PUXICO NURSING AND REHABILITATION CENTER has an overall 3-star rating. Its inspection rating is stronger at 4 stars, but staffing is weak at 1 star with 3.66 nurse hours per resident per day below the 4.1 federal benchmark; it has 0 fines in the last 24 months and recent cited issues included food handling, infection control, and resident assessment.
Last inspection: November 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6592.
Staffing detail
Registered nurses
0.52
Licensed practical nurses
0.66
Nurse aides
2.48
Weekend nursing
3.08
Hours per resident per day.
Total staff turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.5%Improving
Residents with a fall causing major injury
0.7%Worsening
Residents with pressure ulcers (bedsores)
6.6%Improving
Residents with a urinary tract infection
0.8%Worsening
Residents who lost too much weight
2.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.8%Worsening
Residents whose ability to walk got worse
32.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
32.8%Worsening
Short-stay residents newly given an antipsychotic
1.6%Improving
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
23.7%Worsening
Residents with depressive symptoms
74.6%Worsening
Long-stay residents given the seasonal flu vaccine
87.9%Steady
Long-stay residents given the pneumonia vaccine
79.6%Worsening
Short-stay residents given the seasonal flu vaccine
22.9%Steady
Short-stay residents given the pneumonia vaccine
88.2%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 636 — 42 CFR §483.20 — S/S: E
The nursing home failed to update each resident’s assessment at least every three months. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 638 — 42 CFR §483.20 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
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Operator & ownership
Ownership
For profit - Individual
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
38.7 residents on an average day (64% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.