BROOKE HAVEN HEALTHCARE

WEST PLAINS, MO · 120 beds · Non profit - Corporation

47 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
15
1.2x state avg
Deficiencies
$10,033
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 5, 2024

15 deficiencyies
F0570 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0661 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0732 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0814 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Dispose of garbage and refuse properly.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

February 29, 2024

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

July 11, 2023

1 deficiency
F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

July 5, 2023

3 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

See full violation history →

Staffing

0.39
RN hrs/res/day
0.85
LPN hrs/res/day
2.94
CNA hrs/res/day
3.59
Weekend hrs/res/day
51%
Total nurse turnover
69%
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

  • Fine Dec 5, 2024
    $10,033
Total $10,033

Ownership

Non profit - Corporation Independent (not part of a chain)
  • WILLOW HEALTH CARE INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2003

    100% Organization
  • WILLOW HEALTH CARE INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2003

    Organization
  • ALTER, SHIRLEY

    CORPORATE DIRECTOR

    Since since 07/02/2019

    Individual
  • AUALA, ELQUIN

    CORPORATE DIRECTOR

    Since since 05/11/2004

    Individual
  • OGDEN, JAMES

    CORPORATE DIRECTOR

    Since since 05/11/2004

    Individual
  • MILLER, SHERRY

    CORPORATE OFFICER

    Since since 09/01/2009

    Individual
  • ALTER, SHIRLEY

    W-2 MANAGING EMPLOYEE

    Since since 07/02/2019

    Individual
  • CLARK, SHEILA

    W-2 MANAGING EMPLOYEE

    Since since 12/01/2010

    Individual
  • MILLER, SHERRY

    W-2 MANAGING EMPLOYEE

    Since since 09/01/2009

    Individual
  • WILLIAMSON, JACKIE

    W-2 MANAGING EMPLOYEE

    Since since 10/14/2009

    Individual

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