Brookfield Health Care Center

CMS star ratings

Overall★★★★★ 1/5

State avg 2.5

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 1/5

State avg 2.2

Quality measures★★★★★ 2/5

State avg 2.7

Long-stay quality★★★★★ 2/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 2.74 (state 3.43 · U.S. 3.86)
Registered nurses (RN): 0.35 (state 0.46 · U.S. 0.69)
Licensed practical nurses: 0.60 (state 0.68 · U.S. 0.86)
Nurse aides: 1.80 (state 2.29 · U.S. 2.32)
Weekend total: 2.60 (state 3.02 · U.S. 3.42)
Nursing staff turnover: 78.4 (state 56.0 · U.S. 45.8)%
RN turnover: 71.4 (state 47.8 · U.S. 42.9)%

Inspections

Last standard inspection: June 12, 2025
Health deficiencies (last cycle): 28.0 (state 11.5 · U.S. 9.3)
From complaints: 6
Citations on record (3 years): 43 health · 32 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-03-18	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2026-03-20
2025-10-15	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-10-21
2025-09-12	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-10-02
2025-09-12	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-10-02
2025-06-12	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2025-10-02
2025-06-12	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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-02
2025-06-12	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-02
2025-06-12	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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-02
2025-06-12	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	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. F0728 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-20
2025-06-12	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2025-07-20
2025-03-17	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. F0836 · Administration Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-03-18
2023-10-04	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2023-10-04	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-16
2020-01-30	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. F0803 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2020-03-06
2020-01-30	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2020-03-06
2020-01-30	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2020-03-06
2020-01-30	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-06
2020-01-30	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $14,800 in fines.

Date	Type	Amount
2026-03-18	Fine	$14,800
2025-06-12	Payment Denial	39 days payment denial

Ownership & management

Name	Role	Since
Arshad, Abdullah (individual)	Administrator · NOT APPLICABLE
Brookfield Re Associates, L.L.C. (organization)	Administrator · NOT APPLICABLE
Destefane, Richard (individual)	Administrator · NOT APPLICABLE
Olsen, Jo (individual)	Administrator · NOT APPLICABLE
Reliant Care Management Company LLC (organization)	Administrator · NOT APPLICABLE
Richard J. Destefane Revocable Living Trust (organization)	Administrator · NOT APPLICABLE
TLG II LLP (organization)	Administrator · NOT APPLICABLE
Destefane, Richard (individual)	Corporate Officer · NOT APPLICABLE
Reliant Care Group LLC (organization)	Direct Ownership Interest · NOT APPLICABLE
Destefane, Richard (individual)	Indirect Ownership Interest · NOT APPLICABLE
RCG INC (organization)	Indirect Ownership Interest · NOT APPLICABLE
Richard J. Destefane Revocable Living Trust (organization)	Indirect Ownership Interest · NOT APPLICABLE
Arshad, Abdullah (individual)	Operational/managerial Control · NOT APPLICABLE
Olsen, Jo (individual)	Operational/managerial Control · NOT APPLICABLE
Reliant Care Management Company LLC (organization)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Brookfield Health Care Center?

Brookfield Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Brookfield Health Care Center have?

It has 60 certified beds and cares for about 32 residents per day.

Has Brookfield Health Care Center been fined?

Yes. CMS lists 2 penalties totaling $14,800 in the last three years.

Who owns Brookfield Health Care Center?

It is part of Reliant Care Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Brookfield Health Care Center?

(660) 675-0600. The facility is located at 215 East Pratt, Brookfield, MO 64628.

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Contact & location

Facility details