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Home / Missouri / West Plains

Brooke Haven Healthcare

1410 North Kentucky Avenue, West Plains, MO 65775 · Howell County · (417) 256-7975

120 certified beds, about 61 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 265400 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 3, 2026, inspectors cited 7 health deficiencies (the Missouri average is 11.4, the national average 9.2).

Of 28 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,033 in the last three years; the largest was $10,033, and the latest is dated December 6, 2024.

Nurses and nurse aides worked 3.89 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

50.0% of nursing staff left within the year CMS measured (Missouri average 56.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
2E
2F
Potential for minimal harm
0A
0B
0C
March 3, 2026Standard inspection · 7 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to assure staff treated five sampled residents (Residents #1, #11, #30, #31, and #39) in a manner that maintained their dignity during mealtimes by standing during meals, assisting multiple residents at a time, and meals being served without assistance available. The facility census was 57. Review of the facility policy titled, Resident Rights, revised December 2016, showed:- Employees shall treat all residents with kindness, respect, and dignity;- Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: a. a dignified existence; b. be treated with respect, kindness, and dignity; c. be free from abuse, neglect, misappropriation of property, and exploitation; d. be supported by the facility in exercising his/her rights. [...]
  2. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to refund resident funds within 30 days of when a resident expired for three residents (Residents #69, #71, and #72) out of three sampled residents and failed to complete a final accounting of resident personal funds within 30 days of discharge for one resident (Resident #70) out of one sampled resident. The facility census was 57. [...]
  3. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide a preadmission screening and resident review (PASARR - a federally mandated preliminary assessment to determine whether a resident may have a mental illness or an intellectual disorder and to determine the level of care needed) for one resident (Resident #8) out of two sampled residents and one resident (Resident #52) outside the sample. The facility census was 57. The facility failed to provide a policy regarding the PASRR. 1. [...]
  4. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to document the type, the stage, the measurements, and the characteristics of the facility acquired pressure ulcer (areas of localized damage to the skin and/or underlying soft tissue usually over a bony prominence, generally the result of pressure, shear, and/or friction) and also failed to notify and obtain a physician order for one resident (Resident #11) out of one sampled resident with a pressure ulcer. This resulted in Resident #11's stage 1 (intact skin with non-blanchable (discoloration of the skin that does not turn white when pressed) redness of a localized area usually over a bony prominence) pressure ulcer progressing to an open wound. The facility census was 57. [...]
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper storage of nasal cannulas (plastic tubing placed in the nostrils to provide supplemental oxygen) when not in use for two residents (Residents #4 and #38) and failed to follow oxygen orders for two residents (Residents #38 and #52) out of four sampled residents. The facility census was 57. [...]
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wrote:Based on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (%). There were 25 opportunities with two errors made, resulting in an error rate of 8% for two residents (Residents #13 and #54) out of seven sampled residents. The facility's census was 57. Review of the facility's policy titled, Administering Medications, revised April 2019, showed:- Only persons licensed or permitted by this state to prepare, administer and document the administration of medications may do so;- Medications are in accordance with prescriber orders, including any required time frame;- Insulin pens containing multiple doses of insulin are for single resident use only;- Insulin pens are clearly labeled with the resident's name or other identifying information. [...]
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement enhanced barrier precautions (EBP) and follow appropriate infection control practices with hand hygiene and glove changes when staff performed wound care for three residents (Residents #2, #20, and #58) out of four sampled residents, and during incontinent care for three residents (Residents #11, #31, and #58) out of four sampled residents. The facility also failed to correctly screen three residents (Residents #20, #51, and #68) for tuberculosis (TB - an infectious disease characterized by the growth of nodules in the tissues, especially the lungs) out of five sampled residents as required by state regulation 19 CSR 20-20.100. The facility census was 57. [...]
