Nursing homes › Missouri › Brunswick Health Care Center
721 West Harrison St, Brunswick, MO 65236 · 6605483182 · 60 certified beds
Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 3.77 (Missouri median: 3.36). RN hours: 0.37. Weekend total: 3.52. Nursing staff turnover: 75%.
All-time on record: 53 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-31 | 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. | F | complaint | corrected 2025-09-01 |
| 2025-04-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-03-31 |
| 2025-04-15 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | complaint | corrected 2025-05-20 |
| 2025-04-15 | 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. | D | complaint | corrected 2025-05-20 |
| 2024-11-06 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | complaint | corrected 2024-12-09 |
| 2024-11-06 | 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. | E | complaint | corrected 2024-12-09 |
| 2024-09-10 | 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. | E | complaint | corrected 2024-10-18 |
| 2024-06-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | complaint | corrected 2024-07-23 |
| 2024-04-18 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | complaint | corrected 2024-07-23 |
| 2024-04-18 | 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. | F | complaint | corrected 2024-06-01 |
| 2024-04-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-06-01 |
| 2024-04-18 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-07-23 |
| 2024-04-18 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-06-01 |
| 2024-04-18 | 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Implement a program that monitors antibiotic use. | E | Health | corrected 2024-07-23 |
| 2024-04-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Regularly 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. | E | Health | corrected 2024-06-01 |
| 2024-04-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-06-01 |
| 2024-04-18 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Ensure 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. | D | Health | corrected 2024-06-01 |
| 2024-04-18 | Post nurse staffing information every day. | C | Health | corrected 2024-06-01 |
| 2024-04-18 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Health | corrected 2024-06-01 |
| 2024-04-18 | Ensure each resident receives an accurate assessment. | B | Health | corrected 2024-06-01 |
| 2023-11-14 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-12-12 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-15 | Fine | $15,143 |
| 2024-04-18 | Payment Denial | 5 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 01/25/2025 |
| RCG INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/25/2025 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/01/2025 |
| DESTEFANE, RICHARD | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 01/25/2025 |
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 01/25/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/25/2025 |
| ARSHAD, ABDULLAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/25/2025 |
| CHAFFEE, MICHEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/25/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265598. Corrections: data@carerecords.org.