Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GOLDEN AGE NURSING HOME

BRAYMER, MO · 83 certified beds · Last Life Safety survey September 4, 2025

CMS Certification Number 265718 · first certified May 2001

Ownership

Independently operated (no chain recorded by CMS) · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

42 citations — more than 94% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 19. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was September 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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7 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 42 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 42 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	42
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 12, 2023	25
September 3, 2024	13
September 4, 2025	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0324	Provide properly protected cooking facilities.	3	2025-09-04
K-0920	Ensure proper usage of power strips and extension cords.	3	2025-09-04
K-0712	Have simulated fire drills held at unexpected times.	2	2024-09-03
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	2	2024-09-03
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-09-03
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-09-03
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-09-03
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2024-09-03

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Emergency Preparedness Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 5
Other 9

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Emergency Preparedness Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	5
Services Deficiencies	3
Egress Deficiencies	3
Electrical Deficiencies	2
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 4, 2025 — 4 citations

Citations issued on September 4, 2025
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 17, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 17, 2025)
K-0523	Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.	Deficient, Provider has date of correction (October 17, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 17, 2025)

September 3, 2024 — 13 citations

Citations issued on September 3, 2024
Tag	What the surveyor checks	Status
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 25, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (October 25, 2024)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (October 25, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 25, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 25, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 25, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 25, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (October 25, 2024)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (October 25, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 25, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 25, 2024)

January 12, 2023 — 25 citations

Citations issued on January 12, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 26, 2023)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (February 26, 2023)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (February 26, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (February 26, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (February 26, 2023)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (February 26, 2023)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 26, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 26, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has plan of correction (February 26, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 8, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 26, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 26, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 26, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 26, 2023)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (February 26, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 26, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 26, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 26, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 26, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 26, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has plan of correction (February 26, 2023)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (February 26, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has plan of correction (February 26, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 26, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 26, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.