MSM Brigham City LLC
Nursing Home · Brigham City, UT
CMS certification number465165
Contact & location
1010 South Medical DriveBrigham City, UT 84302
Box Elder County
- Phone
- (435) 310-5800
- ZIP code
- 84302 – all care providers
Facility details
- Certified beds
- 41
- Residents per day
- 40.1 (98% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Gunnison Valley Hospital
- Chain
- Mission Health Services (7 facilities, avg 3.4★)
- Medicare certified since
- January 28, 2008
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.16 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 1.19 (state 1.25 · U.S. 0.69)
- Licensed practical nurses
- 0.04 (state 0.48 · U.S. 0.86)
- Nurse aides
- 2.93 (state 2.35 · U.S. 2.32)
- Weekend total
- 4.16 (state 3.56 · U.S. 3.42)
- Nursing staff turnover
- 60.0 (state 50.7 · U.S. 45.8)%
- RN turnover
- 52.9 (state 40.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 15, 2025
- Health deficiencies (last cycle)
- 13.0 (state 8.6 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 47 health · 14 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-12-31 |
| 2025-12-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-12 |
| 2025-12-15 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | Keep complete, dated laboratory records in the resident's record. F0775 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | 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. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-16 |
| 2025-12-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-16 |
| 2025-12-15 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-16 |
| 2025-12-15 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-15 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. F0779 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2023-12-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-01-18 |
| 2023-12-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-18 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2022-03-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
L Immediate jeopardy to resident health or safety |
Corrected 2022-04-15 |
| 2022-03-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2022-04-15 |
| 2022-03-02 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2022-04-15 |
| 2022-03-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Ensure staff are vaccinated for COVID-19 F0888 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | 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. F0622 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F0729 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
| 2022-03-02 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $67,436 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-15 | Fine | $26,871 |
| 2023-12-18 | Payment Denial | 32 days payment denial |
| 2023-12-18 | Fine | $40,565 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Dunn, Marc (individual) | Administrator · NOT APPLICABLE | |
| Larsen, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Larsen, Ryan (individual) | Administrator · NOT APPLICABLE | |
| MSM Brigham City (organization) | Administrator · NOT APPLICABLE | |
| Path Accounting LLC (organization) | Administrator · NOT APPLICABLE | |
| Rawls, Danielle (individual) | Administrator · NOT APPLICABLE | |
| Andersen, Jeanette (individual) | Corporate Director · NOT APPLICABLE | |
| Anderson, Steve (individual) | Corporate Director · NOT APPLICABLE | |
| Bartholomew, Lamar (individual) | Corporate Director · NOT APPLICABLE | |
| Blackham, Brady (individual) | Corporate Director · NOT APPLICABLE | |
| Dyreng, Casey (individual) | Corporate Director · NOT APPLICABLE | |
| Pickett, Kim (individual) | Corporate Director · NOT APPLICABLE | |
| Sorenson, Merri Lynn (individual) | Corporate Director · NOT APPLICABLE | |
| Bartholomew, Brenda (individual) | Corporate Officer · NOT APPLICABLE | |
| Murray, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Larsen, Ryan (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Rawls, Danielle (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Dunn, Marc (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Larsen, Nicholas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Larsen, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| MSM Brigham City (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Rawls, Danielle (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of MSM Brigham City LLC?
MSM Brigham City LLC has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Utah.
How many beds does MSM Brigham City LLC have?
It has 41 certified beds and cares for about 40 residents per day.
Has MSM Brigham City LLC been fined?
Yes. CMS lists 3 penalties totaling $67,436 in the last three years.
Who owns MSM Brigham City LLC?
It is part of Mission Health Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of MSM Brigham City LLC?
(435) 310-5800. The facility is located at 1010 South Medical Drive, Brigham City, UT 84302.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.