28 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Brookfield, MO
1-star overall rating with 1-star inspections with $6,351 in total fines with 28 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
215 East Pratt, Brookfield, MO
(660) 675-0600
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Reliant Care Management
Operator or chain grouping
Approved since
1996-04-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
29 facilities
Chain averages 1 overall / 2 health / 1 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.84
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.65% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 25 · Observed rate 16% · Lower 95% interval 7.27% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 56 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 63 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
2.3
1.4 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 4.3 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 53.3% |
84.8%
31.5 pts worse
|
93.4%
40.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 40.7% · Q3 48.0% · Q4 45.8% · 4Q avg 53.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 64.7% |
90.9%
26.2 pts worse
|
95.5%
30.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
4.1%
1.2 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 4.0% · Q4 4.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 25.7% |
14.7%
11 pts worse
|
11.4%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 19.2% · Q3 24.0% · Q4 52.2% · 4Q avg 25.7% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.5%
0.6 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 9.5% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.7% |
25.3%
8.4 pts worse
|
19.6%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 40.9% · Q3 23.8% · 4Q avg 33.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
25.0%
10.9 pts better
|
16.7%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.9% |
20.3%
16.6 pts worse
|
16.3%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.6% |
19.8%
10.8 pts worse
|
14.9%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 45.0% · 4Q avg 30.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
1.4%
3.3 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.2% · Q3 0.0% · Q4 4.3% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.6%
1.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.5% |
18.1%
13.4 pts worse
|
19.8%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 34.8% · Q3 33.4% · 4Q avg 31.5% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.0%
2.2 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 8.5% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.1% |
66.4%
42.3 pts worse
|
81.7%
57.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 24.1% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
2.2%
1.2 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-07-20
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-20
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-20
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-07-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-11-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-16
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-16
Fire Safety
Meet other general requirements.
Corrected 2023-11-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-03-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-03-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-06
Fire Safety
Use approved construction type or materials.
Corrected 2020-03-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-06
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-02
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-07-20
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-07-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-02
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-10-02
Health
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.
Corrected 2025-07-20
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-10-02
Health
Assess the resident when there is a significant change in condition
Corrected 2025-07-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-20
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-07-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-07-20
Health
Implement a program that monitors antibiotic use.
Corrected 2025-07-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-20
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-07-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-20
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-07-20
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-07-20
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-07-20
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2025-07-20
Health
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.
Corrected 2025-07-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-20
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-03-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-16
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-16
Health
Assess the resident when there is a significant change in condition
Corrected 2023-11-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-11-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-16
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-16
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2020-03-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-03-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-06
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-06
Penalties and ownership
Payment Denial · denial start 2025-09-12 · 39 days
39 day denial
Fine · fine $6,351
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Brookfield, MO
2-star overall rating with 1-star inspections with $179,780 in total fines with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Marceline, MO
3-star overall rating with 3-star inspections with $47,467 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Chillicothe, MO
1-star overall rating with 2-star inspections with $114,365 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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