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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owner Adam Knapp and administrator Kyle Jones lead the operations at Brookhaven Nursing & Rehab, a 90-bed skilled nursing center located on West Mt. Vernon Street in Springfield, Missouri. The administrative team handles billing through traditional payment options, routing care expenses through private insurance, Medicaid, and Medicare. Family members planning visits will find a highly pedestrian-friendly neighborhood scoring 94 out of 100 for walkability, making it easy to run small errands or walk to nearby services without needing a vehicle.
The facility operates at roughly 78 percent occupancy, with resident stays averaging 116 days. This operational timeline indicates a daily routine centered on short-term post-hospital therapy tracks and orthopedic recovery loops rather than permanent residential stays. To monitor individual medical treatments, the 24-hour shift schedule delivers an average of 4 hours and 47 minutes of total nursing care per resident each day, with on-site physicians coordinating care alongside registered nurses, practical nurses, and aides.
Files preserved by state regulatory agencies detail how the 17-year-old building aligns with public health codes. Inspection summaries show that past surveys noted specific procedural areas needing correction, including medication management habits, clinical infection control protocols, general staff conduct rules, and care documentation records, keeping the overall citation rate above zero.
Older adults can look over the on-site physical and occupational therapy setups, specialized neurological recovery tracks, and dedicated Alzheimer’s care wings. The campus rounds out its medical programming with contracted hospice services, an in-house dietitian, regular local transportation, and managed laundry assistance.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 35th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 29m per day | ▼ 30% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 5m per day | ▲ 32% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 25m per day | ▲ 12% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 67% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ■ Avg State avg: 20m per day · National avg: 29m per day |
Higher than the Missouri average: 66.6%Brookhaven Nursing &Amp; Rehab is legally operated by N & R Of Brookhaven, Llc, and administrated by Kyle Jones.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 107 | 35 | This facility has 206% more total deficiencies than a typical Missouri nursing home (107 vs. MO avg 35).↑ 206% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 17.8 | 5.8 | This facility has 207% more deficiencies per year than a typical Missouri nursing home (17.8 vs. MO avg 5.8).↑ 207% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.3 | 5 | This facility has 14% fewer deficiencies per inspection than a typical Missouri nursing home (4.3 vs. MO avg 5).↓ 14% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 25 | 7 | This facility has 257% more total inspections than a typical Missouri nursing home (25 vs. MO avg 7).↑ 257% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Sep 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 36 citations resulted from standard inspections; 7 of 36 resulted from complaint investigations; and 3 of 36 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
31% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
All 30 CNA Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,095 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 0 | 30 | 8,098 | 92 | 100% | 8.5 |
| Nurse Aide in Training | 14 | 0 | 14 | 3,922 | 92 | 100% | 8.3 |
| Medication Aide/Technician | 13 | 0 | 13 | 3,283 | 92 | 100% | 8 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,816 | 91 | 99% | 10.2 |
| Registered Nurse | 4 | 0 | 4 | 1,268 | 79 | 86% | 10 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 583 | 68 | 74% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 566 | 65 | 71% | 8.7 |
| Dietitian | 1 | 0 | 1 | 506 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 485 | 62 | 67% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 478 | 61 | 66% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 64 | 70% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 456 | 67 | 73% | 5.2 |
| Dental Services Staff | 1 | 0 | 1 | 434 | 64 | 70% | 6.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 402 | 62 | 67% | 6.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 55 | 27 | 29% | 2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 52 | 27 | 29% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 51 | 6 | 7% | 8.5 |
| Qualified Social Worker | 0 | 4 | 4 | 24 | 16 | 17% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 5 | 5% | 3.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
44% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.5
46% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
9.3%
55% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.1%
44% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
14% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.1%
78% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
7.6%
181% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
4.9%
12% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
5.8%
55% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
38.7%
76% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
20% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
9% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
17% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
10% worse than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
2% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
75% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brookhaven Nursing &Amp; Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #175 / 286Payroll — State benchmarkedThis home is ranked 175th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Springfield's city center to Brookhaven Nursing &Amp; Rehab's address, calculated via Google Maps.
