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Nursing home report

PUXICO NURSING AND REHABILITATION CENTER

PUXICO, MO · Medicare-certified · 60 beds

In good standing
For-profitChain member
3 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.6592 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

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.