December 6, 2024Standard inspection · 15 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a safe environment per the resident's assessed level of need, when Resident #21 received a second degree (a burn that damages the epidermis and dermis, the two layers of skin) burn from the spilled coffee in his/her lap after a Certified Nursing Assistant (CNA) handed the resident hot coffee in a coffee cup without a lid for one sampled resident. The census was 69. The facility did not provide a policy regarding accidents/incidents. 1. Review of Resident #21's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument required to be completed by the facility staff, dated 11/19/24, showed: [...]
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 69. The facility did not provide a policy regarding the kitchen. 1. Observation on 12/03/24 at 9:34 A.M., and 12/05/24 at 11:38 P.M., of the kitchen showed: - No cleaning logs; - Two unlabeled white plastic food bins with clear unlabeled lids near the gas range with white sugar and brown sugar; - A metal backsplash behind the gas range with a 2 foot (ft.) diameter (dia.) area with dark brown carbon build-up; - The commercial style can opener with an oily film on the base and blade; - One 3 ft. by 4 ft. [...]
  3. D
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to maintain the surety bond (a purchased bond for security of the residents' personal funds) for at least one and one-half times the average monthly balance of the residents' personal funds for the last twelve consecutive months from October 2023 to September 2024. The facility census was 69. The facility did not provide a policy for the surety bond. 1. Review of the residents' personal funds account on 12/05/24, for the last twelve consecutive months from October 2023 to September 2024, showed: - The facility's current approved bond amount equaled $100,000.00; - The average monthly balance for the residents' personal funds equaled $68,621.10; - An average monthly balance of $68,621.10 required a bond of at least $103,500. [...]
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders for one resident (Resident #118) out of six sampled residents when the facility failed to administer the correct amount of insulin (a hormone that helps regulate blood sugar levels by moving glucose from the bloodstream into cells for energy). The facility also failed to follow Registered Dietician (RD) recommendations for one resident (Residents #22) out of four sampled residents. The facility census was 69. Review of the facility's policy titled, Administering Medications, dated April 2019, showed: - Medications are administered in a safe and timely manner and as prescribed; - Medications are administered in accordance with prescriber orders, including any required time frame. The facility did not provide a policy regarding RD recommendations. 1. [...]
  5. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive discharge summary for two residents (Residents #58 and #66) out of two discharged residents. The facility's census was 69. The facility did not provide a policy regarding a discharge summary or recapitulation. 1. Review of Resident #58's closed medical record showed: - Resident discharged home on [DATE]; - No documentation of a recapitulation or completed discharge summary. 2. Review of Resident #66's closed medical record showed: - Resident discharged home on [DATE]; - No documentation of a recapitulation or completed discharge summary. During an interview on 12/07/24 at 2:00 P.M., the Administrator and Director of Nursing (DON) said the discharging nurse was responsible for completing the discharge summary. [...]
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a urinary catheter (a tube inserted into the bladder to drain urine) drainage bag and tubing was kept off the floor for one resident (Resident #31) out of two sampled residents. The facility census was 69. Review of the facility policy titled, Catheter Care, Urinary, Revised August 2022, showed: - Be sure the catheter tubing and drainage bag are kept off the floor. Review of Resident #31's Physician Order Sheet (POS), dated December 2024, showed: - An order for urinary catheter care every shift for urinary retention (an inability to empty the bladder of urine), dated 11/26/24; - An order for a 16 French (FR - size of catheter) catheter with 10 cubic centimeter (cc) bulb one time a day every one month starting on the 15th for 28 days, dated 11/26/24; [...]
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for supplemental oxygen therapy for two residents (Residents #39 and #62) out of two sampled residents, and failed to ensure proper tracheostomy (trach - incision in the windpipe to relieve an obstruction to breathing) care for one resident (Resident #39) out of one sampled resident. The facility census was 69. The facility did not provide an oxygen policy. Review of the facility's policy titled, Tracheostomy Care, revised August 2023, showed: - The purpose of this procedure is to guide tracheostomy care and the cleaning of reusable tracheostomy cannulas; - Aseptic technique must be used: during cleaning and sterilization of reusable tracheostomy tubes; during tracheostomy tube changes, either reusable or disposable; [...]
  8. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, assess and provide supportive interventions for one resident (Resident #31) with a diagnosis of post traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts to the event) out of one sampled resident. The facility's census was 69. The facility did not provide a PTSD policy. 1. Review of Resident #31's medical record showed: - admission date of 08/12/24; - Diagnoses of PTSD, depression (a serious medical illness that negatively affects how you feel, the way you think and how you act), and anxiety disorder (persistent worry and fear about everyday situations); [...]
