CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2656442026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Brookfield Health Care Center

215 East Pratt · Brookfield, MO 64628 · Linn County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows75current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-06-12282025-06-129
Cycle 22023-10-04102023-10-0413
Cycle 32020-01-3052020-01-3010
02 / CITATION DETAIL

75 rows in the current release

4 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-18 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint
2025-10-15 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-21 · complaint
2025-09-12 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-02 · complaint
2025-09-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-10-02 · complaint
2025-06-12 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · FIREE0037Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0568Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Correction field: Deficient, Provider has date of correction · 2025-10-02
2025-06-12 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0606Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Correction field: Deficient, Provider has date of correction · 2025-10-02
2025-06-12 · HEALTHF0628Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0637Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0658Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0678Severity E · pattern; 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.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-02
2025-06-12 · HEALTHF0699Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction field: Deficient, Provider has date of correction · 2025-07-20 · complaint
2025-06-12 · HEALTHF0727Severity F · widespread; 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.

Correction field: Deficient, Provider has date of correction · 2025-07-20 · complaint
2025-06-12 · HEALTHF0728Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-20
2025-06-12 · HEALTHF0730Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-20
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-03-18Fine$14,8000
2025-06-12Payment Denial$039
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • RELIANT CARE GROUP LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/25/2025
  • RCG INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/25/2025
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/25/2025
  • DESTEFANE, RICHARDIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/25/2025
  • DESTEFANE, RICHARDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/25/2025
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/25/2025
  • ARSHAD, ABDULLAHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/25/2025
  • OLSEN, JOIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/25/2025
  • BROOKFIELD RE ASSOCIATES, L.L.C.Organization · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/28/2025
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025
  • TLG II LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025
  • ARSHAD, ABDULLAHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025
  • DESTEFANE, RICHARDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025
  • OLSEN, JOIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/25/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.74per resident day
RN hours0.35per resident day
Weekend nurse hours2.60per resident day
Staff turnover78.4%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.