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.
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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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.