Monument Healthcare Brigham City
775 North 200 East, Brigham City, UT 84302 · Box Elder County · 84 certified beds · avg 31 residents/day · certified since Aug 1, 1984
Abuse citation flag (CMS)
Part of chain: MONUMENT HEALTH GROUP (11 facilities, chain avg rating 2.8★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 16, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 3, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2020 · F-0757
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 4, 2019 (Past Non-Compliance)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Dec 3, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 16, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 27, 2022 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jun 27, 2022 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jun 27, 2022 | E · Potential for harm, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jun 27, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jun 27, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 27, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 20, 2020 | ▲ G · Actual harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not keep complete, dated laboratory records in residents' files. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 1 | G ▲ |
| 2022 | 6 | 0 | E |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,166.
| Date | Type | Amount / length |
|---|---|---|
| Dec 3, 2025 | Fine | $10,166 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Utah avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 3.87 | 3.95 | — |
| Registered Nurse hours | 0.00 | 1.17 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.39 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.88 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 50.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 40.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gunnison Valley Hospital | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2018 |
| Clawson, Travis | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Clawson, Travis | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Espinosa, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Espinosa, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Fragoso, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Fragoso, Lindsay | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Gunnison Valley Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Gunnison Valley Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Health Group Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Health Group Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Marriott, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Monument Health Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Monument Health Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Murray, Brian | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| Murray, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Murray, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
| Nixon, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
| Nixon, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Ostermiller, Mercedes | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Monument Healthcare Pioneer Trail | 2.2 mi | Brigham City, UT | ★★★★☆ | 3/5 | |
| MSM Brigham City LLC | 2.5 mi | Brigham City, UT | ★★★☆☆ | 2/5 | |
| Sunshine Terrace Skilled Nursing | 17.0 mi | Logan, UT | ★☆☆☆☆ | 1/5 | |
| George E. Wahlen Ogden Veterans Home | 17.2 mi | Ogden, UT | ★★★★☆ | 2/5 | |
| Lomond Peak Nursing and Rehabilitation, LLC | 17.7 mi | Ogden, UT | ★★★☆☆ | 2/5 | |
| Logan Regional Hospital Transitional Care Unit | 18.7 mi | Logan, UT | ★★★★★ | 5/5 | |
| Rocky Mountain Care - Logan | 18.9 mi | Logan, UT | ★★★☆☆ | 2/5 | |
| Maple Springs Senior Living | 19.6 mi | North Logan, UT | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 465093.