BROOKHAVEN NURSING & REHAB
3405 WEST MT VERNON, SPRINGFIELD, MO 65802 · CCN 265835
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 71.3
- Phone
- 4178749600
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-13 | 14 | 11.9 | 9.5 | +2.1 worse |
| 2 | 2023-06-08 | 8 | 13.0 | 9.8 | -5.0 better |
| 3 | 2020-01-31 | 14 | 11.0 | 9.3 | +3.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.10 | 42.2% |
| RN staffing (reported) | 0.23 | — |
| Total nurse staffing (adjusted) | 4.50 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- JAMES & JUDY LINCOLN
- Facilities in chain
- 58
- Chain avg overall
- 2.50 / 5
Inspection citations (36)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-04 · Health · corrected 2025-10-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-04 · Health · corrected 2025-10-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-04 · Health · corrected 2025-10-19
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-13 · Health · corrected 2025-01-27
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-12-13 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-13 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-13 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-13 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-24 · Health · corrected 2023-10-08
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-08 · Health · corrected 2023-07-23
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-06-08 · Health · corrected 2023-07-23
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-08 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-08 · Health · corrected 2023-07-23
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-06-08 · Health · corrected 2023-07-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-07-27
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-08 · Health · corrected 2023-07-23
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-06-08 · Health · corrected 2023-07-27
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- EF0700Try 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.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0761Ensure 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.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
- EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2020-01-31 · Health · corrected 2020-03-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 |
| LINCOLN, JUDY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 |
| LTC MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-12-01 |
| KNAPP, ADAM | Individual | W-2 MANAGING EMPLOYEE | — | 2022-04-25 |
Other facilities in SPRINGFIELD
| Name | Overall | Beds |
|---|---|---|
| COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHAB | ★★★★★ | 28 |
| MANOR AT ELFINDALE, THE | ★★★★★ | 100 |
| MAPLES HEALTH AND REHABILITATION, THE | ★★★★☆ | 120 |
| SPRINGFIELD REHABILITATION & HEALTH CARE CENTER | ★★★★☆ | 146 |
| WILSON'S CREEK NURSING & REHAB | ★★★☆☆ | 172 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.