 2022.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on April 15, 2022.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on April 15, 2022.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on April 15, 2022.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on April 15, 2022.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 15, 2022.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on April 15, 2022.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 15, 2022.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 15, 2022.
Citation F0729. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
CMS lists it as corrected on April 15, 2022.
Citation F0745. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide medically-related social services to help each resident achieve the highest possible quality of life.
CMS lists it as corrected on April 15, 2022.
Citation F0825. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or get specialized rehabilitative services as required for a resident.
CMS lists it as corrected on April 15, 2022.
2 citations
Fire safety inspection on March 2, 2022
CMS lists this as a standard inspection.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 10, 2022.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on March 10, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MSM BRIGHAM CITYOperational/managerial control · not applicable · since 07/01/2023
- DUNN, MARCOperational/managerial control · not applicable · since 07/01/2023
- LARSEN, NICHOLASOperational/managerial control · not applicable · since 07/01/2023
- LARSEN, RYANOperational/managerial control · not applicable · since 04/01/2025
- RAWLS, DANIELLEOperational/managerial control · not applicable · since 04/01/2025
Questions
When was MSM Brigham City LLC last inspected?
CMS lists December 15, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does MSM Brigham City LLC have?
CMS lists 47 health citations since March 2, 2022. CMS also calls these deficiencies.
Has MSM Brigham City LLC been fined?
CMS lists 2 fines in the past three years, $67,436 in total.
What is the CMS star rating of MSM Brigham City LLC?
Its CMS overall star rating is 3 of 5.
Is MSM Brigham City LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.