01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-12-11 | 3 | 2024-12-11 | 7 |
| Cycle 2 | 2023-01-04 | 4 | 2023-01-04 | 9 |
| Cycle 3 | 2021-05-18 | 0 | 2021-05-18 | 10 |
CMS CCN 1751452026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brookside Retirement Community
700 W 7Th Street · Overbrook, KS 66524 · Osage County
Certified beds60CMS provider file
Recent citation rows33current CMS citation release
Penalty rows1current 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.
02 / CITATION DETAIL
33 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-11 · HEALTHF0689Severity J · isolated immediate jeopardy
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: Past Non-Compliance · 2026-02-10 · complaint2024-12-11 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2024-12-232024-12-11 · HEALTHF0880Severity F · widespread; 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 · 2024-12-232024-12-11 · FIREK0111Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-02-032024-12-11 · FIREK0901Severity F · widespread; potential for more than minimal harm
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Correction field: Deficient, Provider has date of correction · 2025-02-032023-01-04 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2023-01-162023-01-04 · HEALTHF0684Severity D · isolated; potential for more than minimal 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 · 2023-01-162023-01-04 · HEALTHF0689Severity D · isolated; potential for more than minimal 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 · 2023-01-162023-01-04 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2023-01-162023-01-04 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2022-11-182023-01-04 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2022-11-182021-05-18 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2021-08-0603 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-11 | Fine | $14,069 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ALEGRIA LIVING & HEALTHCARE, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/01/2014
- AVERILL, SCOTTIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2004
- AVERILL, SUSANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2004
- AVERILL, NATHANIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/15/2022
- AVERILL, SCOTTIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2024
- AVERILL, SUSANIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2018
- HOBACK, DENISEIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2018
- CONKLIN, TAMMYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/13/2004
- DAVIDSON, SHARRELLIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/20/2016
- JONES, CIARAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/13/2024
- JONES, TRACYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/22/2024
- WESSEL, PEGGYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/03/2024
- AVERILL, SCOTTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- AVERILL, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- HOBACK, DENISEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- JOYA LIVING & HEALTHCARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/13/2024
- AVERILL, NATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/19/2024
- AVERILL, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/13/2024
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 hours3.82per resident day
RN hours0.46per resident day
Weekend nurse hours3.47per resident day
Staff turnover44.9%CMS reported field
06 / LOCAL RECORDS
Open the Kansas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.