Nursing home
Puxico Nursing and Rehabilitation Center
540 North Highway 51, Puxico, MO 63960 · Map
For profit - Individual · Part of Circle B Enterprises (29 facilities) · 60 certified beds
Puxico Nursing and Rehabilitation Center is a Medicare-certified nursing home in Puxico, Missouri. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.89 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 17, 2025 cited 3 deficiencies.
- 1 fine totaling $11,164In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Puxico Nursing and Rehabilitation Center 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) | 3.89 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.68 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 53.3% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 12.0 | 9.5 | below 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 November 17, 2025 inspection was corrected by December 29, 2025
Penalties in CMS records: 1 fine totaling $11,164, 1 total penalty.
What inspectors found at Puxico Nursing and Rehabilitation Center
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 17, 2025 · 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 · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 24, 2024 · Full report (PDF)
Show all 12 deficiencies
- 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 · Jul 24, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 31, 2023 - Potential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Mar 31, 2023 - Potential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Mar 31, 2023
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
- 540 North Highway 51
Puxico, MO 63960 - CMS certification #
- 265496
- Ownership
- For profit - Individual
- Certified beds
- 60
- Avg residents/day
- 37.8
- Provider type
- Medicare and Medicaid
- First certified
- 1992-05-01
- Chain
- Circle B Enterprises (29 facilities)
- Setting
- Rural
Part of Circle B Enterprises
Circle B Enterprises operates 29 nursing facilities across the United States. View all Circle B Enterprises facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Puxico Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Puxico Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite/Hospice
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Respite/Hospice
(page, checked Oct 15, 2026) - Provides transportation.
We offer transportation to and from physician visits and also provide a full calendar of activities that are sure to meet the needs of our residents.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Stoddard, Dexter. 14.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Prairie View Skilled Nursing, Bloomfield. 13.1 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Dexter. 14.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Key Drugs. 19.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63960 as rural (rural area).
- Dialysis within 15 miles
- Davita Dexter Dialysis, Dexter, 13.9 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63960.
Elara Caring, office in Dexter, 14.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Ozark Hospice, office in Poplar Bluff, 19.2 miles away, straight line
Crown Hospice, office in Poplar Bluff, 20.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Southeastern Physician Services PC, Union City. 72.0 miles away, straight line. 2 geriatric medicine doctors 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
- FEMA has a flood map for this community (effective July 17, 1986), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively high. 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 |
| The community’s own website | See above |
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Frequently asked questions
Is Puxico Nursing and Rehabilitation Center a good nursing home?
CMS gives Puxico Nursing and Rehabilitation Center an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Puxico Nursing and Rehabilitation Center staffed?
Puxico Nursing and Rehabilitation Center reports 3.89 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Puxico Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Puxico Nursing and Rehabilitation Center have?
Puxico Nursing and Rehabilitation Center is certified for 60 beds.