Senior CareScorecard

Nursing home · Buffalo, MO

Buffalo Prairie Center for Rehab and Healthcare

631 West Main Street, Buffalo, MO 65622 · 60 certified beds · for profit ownership · part of Blue Sky Basin

Medicare & MedicaidFined $59,852 in 3 yearsSpecial Focus Facility candidate
Medicare overall rating1 / 5Much below averageOsage Beach area 2.7 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Feb 18, 2026, when they cited 2 problems from complaint investigations. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Oct 7, 2024) it had 29 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 4.03 hours per resident per day here, 17% more than the Missouri average (3.43) and 4% more 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. Nursing staff turnover was 77% over the past year, 21 points higher than Missouri (56%) and 31 points higher than the U.S. (46%).

How Buffalo Prairie Center for Rehab and Healthcare compares

This home's latest CMS figures next to the averages for Osage Beach-area homes (19), Missouri (487) and the U.S. (14,680).

This homeOsage Beach areaMissouriU.S.
Total nurse hours per resident per day4.033.543.433.86
Registered nurse hours per resident per day0.460.680.460.68
Weekend nurse hours per resident per day3.823.093.013.42
Nursing staff turnover (past year)77%60%56%46%
Registered nurse turnover (past year)88%45%48%43%
Citations at the most recent standard inspection2910.411.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Feb 18, 20262complaint
Feb 6, 20265complaint · 2 harm-level citations
Jan 22, 20266complaint
Jan 8, 20261complaint
Jun 3, 20252complaint
May 6, 20257complaint
Apr 12, 20253complaint
Jan 14, 20251complaint
Nov 25, 20242complaint
Oct 7, 202415standard
Dec 27, 20231complaint
Dec 13, 202216standard
Nov 8, 20195standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 66 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Feb 18, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Feb 18, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Feb 6, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
J immediate jeopardyDeficient, Provider has date of correction
Feb 6, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Feb 6, 2026Honor 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 · complaint
EDeficient, Provider has date of correction
Feb 6, 2026Provide 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
DDeficient, Provider has date of correction
Feb 6, 2026Provide and implement an infection prevention and control program.
Infection control · complaint
DDeficient, Provider has date of correction
Jan 22, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jan 22, 2026Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Jan 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jan 22, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Jan 22, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint
EDeficient, Provider has date of correction
Jan 22, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint
FDeficient, Provider has date of correction
Jan 8, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint
EDeficient, Provider has date of correction
Jun 3, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Jun 3, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 6, 2025Develop 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 · complaint
DDeficient, Provider has date of correction
May 6, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
May 6, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
May 6, 2025Assess the resident when there is a significant change in condition
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
May 6, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary · complaint
EDeficient, Provider has date of correction
May 6, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service · complaint
EDeficient, Provider has date of correction
May 6, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Apr 12, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Apr 12, 2025Ensure 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 · complaint
EDeficient, Provider has date of correction
Apr 12, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint
FDeficient, Provider has date of correction
Jan 14, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint
FDeficient, Provider has date of correction
Nov 25, 2024Provide enough food/fluids to maintain a resident's health.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 25, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint
EDeficient, Provider has date of correction
Oct 7, 2024Ensure 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
EDeficient, Provider has date of correction
Oct 7, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Oct 7, 2024Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Oct 7, 2024Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 7, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration
FDeficient, Provider has date of correction
Oct 7, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services
FDeficient, Provider has date of correction
Oct 7, 2024Implement a program that monitors antibiotic use.
Infection control
FDeficient, Provider has date of correction
Oct 7, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning
DDeficient, Provider has date of correction
Oct 7, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident assessment and care planning
DDeficient, Provider has date of correction
Oct 7, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
EDeficient, Provider has date of correction
Oct 7, 2024Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Jan 8, 2026Fine$59,852
Jan 8, 2026Payment Denial6 days
Oct 7, 2024Payment Denial49 days

Location

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Questions about Buffalo Prairie Center for Rehab and Healthcare

Answers computed from CMS data for this facility.

What is Buffalo Prairie Center for Rehab and Healthcare's Medicare rating?

Medicare rates Buffalo Prairie Center for Rehab and Healthcare 1 out of 5 stars overall (much below average). The average for Osage Beach-area nursing homes is 2.7, for Missouri 2.51 and for the U.S. 2.99.

How did Buffalo Prairie Center for Rehab and Healthcare do on its last inspection?

Inspectors' most recent visit in the CMS data was on Feb 18, 2026, when they cited 2 problems from complaint investigations. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Oct 7, 2024) it had 29 citations, compared with an average of 10.4 for Osage Beach-area homes, 11.4 in Missouri and 9.2 nationally.

Has Buffalo Prairie Center for Rehab and Healthcare been fined?

Yes. CMS reports 1 fine totaling $59,852 in the past three years.

Does Buffalo Prairie Center for Rehab and Healthcare accept Medicaid?

Buffalo Prairie Center for Rehab and Healthcare is certified for both Medicare and Medicaid. Call (417) 932-8040 to ask whether a Medicaid bed is open.

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.