Starfile

Starfile / Missouri

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.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12024-12-131411.99.5+2.1 worse
22023-06-08813.09.8-5.0 better
32020-01-311411.09.3+3.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning2
Resident rights1
Nutrition and dietary2
Pharmacy service4
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1042.2%
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)

  1. 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

  2. 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

  3. 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

  4. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-13 · Health · corrected 2025-01-27

    Potential for more than minimal harm

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-13 · Health · corrected 2025-01-27

    Potential for more than minimal harm

  11. DF0760Ensure that residents are free from significant medication errors.2024-12-13 · Health · corrected 2025-01-27

    Potential for more than minimal harm

  12. 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

  13. 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

  14. EF0880Provide and implement an infection prevention and control program.2024-12-13 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  15. 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

  16. 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

  17. DF0610Respond appropriately to all alleged violations.2023-10-13 · Health · corrected 2023-11-21

    Potential for more than minimal harm

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. EF0760Ensure that residents are free from significant medication errors.2023-06-08 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  24. 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

  25. EF0880Provide and implement an infection prevention and control program.2023-06-08 · Health · corrected 2023-07-23

    Potential for more than minimal harm

  26. 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

  27. DF0583Keep residents' personal and medical records private and confidential.2020-01-31 · Health · corrected 2020-03-15

    Potential for more than minimal harm

  28. DF0610Respond appropriately to all alleged violations.2020-01-31 · Health · corrected 2020-03-15

    Potential for more than minimal harm

  29. 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

  30. 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

  31. 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

  32. DF0759Ensure medication error rates are not 5 percent or greater.2020-01-31 · Health · corrected 2020-03-15

    Potential for more than minimal harm

  33. DF0760Ensure that residents are free from significant medication errors.2020-01-31 · Health · corrected 2020-03-15

    Potential for more than minimal harm

  34. 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

  35. 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

  36. 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

OwnerTypeRolePercentSince
LINCOLN, JAMESIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2014-12-01
LINCOLN, JUDYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2014-12-01
LTC MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2014-12-01
KNAPP, ADAMIndividualW-2 MANAGING EMPLOYEE2022-04-25

Other facilities in SPRINGFIELD

NameOverallBeds
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.