Add your location
Brookhaven Nursing &Amp; Rehab is located in SPRINGFIELD, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Wilson’s Creek Nursing &Amp; Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | 172
Facility
172
MO AVG
97
Rank
#33 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 3.87
Facility
3.87
MO AVG
3.74
Rank
#111 / 276 | +46% | +3% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 21
Facility
21
MO AVG
36.5
Rank
#80 / 281 | 5.3
Facility
5.3
MO AVG
5.7
Rank
#149 / 281 | 1 | 128 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Michael Huffman | $8.3M
Facility
$8.3M
MO AVG
$8.4M
Rank
#96 / 286 | $4.6M
Facility
$4.6M
MO AVG
$3.3M
Rank
#90 / 286 | 55%
Facility
55%
MO AVG
45.6%
Rank
#139 / 286 | 265161 | ||||
| The Manor at Elfindale |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Fassnight) | 100
Facility
100
MO AVG
97
Rank
#177 / 454 |
93.0%
Facility
93.0%
MO AVG
66.6%
Rank
#26 / 428 | +40% | 5.08
Facility
5.08
MO AVG
3.74
Rank
#26 / 276 | -1% | +36% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 3
Facility
3
MO AVG
36.5
Rank
#1 / 281 | 3.0
Facility
3.0
MO AVG
5.7
Rank
#23 / 281 | - | 93 | A+ |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Vetter Senior Living | $13.3M
Facility
$13.3M
MO AVG
$8.4M
Rank
#51 / 286 | $8.1M
Facility
$8.1M
MO AVG
$3.3M
Rank
#22 / 286 | 60.8%
Facility
60.8%
MO AVG
45.6%
Rank
#84 / 286 | 265804 | ||||
| Brookhaven Nursing &Amp; Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
77.8%
Facility
77.8%
MO AVG
66.6%
Rank
#130 / 428 | +17% | 4.79
Facility
4.79
MO AVG
3.74
Rank
#35 / 276 | -44% | +28% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 36
Facility
36
MO AVG
36.5
Rank
#173 / 281 | 6.0
Facility
6.0
MO AVG
5.7
Rank
#180 / 281 | - | 70 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Adam Knapp | $5.6M
Facility
$5.6M
MO AVG
$8.4M
Rank
#178 / 286 | $3.1M
Facility
$3.1M
MO AVG
$3.3M
Rank
#175 / 286 | 55.3%
Facility
55.3%
MO AVG
45.6%
Rank
#135 / 286 | 265835 | ||||
| James River Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
80.0%
Facility
80.0%
MO AVG
66.6%
Rank
#84 / 428 | +20% | 3.74
Facility
3.74
MO AVG
3.74
Rank
#141 / 276 | -56% | 0% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 28
Facility
28
MO AVG
36.5
Rank
#124 / 281 | 4.7
Facility
4.7
MO AVG
5.7
Rank
#112 / 281 | - | 94 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Jrnrc Ops Inc | $12.2M
Facility
$12.2M
MO AVG
$8.4M
Rank
#60 / 286 | $5.3M
Facility
$5.3M
MO AVG
$3.3M
Rank
#70 / 286 | 43.9%
Facility
43.9%
MO AVG
45.6%
Rank
#231 / 286 | 265664 | ||||
| Springfield Villa |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Springfield (Downtown Springfield) | 146
Facility
146
MO AVG
97
Rank
#62 / 454 |
84.2%
Facility
84.2%
MO AVG
66.6%
Rank
#84 / 428 | +26% | 4.17
Facility
4.17
MO AVG
3.74
Rank
#75 / 276 | -70% | +12% | $69.6k
Facility
$69.6k
MO AVG
$76.9k
Rank
#1 / 283 | 36
Facility
36
MO AVG
36.5
Rank
#173 / 281 | 3.3
Facility
3.3
MO AVG
5.7
Rank
#34 / 281 | 3 | 123 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | N & R Of Springfield Montclair, LLC | $7.4M
Facility
$7.4M
MO AVG
$8.4M
Rank
#118 / 286 | $4.5M
Facility
$4.5M
MO AVG
$3.3M
Rank
#101 / 286 | 60.2%
Facility
60.2%
MO AVG
45.6%
Rank
#94 / 286 | 265814 |
Brookhaven Nursing &Amp; Rehab is in the Downtown Springfield neighborhood of SPRINGFIELD.
The legal owner and operator of Brookhaven Nursing &Amp; Rehab is N & R Of Brookhaven, Llc.
Brookhaven Nursing &Amp; Rehab has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to MO state health department records, Brookhaven Nursing &Amp; Rehab's license number is 053552.
According to MO state health department records, Brookhaven Nursing &Amp; Rehab's license expires on April 20, 2028.
Brookhaven Nursing &Amp; Rehab's occupancy is 78%.
Kyle Jones is the administrator of Brookhaven Nursing &Amp; Rehab.
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