  9. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation and interview, the facility staff failed to post the required daily nurse staffing information which included the total number of staff and the actual hours worked by both licensed and unlicensed nursing staff directly responsible for resident care, in a prominent location readily accessible to residents and visitors for three out of four days. The facility census was 69. The facility did not provide a policy regarding posting of nurse staffing. Observation on 12/04/24 at 9:30 A.M., 12/05/24 at 11:00 A.M., and 12/06/24 at 12:00 P.M., of the facility's Staff Posting Sheet, located on a bulletin board beside the nurse's station showed: -The Staff Posting Sheet, dated 12/02/24; -The facility did not post the required daily nurse staffing information for 12/04/24, 12/05/24, and 12/06/24. [...]
  10. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the narcotic reconciliations (a process that allows one staff to reconcile the exact narcotic inventory on hand with another staff) were accurate when on-coming and off-going staff failed to document narcotic medications as they were administered for two residents (Residents #21 and #46) which resulted in the inaccuracy of the narcotic counts. The facility census was 69. The facility did not provide a policy for the narcotic count. 1. Review of the 100/200 Certified Medication Technician's (CMT's) cart Controlled Drug Receipt-Record Disposition form on 12/05/24 at 9:45 A.M., showed: - A count of 22 tablets for Resident #21's hydrocodone (a narcotic pain medication) 5/325 milligram (mg) by mouth two times a day for pain, dated 06/13/24; [...]
  11. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to limit the use of an as needed (PRN) order for psychotropic (medications that affect how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviors) medication to 14 days for one resident (Resident 29), failed to attempt a gradual dose reduction (GDR) for one resident (Resident #7), and failed to ensure an appropriate diagnosis for the use of a psychotropic medication for two residents (Residents #31 and #43) out of nine sampled residents. The facility census was 69. Review of the facility policy titled, Tapering Medications and GDR, revised April 2007, showed: [...]
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to label and store medications in a safe and effective manner when opened insulin was found undated in the medication cart, failed to ensure the medication cart was locked while unattended, and the facility failed to ensure resident safety by leaving medication in one resident's (Resident #31) room, unattended out of one sampled resident. This had the potential to affect all residents. The facility census was 69. Review of the facility policy titled, Storage of Medications, dated April 2007, showed: - The facility shall store all drugs and biologicals in a safe, secure, and orderly manner; - The nursing staff shall be responsible for maintaining medication storage; - The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals; [...]
  13. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the dumpster was maintained to keep pests out and/or to keep the garbage contained in the dumpster. This failure had the potential to affect all residents. The facility census was 69. The facility did not provide a policy regarding the dumpster. 1. Observations on 12/03/24 at 10:17 A.M., 12/05/24 at 11:33 A.M., and 12/06/24 at 8:53 P.M., of the outside trash dumpster located near the kitchen entrance showed one 6-yard (yd.) dumpster partially filled with two plastic lids completely opened. During an interview on 12/05/24 at 2:10 P.M., the Administrator said the dumpster should be closed when it was unattended and not being filled by the facility staff. During an interview on 12/06/24 at 8:56 A.M., the Assistant Maintenance Director said the trash dumpster should remain closed when it was not being filled. [...]
  14. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene and glove changes during wound care for two residents (Residents #21 and #36) out of three sampled residents, incontinence care for two residents (Residents #9 and #60) out of five sampled residents, and Foley catheter (a flexible tube inserted into the bladder to drain urine through the urethra) care for one resident (Resident #32) out of one sampled resident. Additionally, the facility failed to follow Enhanced Barrier Precautions (EBP), including wearing of a gown, during high contact patient care activities to prevent the spread of multi-resistant organisms for one resident (Resident #32) out of four sampled residents. [...]
  15. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to maintain an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to include an infection surveillance program and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility census was 69. Review of the facility's policy titled, Antibiotic Stewardship, revised December 2016, showed: - Antibiotic will be prescribed and administered to the residents under the guidance and the facility's Antibiotic Stewardship Program; - The purpose of the Antibiotic Stewardship Program is to monitor the use of antibiotics in the residents. Review on 12/06/24 at 9:45 A.M., of the Antibiotic Stewardship Program showed: - No documentation of the antibiotic stewardship tracking completed. [...]
