ElderGrade
F

33.6/100

Poor

Brookfield Health Care Center

215 East Pratt, Brookfield, MO 64628

CMS 1/5 stars #2 of 2 in Linn County (660) 675-0600
Certified beds
60
Occupancy
53%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 78%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -7.4 for 38 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.43 total nurse hours per resident per day (national median 3.77)
  • 0.35 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 78% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.74 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.35 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.60 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 78.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 43 citations

Last standard health inspection: June 12, 2025 (1 year ago).

G Mar 18, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

G Oct 15, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

G Sep 12, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

D Sep 12, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G Jun 12, 2025 F0689

Quality of Life and Care Deficiencies

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

Actual harm to a resident

F Jun 12, 2025 F0727 From a complaint

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

F Jun 12, 2025 F0730

Nursing and Physician Services Deficiencies

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

No actual harm, potential for more than minimal harm

F Jun 12, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of RELIANT CARE MANAGEMENT, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
RELIANT CARE GROUP LLC Organization DIRECT OWNERSHIP INTEREST
RCG INC Organization INDIRECT OWNERSHIP INTEREST
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST Organization INDIRECT OWNERSHIP INTEREST
DESTEFANE, RICHARD Individual INDIRECT OWNERSHIP INTEREST
DESTEFANE, RICHARD Individual CORPORATE OFFICER
RELIANT CARE MANAGEMENT COMPANY LLC Organization OPERATIONAL/MANAGERIAL CONTROL
ARSHAD, ABDULLAH Individual OPERATIONAL/MANAGERIAL CONTROL
OLSEN, JO Individual OPERATIONAL/MANAGERIAL CONTROL
BROOKFIELD RE ASSOCIATES, L.L.C. Organization ADP OF THE SNF
RELIANT CARE MANAGEMENT COMPANY LLC Organization ADP OF THE SNF
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST Organization ADP OF THE SNF
TLG II LLP Organization ADP OF THE SNF

What families say

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Common questions about Brookfield Health Care Center

What is the ElderGrade for Brookfield Health Care Center? +

Brookfield Health Care Center holds an ElderGrade of F (33.6 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Brookfield Health Care Center? +

Residents receive an average of 2.74 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Brookfield Health Care Center been cited for harming residents? +

Yes. 4 of the 43 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Brookfield Health Care Center accept Medicaid? +

Yes, Brookfield Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.