Life Care Center Of Brookfield

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 91.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 37 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 88.5 residents a day — about 74% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.06 hrs/resident/day on weekends vs 3.86 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

39 citations, most serious first. The 18 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · J2023-04-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to thoroughly assess one bed-bound bariatric resident (Resident #38), in a review of 20 sampled residents, to ensure the facility maintained the proper equipment to safely transfer the resident from his/her bed, and failed to ensure their policy and the resident's plan of care related to emergency evacuation procedures for a bariatric resident would be successful as they had not identified the number of staff required or the equipment necessary to safely evacuate the resident from the facility. The facility did not know the resident's current weight and could not determine if the transfer equipment available could meet the resident's weight requirement in order to safely transfer the resident without injury. The facility failed to implement interventions to ensure two sampled residents (Residents #28 and #64) who smoked were safe when smoking. The facility staff also failed to safely transport one sampled resident (Resident #14) and nine…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-04-20 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide sufficient staff to meet residents' needs in the event of an emergency when the facility was unsure how many staff it would require to safely evacuate one morbidly obese resident (Resident #38) of 60 sampled residents. The facility identified 23 residents that required mechanical lift transfers, 15 that required the assist of two staff and 22 that required staff stand-by assist to evacuate. Facility staff failed to ensure their policy for getting bariatric residents to safety in the event of an emergency would be successful as they had not practiced the plan. Some staff identified six staff would be enough to get Resident #1 to safety. Review of the staffing for 11:00 P.M. to 4:30 A.M. showed only six staff available, leaving no staff to ensure the safety of the other residents. The facility census was 92. The administrator was notified of the Immediate Jeopardy (IJ) on 4/12/23 at 7:30 P.M. which began on 4/10/23. The IJ was removed on 4/19/23 as confirmed by surveyor onsite verification. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-04-20 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #38) in a sample of 20 residents, who presented with diagnoses of bipolar and depression and who has a history of past traumatic events, including abuse and suicide attempts, received the necessary behavioral health care services to maintain the highest practicable physical, mental and psychosocial well-being. The facility failed to obtain the resident's level II screening completed in 2016. The facility also failed to obtain a level II screening when the resident had a change in behavior and status. Staff have not been educated regarding behaviors or mental illness and did not identify behavioral triggers or past traumatic experiences that affected the resident. The facility failed to identify the resident's worsening depression and to investigate the root cause of the resident's behaviors, including possible suicidal thoughts and to address appropriately. Instead, staff reinforced the resident's negative behaviors through their interactions with the resident. There was no care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-02-20 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one resident (Resident #1), in a review of three sampled residents, was free from significant medication error. Staff administered Resident #1 another resident's (Resident #3's) 8:00 A.M. scheduled medications\and then following the error, administered Resident #1's scheduled 8:00 A.M. medications. Resident #1 experienced low blood pressure, lethargy, increased weakness, and required intravenous (IV) fluids. The facility census was 78. Review of the facility policy Administration of Medications, dated 9/16/24, showed the following: -The facility would ensure medications are administered safely and appropriately per physician order to address residents' diagnoses and signs and symptoms; -Significant medication error meant one which caused the resident discomfort or jeopardized his/her health and safety. Significance may be subjective or relative depending on the individual situation and duration; -Medication administration was the responsibility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-12-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review of a sample of seven residents, the facility failed to ensure one resident (Resident #6 ), received care according to professional standards when staff failed to obtain and administer medications per physician's orders upon admission for Resident #6, with a tracheostomy (surgical opening into the trachea or windpipe from outside the neck which allows breathing through a tube inserted into the opening), including breathing treatments, injectable medication to prevent blood clots, and medications to stimulate the resident to stay awake. The facility also failed to ensure the resident received the prescribed dosage of heart failure medication and cholesterol medication. The resident developed severe respiratory issues and required emergent treatment in the hospital. Staff also failed to adequately assess one resident (Resident #4's) skin condition following a fractured humerus (upper arm bone), and application of a partial cast when the resident developed an open, draining wound in the axilla (armpit). The facility census was 90. