Brookhaven Nursing & Rehab
3405 West Mt Vernon · Springfield, MO · 65802 · 4178749600
90 certified beds For profit - Corporation Chain: James & Judy Lincoln
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.41 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D September 4, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 19, 2025 · Resident Rights
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Potential for harm · D September 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 19, 2025 · Pharmacy Service
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Potential for harm · D December 13, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 13, 2024
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 January 27, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · E December 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 27, 2025 · Pharmacy Service
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Potential for harm · D December 13, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 27, 2025 · Pharmacy Service
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Potential for harm · D December 13, 2024
Ensure that residents are free from significant medication errors.
Corrected January 27, 2025 · Pharmacy Service
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Potential for harm · E December 13, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 27, 2025 · Nutrition and Dietary
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Potential for harm · E December 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2025 · Nutrition and Dietary
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Potential for harm · E December 13, 2024
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
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Potential for harm · D October 13, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 13, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 13, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 24, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 8, 2023 · Resident Rights
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Potential for harm · E June 8, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 23, 2023 · Resident Rights
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Potential for harm · E June 8, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 2, 2023 · Resident Rights
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Potential for harm · E June 8, 2023
Ensure that residents are free from significant medication errors.
Corrected July 23, 2023 · Pharmacy Service
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Potential for harm · F June 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 27, 2023 · Nutrition and Dietary
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Potential for harm · E June 8, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 27, 2023 · Environmental
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Potential for harm · D June 8, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 23, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265835 · certified since April 21, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.