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
32.2/100
Poor
721 West Harrison St, Brunswick, MO 65236
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.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 18, 2024 (2 years ago).
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
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
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
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
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
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
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
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Actual harm to a resident
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 | — |
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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.
Residents receive an average of 3.77 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
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.
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.