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-04-20 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to failed to provide a wheelchair and a lift sling to accommodate one resident (Resident #38) and failed to ensure call lights were in reach for three residents (Resident #28, #63, and #147), in a review of 20 sampled residents. Resident #38 was unable to transfer from his/her bed as the sling used with the facility's mechanical lift caused severe pain, cutting into his/her legs. Additionally, the facility did not have a wheelchair that fit the resident's physical needs. As a result, the resident's movements were restricted to his/her room for over two years, contributing to the resident feeling depressed and unsafe. The facility census was 92. Review of the facility policy Resident Rights last reviewed 10/6/22 showed a facility must care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The resident has the right to receive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-04-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure one resident (Resident #38), a resident with a past history of abuse and diagnoses including post traumatic stress disorder and depression, in a review of twenty sampled residents, was free from mental and emotional abuse. The resident was totally dependent on staff and was bed bound as a result of facility failure to ensure he/she had appropriate transfer equipment. The resident had not been able to leave his/her room in at least two years and participate in any activity outside of his/her room. The resident was alert and oriented. The resident reported staff were mean and hateful in their interactions with him/her, he/she felt ignored and an inconvenience for staff. Staff accused him/her of crying wolf and wasting his/her body. The resident relayed this made him/her feel humiliated and treated in a way that made him/her feel like staff did not like him/her. As a result of staff treatment, relative to her diagnoses and past experiences, the resident verbalized wanting to go home to heaven because no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-04-20 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure one resident (Resident #28), of 20 sampled residents, had a nutritional assessment completed on admission, received weights per facility protocol, and failed to ensure his/her feeding tube was connected as ordered for continuous feeding to ensure he/she received adequate nutrition. The resident had a 9.5 pound (-7.68%) weight loss in ten days. The facility also failed to re-evaluate interventions to prevent weight loss for effectiveness, carry through recommendations from the Registered Dietitian, notify physician and dietitian with further weight loss, failed to update the resident's care plan timely when new weight loss was identified and take action to prevent further weight loss, or identify possible need for adaptive equipment for one sampled resident (Resident #64), which resulted in a 31.6% significant weight loss and severe protein-calorie malnutrition. The facility census was 92. Review of facility policy, Weight…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-12-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure ice machines were free of a buildup of black debris, were equipped with an appropriate air gap and had clean water filters, failed to ensure food items were not stored directly on the floor, failed to ensure food items were closed or sealed properly after use, and failed to ensure a ceiling vent was free of a buildup of debris. The facility census was 89. 1. Review of the facility policy, Ice Machines, revised 6/12/23 showed ice machines should be maintained in a clean and sanitary state following infection prevention and control guidelines. Review of the facility policy, Preventative Maintenance-Ice Machines, revised 1/11/23 showed all ice machines in the facility will be inspected by the in-house maintenance department on a monthly basis and the coils will be cleaned every quarter. 1. Observation on 12/2/24 at 9:39 A.M. of the ice machine inside the kitchen showed a plastic PVC drainpipe sat directly on the floor and made direct contact with the floor drain grate. No air gap was visible. A buildup of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-12-05 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide care in a manner to prevent the development and transmission of diseases and infections for four residents (Residents #41, #55, #293, and #22), in a review of 20 sampled residents, and three additional residents (Resident #30, #80 and #294). Staff failed to utilize Enhanced Barrier Precautions (an infection control intervention that utilizes personal protective equipment to reduce the spread of multi drug-resistant organisms) during personal care for one resident (Resident #55), who had a tracheostomy (an incision in the windpipe made to relieve an obstruction to breathing) tube and a feeding tube (tube inserted into the stomach for nutrition); failed to utilize proper handwashing and gloving when providing incontinence care to one resident (Resident #22); failed to effectively clean a multi-use glucometer (used to check blood sugar levels) according to manufacturer's instructions between each resident for three residents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-04-20 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents on a physician-ordered pureed diet received the appropriate portion size of food items and failed to ensure spreadsheet menus were utilized for all diets to ensure appropriate items and portion sizes were prepared and served. The facility census was 92. Review of the undated facility policy, Tools for Food Preparation, showed the following: -The menu is the primary tool used in food preparation; -It specifies the foods that are to be served on both the regular and therapeutic diets; -It specifies the portion sizes to be served. Review of the undated facility policy, Portioning and Measuring Utensils, showed all items must be measured during preparation and during serving according to recipes and the menu. Review of the undated facility policy, Portion Control, showed in portion control, the correct serving sizes of food items are determined and served, ensuring that the residents receive the recommended daily allowance of the foods specified on the menu. It is very important to provide the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-04-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure sanitary practices in the kitchen. The census was 92. Review of the undated facility policy, Prevention of Foodborne Illness, showed the following: -To ensure that we prepare and serve safe food to our residents, we must consistently practice habits that help prevent foodborne illnesses. These practices must become a way of life in our department; -Avoid scratching, picking or rubbing your head, nose, face, or body surface. If you do so, wash your hands afterward; -Wash your hands after handling soiled dishes or utensils and before handling unwrapped flatware or clean equipment and utensils; -Wash raw vegetables thoroughly, and then wash your hands after washing