March 1, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow professional standards of practice for one resident (Resident #1) of three sampled residents. The facility failed to follow physician's orders and did not attain treatment orders for a wound in a timely manner. The facility census was 69. Review of the facility's policy titled admission Assessment and Follow Up: Role of the Nurse, dated September 2012, showed: - The purpose of this procedure is to gather information about the resident's physical, emotional, cognitive and psychosocial condition upon admission for the purpose of managing the resident, initiating the care plan, and completing required assessment instruments, including Minimum Data Set (MDS); - Conduct admission assessment including a summary of the individual's recent hospitalization, acute illnesses and overall status prior to admission; [...]
July 6, 2023Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 20, 2023
    Inspectors wroteBased on observation and interviews, the facility failed to keep one of two facility ice machines clean and sanitary. The failure created the potential for contamination of the ice used for ice water and ice chips for 65 of 66 residents in the facility. 1. Observation on 07/03/23, at 3:35 P.M., of the ice machine utilized to provide ice for the facility residents, showed the following: -The inside of the blue ice scoop receptacle was dirty with dark black matter at the bottom where the scoop was placed; -The outside of the white ice scoop was black on one side; -Corrosion around the base of the condenser located on the top of the ice machine. Particles from the corrosion could fall into the ice when the lid was opened. During an interview on 07/03/23, at 3:49 P.M., [NAME] 8, the Director of Nursing (DON), and a Maintenance Staff (MS) all confirmed the above observation. [...]
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2023
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for for all residents when the facility failed to maintain clean floors and failed to maintain one resident room, without holes in the walls, where two residents (Resident #6 and #10) resided. 1. Review of Resident #6's Clinical Census, found in the electronic medical record (EMR), under the Clinical tab showed the following: -admission date of 09/25/16; -Diagnoses included bilateral (both sides) hearing loss, legal blindness, adult osteochondrosis of spine (pathologic degenerative process involving the intervertebral disc and the respective vertebral body endplates), and major depressive disorder. [...]
  3. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2023
    Inspectors wroteBased on interview and record review,the facility failed to follow related Centers for Disease Control and Prevention (CDC) guidelines for pneumococcal vaccinations for four residents (Resident #26, #33, #35, and #49) of five sampled residents reviewed for influenza/pneumococcal vaccinations. Review of document provided by the facility titled Pneumococcal Vaccination Update/CDC/Advisory Committee on Immunization Practices (ACIP) Guidelines for Older Adults in Long-Term Care Facilities showed the following: -For resident of age greater of equal to [AGE] years of age, giving a dose of the Pneumococcal Conjugate Vaccine ( PCV) 13 was based on clinical decision-making; -For Pneumococcal Polysaccharide Vaccine (PPSV23), it would be one dose; -If PCV13 has been given, then give one year after PCV13. [...]
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to protect two residents' (Resident #17 and #52) right to be free from physical abuse when staff failed sufficiently monitor one resident (Resident #169) after the resident hit, or was alleged to have hit, a resident. Review of the facility's policy titled, Resident-to-Resident Altercations, revised September 2022 showed the following: -Facility staff monitor residents for aggressive/inappropriate behaviors towards other residents; -Behaviors that may provoke a reaction by residents or others include physically aggressive behavior, such as hitting, kicking, grabbing, scratching, pushing/shoving, biting, spitting, threatening gestures, throwing objects; -If two residents are involved in an altercation, staff separate the residents, and institute measures to calm the situation. 1. [...]
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess any potential cause and failed to care plan regarding an itchy scalp and possible scalp condition for one out of one resident (Resident # 21). 1. Review of Resident #21's Clinical tab, located in the electronic medical record (EMR), showed the following: -admission date of 06/21/22; -Diagnoses included Alzheimer's disease and anxiety disorder. Review of the resident's annual Minimum Data Set (MDS - a federally mandated assessment tool completed by facility staff), located under the MDS tab, with an Assessment Reference Date (ARD) of 06/16/23, showed a Brief Interview for Mental Status (BIMS) score of five out of 15, indicating the resident was severely cognitively impaired. Review of the resident's Care Plan, located under the Care Plan Detail, tab, with a a revision date of 06/29/23, showed the following: [...]

