Nursing homes across Box Elder County, Utah, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Monument Healthcare Pioneer Trail runs 72 certified beds under corporate ownership, and its inspection record carries some weight: 16 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. Two fines totaling $19,747 are on file. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends run about 13% thinner than weekdays. Where it stands out is retention, 36.2% turnover against a national 45.8% means caregivers tend to stay. Its last inspection was April 2025, so the record is fairly current.
Msm Brigham City runs a 41-bed for-profit home where the day-to-day nurse coverage looks solid on paper, 4.16 hours per resident, about 8% above the national average, with weekend staffing holding level with weekdays. The trouble shows up elsewhere. Staff turnover sits at 60% against a national 45.8%, meaning the people delivering that care are cycling out fast. Inspections tell a harder story: 47 deficiencies on the current record, 5 serious enough to involve harm or jeopardy, 8 tied to abuse, and $81,905 in fines across two penalties. A recent December 2025 inspection keeps the record current. Families weighing this home should ask who's actually on the floor night to night, and how the abuse findings were resolved.
Monument Healthcare Brigham City runs 84 certified beds under for-profit LLC ownership, and the inspection record is where families should focus. Twenty deficiencies on the current record, three of them serious enough to cause harm or jeopardy, plus three abuse-related citations and a $15,640 fine, that's a lot of documented trouble for a home this size. Staffing tells a similar story: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects. The quality measure score of 5 out of 5 looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. The most recent inspection was April 16, 2024, so this picture is current. Ask hard questions about direct care hours before considering it.