Puxico Nursing and Rehabilitation Center
540 North Highway 51 · Puxico, MO · 63960 · 5732223125
60 certified beds For profit - Individual Chain: Circle B Enterprises
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D November 17, 2025
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 December 29, 2025 · Quality of Life and Care
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Potential for harm · F November 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 29, 2025 · Nutrition and Dietary
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Potential for harm · E November 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 29, 2025 · Infection Control
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Potential for harm · D July 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
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 September 17, 2024 · Nursing and Physician Services
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Potential for harm · D July 24, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 17, 2024 · Pharmacy Service
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Potential for harm · D July 24, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 17, 2024 · Pharmacy Service
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Potential for harm · D July 24, 2024
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected September 17, 2024 · Pharmacy Service
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Potential for harm · D March 31, 2023
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 May 10, 2023 · Resident Rights
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Potential for harm · E March 31, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2023
Assess the resident when there is a significant change in condition
Corrected May 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 31, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected May 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 10, 2023 · Quality of Life and Care
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Potential for harm · F March 31, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 10, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265496 · certified since May 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.