Nursing HomeInspections

Buffalo Prairie Center for Rehab and Healthcare

Nursing home in Buffalo, MO

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (417) 932-8040Send a messageMap ↗

Public-record details

Address
631 West Main Street, Buffalo, MO 65622
Phone
(417) 932-8040
Listed under
For-profit
Medicare CCN
265471
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
60
Average residents per day
41
Ownership
For-profit, limited Liability company
Legal business name
Buffalo Prairie Nursing and Rehab LLC
Chain
Blue Sky Basin, LLC (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 21, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265471. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 7, 2024. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2019 to Feb 18, 2026): 30 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Feb 18, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 18, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 6, 2026Provide 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 6, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 6, 2026Honor 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 · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 6, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Feb 6, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Jan 22, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 22, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 22, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 22, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 66. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $92,080 and 2 denials of Medicare payment for new admissions in the last three years.

Jan 8, 2026Fine: $92,080
Jan 8, 2026Payment denial for 6 days from Mar 27, 2026
Oct 7, 2024Payment denial for 49 days from Jan 7, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.03 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
2.76 hours
Total nurse staffing on weekends
3.82 hours
Nursing staff turnover (yearly)
77%
RN turnover (yearly)
88%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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