Brigham City Community Hospital
An acute care hospital in Brigham City, Utah 84302
950 South Medical Drive, Brigham City, Utah 84302. (435) 734-9471.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 52 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jul 15, 2024: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jul 15, 2024: complaint inspection1 deficiency
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Discharge Planning Evaluation
The inspectors’ words, 775 words
“DISCHARGE PLANNING EVALUATION CFR(s): The discharge planning evaluation must be included in the patient’s medical record for use in establishing an appropriate discharge plan and the results of the evaluation must be discussed with the patient (or the patient’s representative). This Standard is not met as evidenced by: 19354 Based on interview and review of medical records, it was determined that the hospital failed to develop an appropriate discharge plan for 1 of 10 patients, when patient 4 was discharged home to a caregiver who could not care for the patient and placed the responsibility of finding placement in a skilled nursing facility on the home health agency. (Patient identifier: 4) Findings include: 1. Patient 4 was admitted to the hospital on 8/10/2023 with a diagnosis of cough, confusion, and fatigue. A review of Patient 4’s medical record revealed that the patient was admitted to the hospital following 3-4 days of worsening dementia. The patient presented at the hospital with mild to moderate dementia and was diagnosed with COVID-19. 2. A review of the caseworker notes and Patient Safety Analysis documentation was completed and included the following information: On 8/10/2023, the patient was assessed as requiring discharge to a SNF due to dementia, disorientation, frequent falls at home, ADL (activity of daily living) needs, safety, and mobility deficits. Patient 4’s wife stated they wanted him to go to a nearby Veteran Administration (VA) facility for skilled nursing placement and then long-term care placement. On 8/11/2023, the VA facility reported they were not able to take the patient until he was ten days post-positive for COVID-19. On 8/12/2023, a local SNF declined patient 4’s admission, indicating the patient “Does not meet admission criteria.” According to patient 4’s wife, the case manager (CM) called her on her landline to inform her of being declined by the SNF. Patient 4’s wife gave the case manager her cell phone number for future communication. On 8/13/2023, the discharge plan remained the same, recommending a discharge to a SNF after a 10-day waiting period from when patient 4 admitted to the hospital. On 8/14/2023, the CM and physician attempted to call Patient 4’s wife to discuss discharge plans, but they were unable to reach her. [Note: An internal investigation was completed related to Patient 4’s discharge. It was determined that the alternate phone number provided by Patient 4’s wife had been erased from the whiteboard in Patient 4’s room. The phone number used to reach her was not the updated number.] A physician’s order, dated 8/15/2024, was received to have a social worker assist patient 4’s wife with long-term placement. [Note: No documentation was provided that a social worker assisted patient 4’s wife with long-term placement.] On 8/15/2023, the CM and physician were unable to contact the patient’s wife and decided to call the local police department for a wellness check, as she was also reported to have COVID-19. The police told patient 4’s wife that patient 4 was being discharged on 8/15/2023. The patient was discharged home with his wife on 8/15/2023 with the resource of a home health agency, including contact information and instructions that the home health agency would “get the ball rolling on long term care placement.” It was documented in the physician’s discharge note that patient 4’s discharge plan was changed from a skilled nursing rehabilitation discharge to a plan for him to return home with his wife as he was “doing much better he does not really qualify for SNF”. The physician documented that the patient’s wife expressed concerns about him returning home, that the patient was the cause of her health problems, and that she wanted him to be discharged to a SNF. [Note: Patient 4’s wife was diagnosed with COVID-19 at the time Patient 4 was discharged home.] 3. On 7/15/2024, a request was made to the Executive Director (ED) for the hospital’s discharge policy specific to assisting patients with post-acute care services, including skilled nursing facilities. The ED stated the hospital did not have a policy related to this and knew one needed to be developed. 4. The CM was interviewed on 7/15/2024 at approximately 1:40 PM related to patient 4’s discharge to home. The CM was asked why patient 4 was discharged home. The CM stated that patient 4 met the hospital’s criteria to be discharged home. The CM was asked if a social worker met with patient 4’s wife to assist in long-term care placement. The CM stated that patient 4 was discharged home with home health, who was to assist patient 4’s wife with long-term care placement. The CM stated the hospital does not arrange for nursing facility placement.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 15, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 2; safety of care, 0 better and 0 worse of 1; readmission, 1 better and 0 worse of 4.
- Patients rate it 3 of 5 in CMS’s patient survey (146 surveys completed, Oct 1, 2024 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): pneumonia 15.2%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): pneumonia 17%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 93 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
- 65% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.97 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 75% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Utah Medco LLC owns 100% directly since Apr 30, 2007.
- 35 owners or officers are people: Kevin Mckeown (corporate officer, 0%); Kevin Mckeown (managing employee (on the payroll), 0%); Michael Mcalevey (corporate officer); Jaime L Derensis (corporate officer); John M Franck (corporate director); Douglas L Downey (corporate officer); Eric D Smith (managing employee (under contract)); Henry Todd Maxwell (corporate officer); Evan Ray (corporate officer); Christopher F Wyatt (corporate director); John I Starling (corporate officer); Shirley E Scharf-Cheatham (corporate officer); John M Hackett (corporate officer); Jami Cottle (corporate officer); Jami Cottle (managing employee (on the payroll)); Samuel N Hazen (corporate director); Ronald Lee Grubbs (corporate officer); Benjamin A Baumann (corporate officer); Benjamin A Baumann (managing employee (on the payroll)); Monica Cintado (corporate officer); Jon Foster (corporate officer); Seth A Killingbeck (corporate officer); Timothy Scott Noonan (corporate officer); Natalie H Cline (corporate officer); Michael T Bray (corporate officer); Matthew R Favicchio (corporate officer, 0%); Peter J Rossell (corporate officer); Timothy M Mcmanus (corporate officer); Michael A Marks (corporate officer, 0%); Edwin W Robinson (corporate officer, 0%); Brad Ej Spicer (corporate officer); Kevin A Ball (corporate officer); Jeffery Mcinturff (corporate officer); Deborah H Mullin (corporate officer); Russell Young (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| HCA Inc. | Owns 5% or more through other companies | 100% | Apr 30, 2007 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 100% | May 8, 2017 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 100% | Apr 30, 2007 |
| Utah Medco LLC | Owns 5% or more directly | 100% | Apr 30, 2007 |
| Hercules Holding II | Owns 5% or more through other companies | 18% | Sep 30, 2016 |
| Frisco Holding II | Owns 5% or more through other companies | 16.3% | Feb 6, 2026 |
How does it compare nearby?
- Of the 2 hospitals CMS lists in Box Elder County, none has an overall star rating from CMS.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Bear River Valley Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.