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Nursing home report

Puxico Nursing Center

Registered name: PUXICO NURSING AND REHABILITATION CENTER

PUXICO, MO · Medicare-certified · 60 beds

In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Puxico Nursing Center in Puxico, MO has an overall 4-star rating, with stronger health inspection results (4 stars) but weaker staffing and quality measures (both 2 stars). Reported nurse staffing is 3.92 hours per resident per day, just below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.918 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 3.918.

Staffing detail

Registered nurses
0.64
Licensed practical nurses
0.70
Nurse aides
2.58
Weekend nursing
3.52

Hours per resident per day.

Total staff turnover: 50%
Registered nurse turnover: 40%

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

28.6%17.4%Improving

Residents with a fall causing major injury

0%8.3%Worsening

Residents with pressure ulcers (bedsores)

6.8%2.6%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.3%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.2%10.7%Improving

Residents whose ability to walk got worse

27.2%

Long-stay residents on antianxiety or sleep medication

40%37.9%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%3.6%Worsening

Residents with new or worsening incontinence

20.5%11%Improving

Residents with depressive symptoms

69%90.3%Worsening

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

87.9%

Long-stay residents given the pneumonia vaccine

100%41.7%Worsening

Short-stay residents given the seasonal flu vaccine

22.9%

Short-stay residents given the pneumonia vaccine

97%42.9%Worsening

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
36 residents on an average day (60% 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.