Putnam County Care Center

1814 Oak Street · Unionville, MO · 63565 · 6609472492

60 certified beds Government - County

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $47,996 in fines in the last 24 months.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 82
Staffing 20% 63
Federal penalties 15% 39
Trend 10% 66
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)3 · $72,664

Inspection citations (24 in the current record)

  • Actual harm · G August 28, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 28, 2025 · 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 September 17, 2025 · Resident Rights

  • Potential for harm · D August 28, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · D August 28, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 3, 2025 · 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 25, 2025 · Quality of Life and Care

  • Immediate jeopardy · J October 22, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · E September 12, 2024

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · E September 12, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · E September 12, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 12, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 12, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · D September 12, 2024

    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 October 18, 2024 · Quality of Life and Care

  • Potential for harm · E September 12, 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 October 18, 2024 · Nursing and Physician Services

  • Potential for harm · D September 12, 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 October 18, 2024 · Pharmacy Service

  • Potential for harm · E September 12, 2024

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected October 18, 2024 · Nutrition and Dietary

  • Potential for harm · E September 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 18, 2024 · Infection Control

  • Actual harm · G June 26, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D December 28, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 30, 2023

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 27, 2023 · Quality of Life and Care

  • Potential for harm · D March 30, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 27, 2023 · Quality of Life and Care

  • Potential for harm · E March 30, 2023

    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 April 27, 2023 · Pharmacy Service

  • Potential for harm · E March 30, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 27, 2023 · Nutrition and Dietary

  • No harm found · B March 30, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected April 27, 2023 · Resident Rights

  • No harm found · B March 30, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected April 27, 2023 · Resident Rights

Federal penalties

DateTypeAmount / length
August 28, 2025Fine$38,243
September 12, 2024Fine$9,753
June 26, 2024Fine$24,668

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 265826 · certified since April 1, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.