C

BROOKHAVEN NURSING & REHAB

3405 WEST MT VERNON, SPRINGFIELD, MO 65802
Score: 60 / 100

Brookhaven Nursing & Rehab is an average performer in CMS ratings, earning a C grade with a score of 60/100. Located in Springfield, Missouri, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Brookhaven Nursing & Rehab, with 3.10 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 36 deficiencies at Brookhaven Nursing & Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.10 3.8 Below Average
Registered Nurses (RN) 0.23 0.7 Below Average
Licensed Practical Nurses (LPN) 0.40 0.7 Below Average
Certified Nursing Assistants (CNA) 2.47 2.4 Average
Weekend Total Nursing 2.68 3.8 Below Average
Weekend RN Hours 0.15 0.7 Below Average

🔍 Inspection & Deficiency History

36
Total Deficiencies
Sep 3, 2025
Most Recent Inspection
🟠 36 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 3, 2025 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Sep 3, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Sep 3, 2025 · Pharmacy Service Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 12, 2024 · Quality of Life and Care Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Dec 12, 2024 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.8% 4.5% Better
Falls with major injury 1.7% 3.0% Better
On antipsychotic medication 42.3% 14.5% Worse
Urinary tract infections 7.3% 2.5% Worse
ADL decline (daily activities) 11.5% 14.0% Better
Excessive weight loss 4.9% 7.5% Better
New/worsened incontinence 12.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 12, 2024
Deficiencies (Cycle 1)
14