Elder Care Record

Missouri › Chariton County › Brunswick

Brunswick Health Care Center

721 West Harrison St, Brunswick, MO 65236

CCN 265598 · For-profit, corporation · 60 certified beds · chain Reliant Care Management

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.

Certified for 60 beds, Brunswick Health Care Center serves Brunswick in Chariton County, Missouri and has taken Medicare and Medicaid residents since 1995.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 1 and quality measures 4.

Inspectors recorded 55 health deficiencies across the three most recent survey cycles (2, 37, 16 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 91.7 per 100 beds, more than the state median of 32.1.

CMS lists 2 penalties in the period covered: fines totalling $15K and 1 payment denial.

Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 75.0%.

55health deficiencies, 3 survey cycles4 at actual harm or worse
$15Kfines listed by CMS2 penalties in period
3.8nurse hours per resident per daystate median 3.4
42%occupancy (residents ÷ beds)25 residents a day

Compared with county, state and nation

MeasureThis facilityChariton Co. medianMissouri medianUS average
Overall star rating1123.0
Health citations, 3 cycles55553128.7
Citations per 100 beds91.770.032.126.8
Total nurse hours per resident day3.83.63.43.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover75.0%62.7%56.1%45.8%
Fines listed$15,143$15,143$0—

County and state figures are medians across facilities (3 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)2
Cycle 237
Cycle 316

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2026, 18 Apr 2024.

Severity mix: J ×1 G ×2 H ×1 D ×14 E ×28 F ×4 B ×4 C ×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
6 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey10 Jun 2026
6 May 2026F0880Provide and implement an infection prevention and control program.DStandard survey10 Jun 2026
31 Jul 2025F0727Have 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.FComplaint investigation1 Sep 2025
15 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation31 Mar 2025
15 Apr 2025F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint investigation20 May 2025
15 Apr 2025F0742Provide 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.DComplaint investigation20 May 2025
6 Nov 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.EComplaint investigation9 Dec 2024
6 Nov 2024F0727Have 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.EComplaint investigation9 Dec 2024
10 Sep 2024F0727Have 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.EComplaint investigation18 Oct 2024
21 Jun 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.GComplaint investigation23 Jul 2024
18 Apr 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.GComplaint investigation23 Jul 2024
18 Apr 2024F0727Have 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.FComplaint investigation1 Jun 2024
18 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Jun 2024
18 Apr 2024F0880Provide and implement an infection prevention and control program.FStandard survey23 Jul 2024
18 Apr 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey1 Jun 2024
18 Apr 2024F0584Honor 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.EStandard survey1 Jun 2024
18 Apr 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey1 Jun 2024
18 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey1 Jun 2024
18 Apr 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey1 Jun 2024
18 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey1 Jun 2024
18 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey1 Jun 2024
18 Apr 2024F0700Try 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 survey1 Jun 2024
18 Apr 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation1 Jun 2024
18 Apr 2024F0728Ensure 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.EStandard survey1 Jun 2024
18 Apr 2024F0758Implement 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.EStandard survey1 Jun 2024
18 Apr 2024F0761Ensure 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.EStandard survey1 Jun 2024
18 Apr 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey1 Jun 2024
18 Apr 2024F0881Implement a program that monitors antibiotic use.EStandard survey23 Jul 2024
18 Apr 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey1 Jun 2024
18 Apr 2024F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard survey1 Jun 2024
18 Apr 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Jun 2024
18 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Jun 2024
18 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Jun 2024
18 Apr 2024F0637Assess the resident when there is a significant change in conditionDStandard survey1 Jun 2024
18 Apr 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey1 Jun 2024
18 Apr 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey1 Jun 2024
18 Apr 2024F0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.DStandard survey1 Jun 2024
18 Apr 2024F0732Post nurse staffing information every day.CStandard survey1 Jun 2024
18 Apr 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard survey1 Jun 2024
18 Apr 2024F0641Ensure each resident receives an accurate assessment.BStandard survey1 Jun 2024
14 Nov 2023F0610Respond appropriately to all alleged violations.DComplaint investigation12 Dec 2023
29 Sep 2022F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.HStandard survey2 Nov 2022
29 Sep 2022F0567Honor the resident's right to manage his or her financial affairs.EStandard survey2 Nov 2022
29 Sep 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey2 Nov 2022
29 Sep 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey2 Nov 2022
29 Sep 2022F0700Try 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 survey14 Nov 2022
29 Sep 2022F0758Implement 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.EStandard survey2 Nov 2022
29 Sep 2022F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey2 Nov 2022
29 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Nov 2022
29 Sep 2022F0880Provide and implement an infection prevention and control program.EStandard survey2 Nov 2022
29 Sep 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey2 Nov 2022
29 Sep 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 Nov 2022
29 Sep 2022F0761Ensure 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 survey2 Nov 2022
29 Sep 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey2 Nov 2022
29 Sep 2022F0625Notify 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.BStandard survey2 Nov 2022

Penalties

DateTypeAmountDetail
15 Apr 2025Fine$15,143
18 Apr 2024Payment denial—5 days

Staffing

Total nursing3.77 h
Nurse aides2.26 h
LPN1.13 h
RN0.37 h
Weekend total3.52 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 75.0%, RNs —; — administrators 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 Stay19.2%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%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 Stay16.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.3%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay33.9%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. Legal business name: Brunswick Health Care Center Llc. Chain: Reliant Care Management (34 facilities).

OrganisationRole in the CMS recordInterestSince
Reliant Care Group LLCDirect ownership interestNOT APPLICABLE01/25/2025
Rcg IncIndirect ownership interestNOT APPLICABLE01/25/2025
Reliant Care Management Company LLCOperational/managerial controlNOT APPLICABLE01/25/2025
Brunswick Re Associates LLCAdp of the snfNOT APPLICABLE01/25/2025
Reliant Care Management Company LLCAdp of the snfNOT APPLICABLE01/30/2025

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 Chariton County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pioneer Skilled Nursing CenterMarceline963322020.8—20 Mar 2025
Chariton Park Health Care Centerabuse iconSFF CandidateSalisbury1201118470.0$198K12 Jun 2026

All 3 facilities in Chariton County

Questions and answers

How many deficiencies has Brunswick Health Care Center been cited for?

55 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Brunswick Health Care Center been fined?

Yes. CMS lists fines totalling $15K in the period covered, plus 1 payment denial.

How does staffing at Brunswick Health Care Center compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Brunswick Health Care Center?

It is part of the Reliant Care Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Reliant Care Group LLC, Rcg Inc and Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.

When was Brunswick Health Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 6 May 2026.

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.