the vegetables; -Store food in enclosed containers; -Label and date all food appropriately; -Keep equipment clean and in good repair; -Wash and rinse dishes and utensils thoroughly according to the manufacturer's instructions. Record temperatures and ppms (parts per millions) according to facility guidelines. Report any issues with temperatures…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-04-20 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop specific control parameters based on Center for Disease Control (CDC) and American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) standards and failed to complete a facility assessment. The facility did not have a water management team, detailed water flow map, and did not implement the facility's Legionnaire Disease (severe pneumonia like infection caused by contaminated water) policy that instructed staff how to monitor residents for Legionnaire's disease. The facility also failed to ensure staff performed proper hand hygiene when caring for residents when staff failed to wash hands and change gloves during a blood sugar check and food preparation for one resident (Resident #50). The facility failed to ensure one residents' (Resident #66) catheter tubing and catheter bag were free from dragging on the floor when the resident sat in a wheelchair. The facility failed to ensure staff performed proper…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-20 · tag F0557 — pattern
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to treat six residents with dignity (Resident #44, #62, #147, #90, #35 and #83), in a review of 26 sampled residents. The facility census was 92. Review of the facility policy, Dignity, reviewed 9/30/22, showed each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self-esteem, self-worth, and incorporating the resident's goals, preferences, and choices. Staff must respect the resident's individuality as well as, honor and value their input. Review of the facility policy Resident Rights last reviewed 10/6/22 showed a facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his/her quality of life, recognizing each resident's individuality. 1. Review of Resident #44's quarterly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-20 · tag F0561 — failed to honor residents' choices — pattern
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to create an environment respectful of the rights of each resident to make choices about significant aspects of their lives for two residents (Residents #8 and #9) in a review of 14 sampled residents and six additional residents (Residents #21, #18, #16, #19, #17 and #20), who all had diagnosis of dementia, were cognitively impaired, and dependent on staff for assistance with activities of daily living. Staff woke and dressed the residents early in the morning without consideration of the resident's preferences for waking and for staff convenience. The facility census was 81. Review of the facility policy Dignity, revised 9/30/22, showed the following: -Each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self-esteem, self-worth, and incorporating the resident's goals, preferences,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-04-20 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide a safe and homelike environment when it failed to maintain resident rooms and other areas within the facility in good working order. This deficient practice had the potential to affect residents, staff, and visitors of the facility. The census was 92. 1. Observations on 4/10/23 showed the following: -At 10:55 A.M. in occupied room [ROOM NUMBER]-2 gouges to the drywall at the head of the resident's bed. -At 3:30 P.M. in room [ROOM NUMBER]-1 the closet door was held in place in the track with one set of rollers on one side of the door, the other rollers were off the track and the door hung half off the track. Resident #54 resided in the room and said he/she did not know how long it had been off track; -At 11:27 A.M. in room [ROOM NUMBER] an un-made bed with a large urine soiled area covering a large portion of the fitted sheet, a plastic cup and lid on the floor near the bedside table, and clothing piled on the floor in the bathroom;…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-20 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to ensure two residents (Resident #44 and #49), in a review of 26 sampled residents, remained free from misappropriation of property, when the resident's money came up missing and was presumed stolen. The facility also failed to ensure three residents (Resident #10, #82 and #400) medications were not misappropriated, when during a facility investigation of missing narcotics, it was discovered the narcotic medication counts for the residents were incorrect and medications could not be accounted for. The facility census was 92. Review of the facility policy Abuse-Protection of Residents dated 10/4/22 showed: Misappropriation of Property and Exploitation -Misappropriation of resident property is the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's property or money without the resident's consent. -Examples of resident property include money, theft of resident's personal belongings and missing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-20 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide evidence that allegations of abuse and neglect and misappropriation of resident property were thoroughly investigated for five residents (Residents #38, #198, #44, #62 and #49), in a review of 26 sampled residents. The facility census was 92. Review of the facility policy, Abuse-Protection of Residents dated 10/4/22 showed: -It is the policy of this facility to identify abuse, neglect, and exploitation of residents and misappropriation of resident property; -The facility must establish policies and procedures to investigate any such allegations and have evidence that all alleged violations are thoroughly investigated; -The written summary of the investigation should include but is not limited to: A review of the incident report, interview with the person reporting the incident, interviews with any witnesses to the incident, and interview with the resident, if appropriate. It should also include a review of the resident's medical record,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$45,159 in federal fines across 1 penalty.

• $45,159 — penalty dated 2023-12-04

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIFE CARE CENTERS OF AMERICA — 194 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO