Nursing HomeInspections

Puxico Nursing and Rehabilitation Center

Nursing home in Puxico, MO

Medicare & Medicaid certified4★ overall (CMS)

Call (573) 222-3125Send a messageMap ↗

Public-record details

Address
540 North Highway 51, Puxico, MO 63960
Phone
(573) 222-3125
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
265496
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
60
Average residents per day
36
Ownership
For-profit, individual
Legal business name
Puxico #1 INC
Chain
Circle B Enterprises (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1992
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 265496. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 17, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 31, 2023 to Nov 17, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 17, 2025Provide 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		D
Potential for more than minimal harm, isolated
Nov 17, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 17, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jul 24, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Jul 24, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 31, 2023Honor 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		D
Potential for more than minimal harm, isolated
Mar 31, 2023Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 31, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. 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 no fines or payment denials for this facility in the last three years.

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
3.92 hours
Registered nurse (RN) time per resident per day
0.64 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.52 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
40%
Administrators who left in the past year
0

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.