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Nursing homeFAID #7256

Brookfield Health Care Center

215 EAST PRATT, BROOKFIELD, MO, 64628

(660) 675-0600

60 licensed beds

CMS rates Brookfield Health Care Center 1 out of 5 overall. Federal inspectors issued 76 citations across 12 inspections in the last three years, with $42,178 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

215 East Pratt

Brookfield, MO 64628

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Public record summary

What we can show you for free.

Bed capacity

State license

053888

CMS facility ID

265644

Care type

Nursing home

Facility name

Brookfield Health Care Center

Street address

215 EAST PRATT

City / state / ZIP

Brookfield, MO 64628

Phone

(660) 675-0600

State license #

053888

About this facility — Brookfield Health Care Center

Brookfield Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Brookfield, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 4 senior care facilities in Brookfield and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Reliant Care Management, a group of 35 facilities on this site.

Federal inspectors have cited Brookfield Health Care Center 76 times across 12 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $42,178 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Brookfield Snf Opco Llc

Parent company

Reliant Care Management

Ownership type

For profit - Limited Liability company

Administrator

Alicia Eby

Registered owners & officers

Arshad, Abdullah

Operational control · Additional disclosable party — since 2025

Brookfield Re Associates, L.l.c.

Additional disclosable party — since 2025

Destefane, Richard

Indirect owner · Officer · Additional disclosable party — since 2025

Olsen, Jo

Operational control · Additional disclosable party — since 2025

Rcg Inc

Indirect owner — since 2025

Reliant Care Group Llc

Direct owner — since 2025

Reliant Care Management Company Llc

Operational control · Additional disclosable party — since 2025

Richard J. Destefane Revocable Living Trust

Indirect owner · Additional disclosable party — since 2025

Tlg Ii Llp

Additional disclosable party — since 2025

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1996-04-29

License expires

2028-05-01

CMS overall rating

1 of 5 stars

Health deficiencies

27 at the last standard inspection

Federal fines

$42,178 total

Last standard inspection

2025-06-12

Nurse staffing

2.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$196 per day (≈ $5,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

57% Medicaid · 6% Medicare · 37% private/other

Occupancy

47% (fiscal year 2023)

Vs. state median

24% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-23Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

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

Corrected 2026-07-27

2026-03-18Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

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

Corrected 2026-03-20

9 earlier / fire-safety inspections (74 citations)

2025-10-15Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

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

Corrected 2025-10-21

2025-09-12Health inspectionComplaint-triggered2 citations

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-10-02

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-10-02

2025-06-12Health inspectionComplaint-triggered24 citations

F-0568

E · No harm found

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

Corrected 2025-10-02

F-0584

E · No harm found

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.

Corrected 2025-07-20

F-0606

E · No harm found

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

Corrected 2025-10-02

F-0628

C · No harm found

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

Corrected 2025-07-20

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-07-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-07-20

F-0655

D · No harm found

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

Corrected 2025-07-20

F-0656

E · No harm found

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

Corrected 2025-07-20

F-0657

E · No harm found

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

Corrected 2025-07-20

F-0658

E · No harm found

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

Corrected 2025-07-20

F-0678

E · No harm found

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-07-20

F-0688

D · No harm found

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.

Corrected 2025-07-20

F-0689

G · Actual harm

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

Corrected 2025-10-02

F-0699

D · No harm found

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

Corrected 2025-07-20

F-0725

E · No harm foundFrom a complaint

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

Corrected 2025-07-20

F-0727

F · No harm foundFrom a complaint

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.

Corrected 2025-07-20

F-0728

D · No harm found

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.

Corrected 2025-07-20

F-0730

F · No harm found

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

Corrected 2025-07-20

F-0761

D · No harm found

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.

Corrected 2025-07-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-20

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-02

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-07-20

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-07-20

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-07-20

2025-03-17Health inspectionComplaint-triggered1 citation

F-0836

F · No harm foundFrom a complaint

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2025-03-18

2023-10-04Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-16

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-11-16

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-11-16

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-11-16

F-0657

E · No harm found

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

Corrected 2023-11-16

F-0658

D · No harm found

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

Corrected 2023-11-16

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-11-16

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-11-16

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-16

2020-01-30Health inspection5 citations

F-0658

D · No harm found

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

Corrected 2020-03-06

F-0803

F · No harm foundFood safety

Ensure 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.

Corrected 2020-03-06

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2020-03-06

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-03-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2020-03-06

2025-06-12Fire-safety inspection9 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-07-20

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2025-07-20

K-0311

F · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-20

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-07-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-20

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-20

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-07-20

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-07-20

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-07-20

2023-10-04Fire-safety inspection13 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-11-16

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-16

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-11-16

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-11-16

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-16

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-11-16

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-16

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-11-16

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-11-16

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-16

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-16

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-11-16

K-0932

D · No harm found

Meet other general requirements.

Corrected 2023-11-16

2020-01-30Fire-safety inspection10 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2020-03-06

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2020-03-06

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2020-03-06

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2020-03-06

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-03-06

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2020-03-06

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2020-03-06

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-03-06

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-03-06

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2020-03-06

Federal penalties

2026-07-23Fine$27,378

2026-03-18Fine$14,800

2025-06-12Medicare payment denial — 39 days

Total fines$42,178

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265644.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 75% of nursing homes in the state

State median: 50

Federal fines, 3 years

$42,178

More than 78% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

2.0

Higher than 6% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

70%

Higher than 80% of nursing homes in the state

State median: 57%

Resident outcomes

On 16 federal quality measures, this facility does better than the Missouri average on 4 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.5%	17.4%	13.5%	Better than state
Lose too much weight	2.4%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.0%	0.9%	0.7%	Near state average
With a urinary tract infection	1.9%	2.2%	1.5%	Better than state
Have depressive symptoms	66.0%	20.0%	13.5%	Worse than state
Were physically restrained	1.0%	0.0%	0.1%	Worse than state
Experiencing one or more falls with major injury	3.8%	4.0%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	77.9%	84.0%	93.7%	Near state average
Ability to walk independently worsened	15.3%	15.8%	12.7%	Near state average
Received an antianxiety or hypnotic medication	34.1%	25.6%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	50.0%	90.8%	95.3%	Worse than state
With pressure ulcers	4.1%	4.4%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	22.8%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	25.0%	23.5%	15.4%	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	39.7%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	2.1%	1.5%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0324 3 inspections. Provide properly protected cooking facilities.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.

What its owners also hold

Richard J. Destefane Revocable Living Trust has an ownership stake on file at 23 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
Rcg Inc has an ownership stake on file at 23 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
Reliant Care Group Llc has an ownership stake on file at 21 nursing homes, averaging 1.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Pershing Memorial Hospital, about 1.5 miles. CMS rating 3 of 5.
Hedrick Medical Center, about 25 miles. CMS rating 4 of 5.
Wright Memorial Hospital, about 33 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Life Care Center of Brookfield, Brookfield, about 1.2 miles. CMS rating 2 of 5.
Pioneer Skilled Nursing Center, Marceline, about 8.8 miles. CMS rating 3 of 5.
Livingston Manor Care Center, Chillicothe, about 24 miles. CMS rating 1 of 5.
Grand River Health Care, Chillicothe, about 25 miles. CMS rating 1 of 5.
Morningside Center, Chillicothe, about 25 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered