Elder Care Record

Missouri › Greene County › Springfield

Brookhaven Nursing & Rehab

3405 West Mt Vernon, Springfield, MO 65802

CCN 265835 · For-profit, corporation · 90 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Brookhaven Nursing & Rehab is a For-profit, corporation nursing home in Springfield, Missouri, certified for 90 beds and caring for about 53 residents a day.

CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 1 and quality measures 3.

Inspectors recorded 37 health deficiencies across the three most recent survey cycles (15, 8, 14 by cycle, most recent first), none at the actual-harm level. That is 41.1 per 100 beds, more than the state median of 32.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 62.5%.

37health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.4
59%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityGreene Co. medianMissouri medianUS average
Overall star rating2323.0
Health citations, 3 cycles37283128.7
Citations per 100 beds41.125.032.126.8
Total nurse hours per resident day3.73.23.43.9
RN hours per resident day0.40.50.40.7
Nursing staff turnover62.5%57.3%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (21 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)15
Cycle 28
Cycle 314

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Dec 2024, 8 Jun 2023.

Severity mix: D ×25 E ×11 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 May 2026
4 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation19 Oct 2025
4 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation19 Oct 2025
4 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation19 Oct 2025
13 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey27 Jan 2025
13 Dec 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey27 Jan 2025
13 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Jan 2025
13 Dec 2024F0880Provide and implement an infection prevention and control program.EStandard survey10 Mar 2025
13 Dec 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey27 Jan 2025
13 Dec 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard survey27 Jan 2025
13 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey27 Jan 2025
13 Dec 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey27 Jan 2025
13 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey27 Jan 2025
13 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey27 Jan 2025
13 Dec 2024F0760Ensure that residents are free from significant medication errors.DStandard survey27 Jan 2025
13 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation21 Nov 2023
13 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Nov 2023
13 Oct 2023F0610Respond appropriately to all alleged violations.DComplaint investigation21 Nov 2023
24 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation8 Oct 2023
8 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey27 Jul 2023
8 Jun 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey23 Jul 2023
8 Jun 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey2 May 2023
8 Jun 2023F0760Ensure that residents are free from significant medication errors.EStandard survey23 Jul 2023
8 Jun 2023F0880Provide and implement an infection prevention and control program.EStandard survey23 Jul 2023
8 Jun 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey27 Jul 2023
8 Jun 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Jul 2023
8 Jun 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Jul 2023
31 Jan 2020F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey15 Mar 2020
31 Jan 2020F0923Have enough outside ventilation via a window or mechanical ventilation, or both.EStandard survey15 Mar 2020
31 Jan 2020F0583Keep residents' personal and medical records private and confidential.DStandard survey15 Mar 2020
31 Jan 2020F0610Respond appropriately to all alleged violations.DStandard survey15 Mar 2020
31 Jan 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Mar 2020
31 Jan 2020F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Mar 2020
31 Jan 2020F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 Mar 2020
31 Jan 2020F0760Ensure that residents are free from significant medication errors.DStandard survey15 Mar 2020
31 Jan 2020F0761Ensure 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.DStandard survey15 Mar 2020
31 Jan 2020F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey15 Mar 2020

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.73 h
Nurse aides2.8 h
LPN0.57 h
RN0.36 h
Weekend total3.19 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 62.5%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.8%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.4%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay39.8%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Brookhaven Llc.

OrganisationRole in the CMS recordInterestSince
LTC Management Services LLCOperational/managerial controlNOT APPLICABLE12/01/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Greene County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Republic Nursing & RehabRepublic1275431713.4—18 Sep 2025
Springfield Rehabilitation & Health Care CenterSpringfield1465442819.2—10 Apr 2026
Wilson'S Creek Nursing & RehabSpringfield1725541810.5—30 Nov 2023
Cox Medical Centers Meyer Orthopedic and SurgicalSpringfield28444932.1—23 Apr 2026
Manor At Elfindale, TheSpringfield1004441010.0—17 Nov 2025
Maples Health and Rehabilitation, TheSpringfield1204332218.3—7 Mar 2025
Maranatha Village, IncSpringfield1204342621.7$16K3 Jun 2025
Sunterra Springs SpringfieldSpringfield384342771.1$37K2 Jun 2025

All 21 facilities in Greene County

Questions and answers

How many deficiencies has Brookhaven Nursing & Rehab been cited for?

37 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Brookhaven Nursing & Rehab been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Brookhaven Nursing & Rehab compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Brookhaven Nursing & Rehab?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.

When was Brookhaven Nursing & Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 13 Dec 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.