ElderGrade
F

32.2/100

Poor

Brunswick Health Care Center

721 West Harrison St, Brunswick, MO 65236

CMS 1/5 stars #2 of 3 in Chariton County (660) 548-3182
Certified beds
60
Occupancy
42%
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.

  • $15,143 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 75%

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

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

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

4.2/30

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

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -7.8 for 39 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.

  • 3.19 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 7% 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.

  • 75% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

6/10

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

  • $15,143 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.77 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.52 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 75.00%
National average 45.80% Below average

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

Recent inspection findings

All 53 citations

Last standard health inspection: April 18, 2024 (2 years ago).

F Jul 31, 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

J Apr 15, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

E Apr 15, 2025 F0741 From a complaint

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

No actual harm, potential for more than minimal harm

D Apr 15, 2025 F0742 From a complaint

Quality of Life and Care Deficiencies

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.

No actual harm, potential for more than minimal harm

E Nov 6, 2024 F0678 From a complaint

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

No actual harm, potential for more than minimal harm

E Nov 6, 2024 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

E Sep 10, 2024 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

G Jun 21, 2024 F0925 From a complaint

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Actual harm to a resident

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
CHAFFEE, MICHEL Individual OPERATIONAL/MANAGERIAL CONTROL
BRUNSWICK RE ASSOCIATES LLC 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 Brunswick Health Care Center

What is the ElderGrade for Brunswick Health Care Center? +

Brunswick Health Care Center holds an ElderGrade of F (32.2 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 Brunswick Health Care Center? +

Residents receive an average of 3.77 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

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

Yes. 4 of the 53 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 Brunswick Health Care Center accept Medicaid? +

Yes, Brunswick 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.