Federal inspection record · CMS data as of October 1, 2026
Brunswick Health Care Center
721 West Harrison St, Brunswick, MO · (660) 548-3182
- Certified beds
- 60
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Reliant Care Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1995
1
How this home got 1 star
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
★★★★★−1 star
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Brunswick Health Care Center carries 126 inspection points. That is fewer than 29% 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
55 health citations on record since 2022. 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 (4)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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G
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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H
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- B
Ensure each resident receives an accurate assessment.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care9E
- E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 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.
Resident Rights8E
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to manage his or her financial affairs.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Nursing and Physician Services7F
- F
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.
- E
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.
- E
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.
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- C
Post nurse staffing information every day.
Infection Control5F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4E
- E
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.
- E
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.
- E
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.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Environmental1E
- E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2026-05-06
2 health deficiencies · 9 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-04-18
36 health deficiencies · 11 fire-safety deficiencies
Top issue: Nursing and Physician Services (6 deficiencies)
2022-09-29
17 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 34 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
2 h 34 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 80% of registered nurses left in the past year, along with 1 administrator.
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
$15,143 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-15 | Fine | $15,143 |
| 2024-04-18 | Payment Denial · 5 day denial | $0 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine30.7 pts worse | 53.3% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better | 91.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 3.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms47.1 pts worse | 67.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 3.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts worse | 29.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 32.8% | 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 worsened9.3 pts better | 6.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts better | 10.4% | 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 incontinence1.4 pts worse | 18.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.3 pts worse | 17.4% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
15 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 |
|---|---|---|---|
| Arshad, Abdullah | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Arshad, Abdullah | Adp Of The SNF · Individual | 0% | 27 facilities |
| Brunswick Re Associates LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Chaffee, Michel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chaffee, Michel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Destefane, Richard | Indirect Ownership Interest · Individual | 0% | 35 facilities |
| Destefane, Richard | Corporate Officer · Individual | 0% | 35 facilities |
| Destefane, Richard | Adp Of The SNF · Individual | 0% | 35 facilities |
| Rcg Inc | Indirect Ownership Interest · Organization | 0% | 23 facilities |
| Reliant Care Group LLC | Direct Ownership Interest · Organization | 0% | 21 facilities |
| Reliant Care Management Company LLC | Operational/Managerial Control · Organization | 0% | 35 facilities |
| Reliant Care Management Company LLC | Adp Of The SNF · Organization | 0% | 35 facilities |
| Richard J. Destefane Revocable Living Trust | Indirect Ownership Interest · Organization | 0% | 23 facilities |
| Richard J. Destefane Revocable Living Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Tlg Ii Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
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Fire safety
34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems8F
- E
Meet requirements for the use of electrical equipment.
- E
Have proper medical gas storage and administration areas.
- 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.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness7F
- F
Establish staff and initial training requirements.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
List the names and contact information of those in the facility.
- F
Provide a means of sharing information on occupancy/needs.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress4E
- E
Install proper backup exit lighting.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Chariton Park Health Care Center
Salisbury, MO · Reliant Care Management · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 1 h 36 min
- Fines
- $202,512
-
Carroll House
Carrollton, MO · James & Judy Lincoln · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 38 min
- Fines
- $84,890
-
Life Care Center Of Carrollton
Carrollton, MO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0