MSM Brigham City LLC

In the surveyor’s words

From the most serious findings on record at MSM Brigham City LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 2, 2022

  Based on interview and record review it was determined that the facility failed to establish an infection prevention and control program designed to prevent the development and transmission of COVID-19. Specifically, the facility failed to ensure that a symptomatic staff members, who subsequently tested positive for COVID-19, were screened accurately and notification and evaluation was completed per the facility protocol, that negative antigen tests were completed, and that symptomatic staff members were provided appropriate Personal Protective Equipment (PPE). The failure resulted in 6 residents exposure and 2 testing positive with a facility outbreak. In addition, staff and visiting essential personnel who have continued to test negative for COVID-19 were also at an elevated risk. […]

• Immediate jeopardy, isolatedF600Mar 2, 2022

  Based on observation, interview and record review it was determined, for 3 of 25 sample residents, that the facility did not ensure residents were free from abuse. This included but was not limited to involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. In addition, the facility must not use verbal, mental, sexual, or physical abuse corporal punishment or involuntary seclusion. Specifically, a resident with intellectual disabilities was verbally abused, physically abused, psychologically abused and involuntarily secluded by residents, a family member and staff members. In addition, staff members were unable to identify and report abuse. […]

• Actual harm, isolatedF690Dec 15, 2025

  Based on interview and record review it was determined, for 2 out 25 sampled residents, that the facility did not ensure that the resident who was incontinent of bladder received the appropriate treatment and services to prevent urinary tract infections (UTI). Specifically, a resident developed a UTI following the use of a PureWick, which had been implemented without a physician's order or usage instructions. In addition, a resident had no follow-up after a urine culture was contaminated. This resulted in harm for resident 56. Resident identifiers: 3 and 56.Findings included: 1. […]

• Actual harm, isolatedF600Dec 18, 2023

  Based on observation, interview, and record review, the facility did not ensure that all residents remained free from abuse, neglect, and misappropriation of property. Specifically, for 1 out of 21 sampled residents, a dependent resident was left unattended in the shower for hours while the Certified Nurse Assistant (CNA) left their scheduled shift early. Resident identifier: 16. Findings included: Resident 16 was admitted to the facility on [DATE] with diagnoses that included, but were not limited to, early onset cerebellar ataxia, muscle spasms, insomnia, depression, dysphagia, and dorsalgia. On 12/11/23 through 12/18/23, resident 16's medical record was reviewed. […]

• Actual harm, isolatedF603Mar 2, 2022

  Based on interview and record review, it was determined for 1 of 25 sample residents, that the facility did not ensure that all residents were free from involuntary seclusion. Involuntary seclusion was defined as separation of a resident from other residents or from her/his room or confinement to her/his room (with or without roommates) against the resident's will, or the will of the resident representative. Specifically, a resident was taken away from a group of residents to her room, and then placed in an unfamiliar room overnight against her will and without the knowledge of the resident's Power of Attorney. The deficient practice identified was found to have occurred at a harm level. […]