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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $38,243 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $9,753 was recorded.
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.