Buffalo Prairie Center for Rehab and Healthcare
631 West Main Street · Buffalo, MO · 65622 · 4179328040
60 certified beds For profit - Limited Liability company Chain: Prime Healthcare Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
85% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 85% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (66 in the current record)
-
Potential for harm · D February 18, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 18, 2026 · Quality of Life and Care
-
Potential for harm · D February 18, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 18, 2026 · Pharmacy Service
-
Immediate jeopardy · J February 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 2, 2026 · Quality of Life and Care
-
Actual harm · G February 6, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · E February 6, 2026 · found via complaint
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.
Corrected April 2, 2026 · Resident Rights
-
Potential for harm · D February 6, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D February 6, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 2, 2026 · Infection Control
-
Potential for harm · D January 22, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 1, 2026 · Resident Rights
-
Potential for harm · D January 22, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 1, 2026 · Quality of Life and Care
-
Potential for harm · D January 22, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
-
Potential for harm · D January 22, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 1, 2026 · Pharmacy Service
-
Potential for harm · F January 22, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 1, 2026 · Administration
-
Potential for harm · E January 22, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 1, 2026 · Environmental
-
Potential for harm · E January 8, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 19, 2026 · Environmental
-
Potential for harm · D June 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 6, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 6, 2025 · found via complaint
Assess the resident when there is a significant change in condition
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 6, 2025 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 6, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 6, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 6, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 17, 2025 · Pharmacy Service
-
Potential for harm · E May 6, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 17, 2025 · Nutrition and Dietary
-
Potential for harm · D April 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 26, 2025 · Quality of Life and Care
-
Potential for harm · E April 12, 2025 · found via complaint
Ensure 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.
Corrected May 26, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 8, 2026 | Payment Denial | 6 days |
| October 7, 2024 | Payment Denial | 49 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265471 · certified since October 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.