C77

BROOKE HAVEN HEALTHCARE

Grade C 77/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

120

Ownership

Non profit - Corporation

Total Fines

$10,033

Last Survey

N/A

1410 NORTH KENTUCKY AVENUE, WEST PLAINS, MO 65775
4172567975

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.39h
LPN
0.85h
CNA
2.94h
Total
4.17h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WILLOW HEALTH CARE INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2003

100%

WILLOW HEALTH CARE INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2003

ALTER, SHIRLEY

IndividualCORPORATE DIRECTORSince Jul 2019

AUALA, ELQUIN

IndividualCORPORATE DIRECTORSince May 2004

OGDEN, JAMES

IndividualCORPORATE DIRECTORSince May 2004

MILLER, SHERRY

IndividualCORPORATE OFFICERSince Sep 2009

ALTER, SHIRLEY

IndividualW-2 MANAGING EMPLOYEESince Jul 2019

CLARK, SHEILA

IndividualW-2 MANAGING EMPLOYEESince Dec 2010

MILLER, SHERRY

IndividualW-2 MANAGING EMPLOYEESince Sep 2009

WILLIAMSON, JACKIE

IndividualW-2 MANAGING EMPLOYEESince Oct 2009

Penalties & Fines (1)

$10,033total fines
DateTypeDescriptionAmount
Dec 6, 2024Fine$10,033

Health Inspection Deficiencies (24)

December 6, 2024Health15 deficiencies1 severe
0570DMinimal harm, Isolated

Assure the security of all personal funds of residents deposited with the facility.

Resident Rights Deficiencies

Corrected Jan 15, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 15, 2025
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 15, 2025
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 15, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jan 15, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 15, 2025
0699DMinimal harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Jan 15, 2025
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jan 15, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 15, 2025
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 15, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 15, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 15, 2025
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jan 15, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 15, 2025
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jan 15, 2025
March 1, 2024Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 9, 2024
July 12, 2023Health1 deficiency
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 26, 2023
July 6, 2023Health5 deficiencies
0584EMinimal harm, 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.

Resident Rights Deficiencies

Corrected Aug 20, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 20, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 20, 2023
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Aug 20, 2023
0600DMinimal harm, Isolated

Protect 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 Deficiencies

Corrected Aug 20, 2023
June 6, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 17, 2023
March 9, 2020Health1 deficiency
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 17, 2020

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Frequently Asked Questions

What is the CareGrader rating for BROOKE HAVEN HEALTHCARE?

BROOKE HAVEN HEALTHCARE in WEST PLAINS, Missouri has a CareGrader grade of C (Average), with a composite score of 76.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BROOKE HAVEN HEALTHCARE?

BROOKE HAVEN HEALTHCARE has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BROOKE HAVEN HEALTHCARE have?

BROOKE HAVEN HEALTHCARE has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BROOKE HAVEN HEALTHCARE been fined?

Yes. BROOKE HAVEN HEALTHCARE has $10,033 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BROOKE HAVEN HEALTHCARE have?

BROOKE HAVEN HEALTHCARE has 120 certified beds with approximately 64 current residents (53% occupancy). The facility is located at 1410 NORTH KENTUCKY AVENUE, WEST PLAINS, Missouri 65775. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.