Facility profile · CCN 465165
Msm Brigham City Llc
47 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $40,565.
Record summary
Federal record · Q1 202647
Total citations
26
Last 3 years
5
Actual harm+
2
Federal penalties
$40,565
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
47 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 15, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Dec 15, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 15, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 15, 2025 | F801 | 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. | E | Standard |
| Dec 15, 2025 | F779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Standard |
| Dec 15, 2025 | F775 | Keep complete, dated laboratory records in the resident's record. | E | Standard |
| Dec 15, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Dec 15, 2025 | F761 | 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. | E | Standard |
| Dec 15, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 15, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Standard |
| Dec 15, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 15, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Dec 15, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Dec 18, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Dec 18, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 18, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Dec 18, 2023 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Dec 18, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 18, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Dec 18, 2023 | F761 | 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. | E | Standard |
| Dec 18, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Dec 18, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Dec 18, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 18, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 18, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Dec 18, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 2, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | E | Standard |
| Mar 2, 2022 | F880 | Provide and implement an infection prevention and control program. | L | Standard |
| Mar 2, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Mar 2, 2022 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard |
| Mar 2, 2022 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Mar 2, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 2, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 2, 2022 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Mar 2, 2022 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard |
| Mar 2, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 2, 2022 | F622 | 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. | D | Standard |
| Mar 2, 2022 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Mar 2, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Mar 2, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Mar 2, 2022 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Standard |
| Mar 2, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard |
| Mar 2, 2022 | F585 | 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. | E | Standard |
| Mar 2, 2022 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Mar 2, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Mar 2, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Mar 2, 2022 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $40,565 and 1 payment-denial actions spanning 32 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 18, 2023 | Fine | $40,565 | — |
| Dec 18, 2023 | Payment Denial | — | Jan 6, 2024 · 32 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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