Federal inspection record · CMS data as of October 1, 2026
Brooke Haven Healthcare
1410 North Kentucky Avenue, West Plains, MO · (417) 256-7975
- Certified beds
- 120
- Residents per day
- 64
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 2, 1989
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Brooke Haven Healthcare carries 44 inspection points. That is fewer than 72% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Assure the security of all personal funds of residents deposited with the facility.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning4D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service4D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-03-03
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-12-06
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-07-06
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 51 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 51 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 71% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,033 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-06 | Fine | $10,033 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.6 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.4 pts better | 96.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.5 pts better | 98.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.6 pts worse | 8.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.9 pts better | 7.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 9.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13 pts better | 12.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 15.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.2 pts better | 9.6% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better | 14.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 17.4% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts worse | 58.4% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts worse | 16.6% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.6 pts worse | 38.8% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 21.7% | 25.7% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Willow Health Care Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Alter, Shirley | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Alter, Shirley | Corporate Director · Individual | 0% | 3 facilities |
| Auala, Elquin | Corporate Director · Individual | 0% | 1 facilities |
| Clark, Sheila | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Miller, Sherry | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Miller, Sherry | Corporate Officer · Individual | 0% | 3 facilities |
| Ogden, James | Corporate Director · Individual | 0% | 2 facilities |
| Williamson, Jackie | W-2 Managing Employee · Individual | 0% | 4 facilities |
| Willow Health Care Inc | Operational/Managerial Control · Organization | 0% | 4 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure proper usage of power strips and extension cords.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Smoke2F
- F
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress1D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Nhc Healthcare, West Plains
West Plains, MO · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
West Vue Nursing And Rehabilitation Center
West Plains, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Willow Care Nursing Home
Willow Springs, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0