Nursing home
Buffalo Prairie Center for Rehab and Healthcare
631 West Main Street, Buffalo, MO 65622 · Map
For profit - Limited Liability company · Part of Prime Healthcare Management (11 facilities) · 60 certified beds
Buffalo Prairie Center for Rehab and Healthcare is a Medicare-certified nursing home in Buffalo, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Oct 7, 2024 cited 28 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Buffalo Prairie Center for Rehab and Healthcare compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.22 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.53 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.39 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 88.5% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 18, 2026 inspection was corrected by February 18, 2026
Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.
What inspectors found at Buffalo Prairie Center for Rehab and Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 18, 2026 · Full report (PDF) - Potential for harm
Provide 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 Deficiencies · Feb 18, 2026 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 6, 2026 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 6, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Feb 6, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Feb 6, 2026 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 22, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 631 West Main Street
Buffalo, MO 65622 - CMS certification #
- 265471
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 49.2
- Provider type
- Medicare and Medicaid
- First certified
- 1991-10-21
- Chain
- Prime Healthcare Management (11 facilities)
- Setting
- Urban
Part of Prime Healthcare Management
Prime Healthcare Management operates 11 nursing facilities across the United States. View all Prime Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Buffalo Prairie Center for Rehab and Healthcare using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2020
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 26, 2020 to Jul 23, 2022. Violations found: Overtime. Back wages: $19,812 owed to 52 employees. Employer as DOL recorded it: Buffalo Prairie Nursing and Rehab (Buffalo Prairie Nursing and Rehab LLC.). Case 1969427.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Citizens Memorial Hospital, Bolivar. 17.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Colonial Springs Healthcare Center, Buffalo. 0.5 miles away, straight line.
- Nearest home health agency office
- Citizens Memorial Home Health, Bolivar. 17.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Pharmacy @ Pleasant Hope. 16.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65622 as rural (rural area).
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 65622.
St Croix Hospice, office in Bolivar, 17.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Citizens Memorial Hospice, office in Bolivar, 17.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Citizens Memorial Healthcare, Bolivar. 15.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Buffalo, MO, risk to homes is greater than 99% of communities in Missouri and 82% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Buffalo Prairie Center for Rehab and Healthcare a good nursing home?
CMS gives Buffalo Prairie Center for Rehab and Healthcare an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Buffalo Prairie Center for Rehab and Healthcare staffed?
Buffalo Prairie Center for Rehab and Healthcare reports 3.22 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Buffalo Prairie Center for Rehab and Healthcare had inspection problems?
Its most recent CMS inspection cited 28 deficiencies.
How many beds does Buffalo Prairie Center for Rehab and Healthcare have?
Buffalo Prairie Center for Rehab and Healthcare is certified for 60 beds.