Brunswick Health Care Center
721 West Harrison St · Brunswick, MO · 65236 · 6605483182
60 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 1 · $15,143 |
Inspection citations (53 in the current record)
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Potential for harm · F July 31, 2025 · found via 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 September 1, 2025 · Nursing and Physician Services
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Immediate jeopardy · J April 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 15, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected May 20, 2025 · Quality of Life and Care
-
Potential for harm · D April 15, 2025 · found via complaint
Provide 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.
Corrected May 20, 2025 · Quality of Life and Care
-
Potential for harm · E November 6, 2024 · found via complaint
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 December 9, 2024 · Quality of Life and Care
-
Potential for harm · E November 6, 2024 · found via 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 December 9, 2024 · Nursing and Physician Services
-
Potential for harm · E September 10, 2024 · found via 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 October 18, 2024 · Nursing and Physician Services
-
Actual harm · G June 21, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 23, 2024 · Environmental
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Actual harm · G April 18, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 23, 2024 · Environmental
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Potential for harm · D April 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 1, 2024 · Resident Rights
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Potential for harm · E April 18, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 1, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 1, 2024 · Resident Rights
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Potential for harm · E April 18, 2024
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 June 1, 2024 · Resident Rights
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Potential for harm · E April 18, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 18, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 18, 2024
Assess the resident when there is a significant change in condition
Corrected June 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 18, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected June 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 1, 2024 · Quality of Life and Care
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Potential for harm · E April 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 1, 2024 · Quality of Life and Care
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Potential for harm · E April 18, 2024
Try 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.
Corrected June 1, 2024 · Quality of Life and Care
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Potential for harm · E April 18, 2024
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 June 1, 2024 · Nursing and Physician Services
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Potential for harm · E April 18, 2024
Implement 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.
Corrected June 1, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 15, 2025 | Fine | $15,143 |
| April 18, 2024 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265598 · certified since January 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.