Fire safety inspections

9 fire safety citations on file: 2 on March 3, 2026, 2 on December 6, 2024, 5 on July 6, 2023.

Every fire safety citation9 citations
  1. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 3, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 3, 2026 · Corrected (the home has a date of correction)
  3. F
    Provide properly protected cooking facilities.
    K 324 · December 6, 2024 · Corrected (the home has a date of correction)
  4. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · December 6, 2024 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 6, 2023 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 6, 2023 · Corrected (the home has a date of correction)
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 6, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 6, 2023 · Corrected (the home has a date of correction)
  9. E
    Have proper medical gas storage and administration areas.
    K 923 · July 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 6, 2024Fine $10,033

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMissouriUnited States
All nursing staff (RN, LPN and aides)3.893.433.86
Registered nurses0.430.460.69
All nursing staff on weekends3.553.013.42
Nurse aides2.35
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)50.0%56.0%45.8%
Registered nurse turnover50.0%47.8%42.9%
Administrators who left0

CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.02 on weekdays and 3.55 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.89 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.890.434.023.55 0.0%0 of 9061
Oct to Dec 20253.820.453.953.48 0.0%0 of 9263
Jul to Sep 20253.910.364.133.36 0.0%0 of 9264
Apr to Jun 20253.800.343.993.33 0.0%0 of 9167
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Missouri, Jan to Mar 20263.340.403.502.933.9%1.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Missouri

JobMedianMiddle halfEmployed
Missouri, all employers
CNAs (nursing assistants)$18.11$17.02 to $20.0034,050
LPNs and LVNs$29.58$27.06 to $33.7714,700
Registered nurses$39.32$36.56 to $47.3976,310
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Brooke Haven Healthcare. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMissouriUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.818.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.34.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.32.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.617.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.44.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.723.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.413.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Brooke Haven Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.7% this home

No different from the national rate

US median of homes 51.5% · Missouri: 41 better, 31 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 68 eligible stays.

Potentially preventable readmissions

10.1% this home

No different from the national rate

US median of homes 10.7% · Missouri: 0 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 84 eligible stays.

Infections that led to a hospital stay

6.3% this home

No different from the national rate

US median of homes 7.1% · Missouri: 1 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 53 eligible stays.

Self-care and mobility at discharge

45.5% this home

Median of homes: Missouri51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 44 residents counted.

Falls with major injury

0.0% this home

Median of homes: Missouri0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.

New or worsened pressure ulcers

2.0% this home

Median of homes: Missouri2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 55 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Missouri100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WILLOW HEALTH CARE INC.

NameRoleTypeShareSince
Willow Health Care Inc5% or greater direct ownership interestOrganization100%11/01/2003
Alter, ShirleyW-2 managing employeeIndividual07/02/2019
Clark, SheilaW-2 managing employeeIndividual12/01/2010
Miller, SherryW-2 managing employeeIndividual09/01/2009
Williamson, JackieW-2 managing employeeIndividual10/14/2009
Alter, ShirleyCorporate directorIndividual07/02/2019
Auala, ElquinCorporate directorIndividual05/11/2004
Ogden, JamesCorporate directorIndividual05/11/2004
Miller, SherryCorporate officerIndividual09/01/2009
Willow Health Care IncOperational/managerial controlOrganization11/01/2003

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 3, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 3, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 3, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 3, 2026: "Ensure medication error rates are not 5 percent or greater."

Other nursing homes nearby

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Common questions

What is Brooke Haven Healthcare's Medicare star rating?
CMS rates Brooke Haven Healthcare 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brooke Haven Healthcare get at its last inspection?
7 health deficiencies at the standard inspection on March 3, 2026. The Missouri average is 11.4.
Has Brooke Haven Healthcare been fined?
Yes. CMS lists 1 fine totaling $10,033 in the last three years.
Does Brooke Haven Healthcare accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brooke Haven Healthcare?
CMS lists 10 owners and managers. Legal business name: WILLOW HEALTH CARE INC.

Sources

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