Brookfield Health Care Center

215 East Pratt · Brookfield, MO · 64628 · 6606750600

60 certified beds For profit - Limited Liability company Chain: Reliant Care Management

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • 4 citations involved actual harm to residents.

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Red flags

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Total nurse staffing below 3.0 hours per resident-day

2.89 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 15
Serious harm & abuse 20% 76
Staffing 20% 48
Federal penalties 15% 82
Trend 10% 18
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.893.48 min · 4.1 strong
RN hours / resident-day0.370.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Actual harm · G March 18, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 20, 2026 · Quality of Life and Care

  • Actual harm · G October 15, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 21, 2025 · Quality of Life and Care

  • Actual harm · G September 12, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 2, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 2, 2025 · Infection Control

  • Actual harm · G June 12, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 2, 2025 · Quality of Life and Care

  • Potential for harm · E June 12, 2025

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected October 2, 2025 · Resident Rights

  • Potential for harm · E June 12, 2025

    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 July 20, 2025 · Resident Rights

  • Potential for harm · E June 12, 2025

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected October 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 12, 2025

    Assess the resident when there is a significant change in condition

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 12, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 12, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2025

    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 July 20, 2025 · Quality of Life and Care

  • Potential for harm · D June 12, 2025

    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 July 20, 2025 · Quality of Life and Care

  • Potential for harm · D June 12, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected July 20, 2025 · Quality of Life and Care

  • Potential for harm · D June 12, 2025

    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 July 20, 2025 · Nursing and Physician Services

  • Potential for harm · F June 12, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected July 20, 2025 · Nursing and Physician Services

  • Potential for harm · D June 12, 2025

    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 July 20, 2025 · Pharmacy Service

  • Potential for harm · F June 12, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 20, 2025 · Nutrition and Dietary

  • Potential for harm · F June 12, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 2, 2025 · Infection Control

  • Potential for harm · E June 12, 2025

    Implement a program that monitors antibiotic use.

    Corrected July 20, 2025 · Infection Control

  • Potential for harm · E June 12, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 20, 2025 · Infection Control

  • Potential for harm · E June 12, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected July 20, 2025 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 12, 2025Payment Denial39 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265644 · certified since April 29, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.