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Nursing home report

PUTNAM COUNTY CARE CENTER

UNIONVILLE, MO · Medicare-certified · 60 beds

Needs attention
Government-run
2 of 5 overall

PUTNAM COUNTY CARE CENTER (Unionville, MO) has an overall rating of 2 out of 5 stars, with 2-star health inspection, staffing, and quality ratings. It also has a recent federal penalty, $72,664 in fines over the last 24 months, and reported nurse staffing of 3.47 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.4744 hrs/resident/day

Quality measures

Last inspection: August 28, 2025Penalties, last 24 months: $72,664recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4744.

Staffing detail

Registered nurses
0.53
Licensed practical nurses
0.34
Nurse aides
2.61
Weekend nursing
2.91

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.1%19.5%Worsening

Residents with a fall causing major injury

3.6%3.4%No change

Residents with pressure ulcers (bedsores)

6.5%3.8%Improving

Residents with a urinary tract infection

3.7%3.5%No change

Residents who lost too much weight

13%9.3%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.7%9.8%Improving

Residents whose ability to walk got worse

19.9%9.1%Improving

Long-stay residents on antianxiety or sleep medication

29.1%29.1%No change

Residents with a long-term catheter

3.3%2.9%No change

Residents with new or worsening incontinence

9.6%14.7%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

91.4%

Long-stay residents given the pneumonia vaccine

96.4%93.1%Worsening

Short-stay residents given the pneumonia vaccine

60%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to keep residents’ personal and medical records private and confidential. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 583 — 42 CFR §483.10 — S/S: E

The home failed to properly protect residents’ personal money that was kept by the facility. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 570 — 42 CFR §483.10 — S/S: E

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $38,243 was recorded.

  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $9,753 was recorded.

  7. PENALTY

    A federal fine of $24,668 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $72,664 in total fines.

  • Federal fine

    Aug 28, 2025

    $38,243
  • Federal fine

    Sep 12, 2024

    $9,753
  • Federal fine

    Jun 26, 2024

    $24,668

Operator & ownership

Ownership
Government - County
Occupancy
56.7 residents on an average day (94% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 17 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.