Nursing home · Puxico, MO
Puxico Nursing and Rehabilitation Center
540 North Highway 51, Puxico, MO 63960 · 60 certified beds · for profit ownership · part of Circle B Enterprises
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 3 problems. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 3 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.92 hours per resident per day here, 14% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.64 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 50% over the past year, 6 points lower than Missouri (56%) and 4 points higher than the U.S. (46%).
How Puxico Nursing and Rehabilitation Center compares
This home's latest CMS figures next to the averages for Dexter-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Dexter area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.92 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.64 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.52 | 3.07 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 50% | 51% | 56% | 46% |
| Registered nurse turnover (past year) | 40% | 41% | 48% | 43% |
| Citations at the most recent standard inspection | 3 | 5.0 | 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 16 of 16 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 17, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Nov 17, 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 | D | Deficient, Provider has date of correction |
| Jul 24, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 24, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 24, 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 | D | Deficient, Provider has date of correction |
| Jul 24, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 24, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 24, 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 |
| Mar 31, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 31, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Mar 31, 2023 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Mar 31, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | D | Deficient, Provider has date of correction |
| Mar 31, 2023 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 31, 2023 | 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 | D | Deficient, Provider has date of correction |
| Mar 31, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Puxico Nursing and Rehabilitation Center
Answers computed from CMS data for this facility.
What is Puxico Nursing and Rehabilitation Center's Medicare rating?
Medicare rates Puxico Nursing and Rehabilitation Center 4 out of 5 stars overall (above average). The average for Dexter-area nursing homes is 3.7, for Missouri 2.51 and for the U.S. 2.99.
How did Puxico Nursing and Rehabilitation Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 3 problems. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 3 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Has Puxico Nursing and Rehabilitation Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Puxico Nursing and Rehabilitation Center accept Medicaid?
Puxico Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Call (573) 222-3125 to ask whether a Medicaid bed is open.
Other nursing homes near Puxico
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.