Senior CareScorecard

Nursing home · Brunswick, MO

Brunswick Health Care Center

721 West Harrison St, Brunswick, MO 65236 · 60 certified beds · for profit ownership · part of Reliant Care Management

Medicare & MedicaidFined $15,143 in 3 years
Medicare overall rating1 / 5Much below averageChillicothe area 2.0 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
4/5Quality measures Above average
–Short-stay (rehab) quality Not rated
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on May 6, 2026, when they cited 2 problems. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (May 6, 2026) it had 2 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.77 hours per resident per day here, 10% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.37 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 75% over the past year, 19 points higher than Missouri (56%) and 29 points higher than the U.S. (46%).

How Brunswick Health Care Center compares

This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).

This homeChillicothe areaMissouriU.S.
Total nurse hours per resident per day3.773.283.433.86
Registered nurse hours per resident per day0.370.430.460.68
Weekend nurse hours per resident per day3.522.883.013.42
Nursing staff turnover (past year)75%56%56%46%
Registered nurse turnover (past year)—47%48%43%
Citations at the most recent standard inspection210.111.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

May 6, 20262standard
Jul 31, 20251complaint
Apr 15, 20253complaint · 1 harm-level citation
Nov 6, 20242complaint
Sep 10, 20241complaint
Jun 21, 20241complaint · 1 harm-level citation
Apr 18, 202430standard + complaint · 1 harm-level citation
Nov 14, 20231complaint
Sep 29, 202214standard · 1 harm-level citation

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 55 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 6, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
May 6, 2026Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Jul 31, 2025Have 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.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Apr 15, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
J immediate jeopardyPast Non-Compliance
Apr 15, 2025Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Apr 15, 2025Provide 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.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 6, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Nov 6, 2024Have 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.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Sep 10, 2024Have 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.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Jun 21, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint
G actual harmDeficient, Provider has date of correction
Apr 18, 2024Assess the resident when there is a significant change in condition
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 18, 2024Implement a program that monitors antibiotic use.
Infection control
EDeficient, Provider has date of correction
Apr 18, 2024Regularly 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.
Environmental
EDeficient, Provider has date of correction
Apr 18, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
DDeficient, Provider has date of correction
Apr 18, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights
DDeficient, Provider has date of correction
Apr 18, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Apr 18, 2024Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Apr 18, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 18, 2024Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 18, 2024Ensure 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.
Nutrition and dietary
DDeficient, Provider has date of correction
Apr 18, 2024Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
Apr 18, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident rights
BDeficient, Provider has date of correction
Apr 18, 2024Ensure each resident receives an accurate assessment.
Resident assessment and care planning
BDeficient, Provider has date of correction
Apr 18, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Apr 18, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Apr 18, 2024Implement 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.
Pharmacy service
EDeficient, Provider has date of correction
Apr 18, 2024Ensure 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.
Nursing and physician services
EDeficient, Provider has date of correction
Apr 18, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Apr 18, 2024Try 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.
Quality of life and care
EDeficient, Provider has date of correction
Apr 18, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Apr 18, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Apr 18, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
EDeficient, Provider has date of correction
Apr 18, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Apr 18, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Apr 18, 2024Honor 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.
Resident rights
EDeficient, Provider has date of correction
Apr 18, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
EDeficient, Provider has date of correction
Apr 18, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Apr 18, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 18, 2024Have 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.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Apr 18, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint
G actual harmDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Apr 15, 2025Fine$15,143
Apr 18, 2024Payment Denial5 days

Location

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Questions about Brunswick Health Care Center

Answers computed from CMS data for this facility.

What is Brunswick Health Care Center's Medicare rating?

Medicare rates Brunswick Health Care Center 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Brunswick Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 6, 2026, when they cited 2 problems. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (May 6, 2026) it had 2 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Has Brunswick Health Care Center been fined?

Yes. CMS reports 1 fine totaling $15,143 in the past three years.

Does Brunswick Health Care Center accept Medicaid?

Brunswick Health Care Center is certified for both Medicare and Medicaid. Call (660) 548-3182 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.