Nursing home · Unionville, MO
Putnam County Care Center
1814 Oak Street, Unionville, MO 63565 · 60 certified beds · government ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Aug 28, 2025, when they cited 4 problems from complaint investigations. The most common area was resident rights (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Sep 12, 2024) it had 10 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.50 hours per resident per day here, about the same as the Missouri average (3.43) and 9% less than the U.S. average (3.86). Registered nurses account for 0.46 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Putnam County Care Center compares
This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).
| This home | Chillicothe area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.50 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.46 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.85 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 56% | 56% | 46% |
| Registered nurse turnover (past year) | — | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 10 | 10.1 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 24 of 24 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Aug 28, 2025 | Keep residents' personal and medical records private and confidential. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Apr 3, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Sep 12, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| Sep 12, 2024 | Keep residents' personal and medical records private and confidential. Resident rights | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 12, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Ensure meals and snacks are served at times in accordance with residentâs needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Sep 12, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 26, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Dec 28, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Mar 30, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Mar 30, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Mar 30, 2023 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 30, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 30, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | B | Deficient, Provider has date of correction |
| Mar 30, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | B | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Aug 28, 2025 | Fine | $38,243 |
| Sep 12, 2024 | Fine | $9,753 |
| Jun 26, 2024 | Fine | $24,668 |
Location
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Reviews
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Questions about Putnam County Care Center
Answers computed from CMS data for this facility.
What is Putnam County Care Center's Medicare rating?
Medicare rates Putnam County Care Center 2 out of 5 stars overall (below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.
How did Putnam County Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Aug 28, 2025, when they cited 4 problems from complaint investigations. The most common area was resident rights (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Sep 12, 2024) it had 10 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Putnam County Care Center been fined?
Yes. CMS reports 3 fines totaling $72,664 in the past three years.
Does Putnam County Care Center accept Medicaid?
Putnam County Care Center is certified for both Medicare and Medicaid. Call (660) 947-2492 to ask whether a Medicaid bed is open.
Other nursing homes near Unionville
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- 3/5Life Care Center of CarrolltonCarrollton · 120 beds
- 3/5Pioneer Skilled Nursing CenterMarceline · 96 beds
Compare all 20 Chillicothe-area nursing homes · · Chillicothe guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.