nursing home in Puxico, MO
Puxico Nursing and Rehabilitation Center
540 North Highway 51, Puxico, MO 63960 · (573) 222-3125
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Puxico Nursing and Rehabilitation Center at a glance
Puxico Nursing and Rehabilitation Center is a 60-bed for-profit nursing home in Puxico, Missouri (Stoddard County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.9 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (November 17, 2025) found 3 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- May 1, 1992
- Resident/family council
- Resident
- County
- Stoddard County
- CMS Certification Number
- 265496
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.92 hrs | 3.43 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.64 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.58 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.52 hrs | 3.01 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 50% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 103 | 107 | |
| Average residents per day | 36 | 73 | 86 | |
| Occupancy | 60% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.1% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 22.1% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.5% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.1% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.2% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.6% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 82.5% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 35.5% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.5% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 87.9% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 66% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 22.9% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 71.9% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 17, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected December 29, 2025 |
| November 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 29, 2025 |
| November 17, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 29, 2025 |
| November 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 29, 2025 |
| November 17, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected December 29, 2025 |
| July 24, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected September 17, 2024 |
| July 24, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 17, 2024 |
| July 24, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected September 17, 2024 |
| July 24, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected September 17, 2024 |
| July 24, 2024 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected September 17, 2024 |
| July 24, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 17, 2024 |
| July 24, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 17, 2024 |
| July 24, 2024 Standard | 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 · Tag F0728 | D Potential harm, isolated | Corrected September 17, 2024 |
| July 24, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 17, 2024 |
| March 31, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | L Immediate jeopardy, widespread | Corrected May 10, 2023 |
| March 31, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected May 10, 2023 |
| March 31, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 10, 2023 |
| March 31, 2023 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected May 10, 2023 |
| March 31, 2023 Standard | 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 · Tag F0636 | E Potential harm, pattern | Corrected May 10, 2023 |
| March 31, 2023 Standard | 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 10, 2023 |
| March 31, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 10, 2023 |
| March 31, 2023 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected May 10, 2023 |
| March 31, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC Organization | 5% or greater direct ownership interest | 100% | 04/01/1996 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 03/25/2025 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| CALDWELL, FRED Individual | adp of the snf | NOT APPLICABLE | 05/19/2024 |
| CIRCLE B ENTERPRISES HOLDING COMPANY INC Organization | adp of the snf | NOT APPLICABLE | 04/01/1996 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FLEETWOOD, ELAINE Individual | adp of the snf | NOT APPLICABLE | 09/01/2023 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| GARRIS, DELLA Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| KING, BOBBI Individual | adp of the snf | NOT APPLICABLE | 06/15/2024 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2010 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 01/01/2001 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 01/06/1997 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/27/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 01/06/1997 |
| CALDWELL, FRED Individual | operational/managerial control | NOT APPLICABLE | 05/19/2024 |
| FLEETWOOD, ELAINE Individual | operational/managerial control | NOT APPLICABLE | 09/01/2023 |
| GARRIS, DELLA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| KING, BOBBI Individual | operational/managerial control | NOT APPLICABLE | 06/15/2024 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
Other nursing homes near Puxico Nursing and Rehabilitation Center
Prairie View Skilled Nursing
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For-profit · 60 beds · Part of Paradigm Senior Management
★★★★★2Below averageCrowley Ridge Care Center
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★★★★★4Above averageCypress Point-Skilled Nursing By Americare
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For-profit · 79 beds · Part of Americare Senior Living
★★★★★4Above averageMemory Lane of Dexter
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For-profit · 73 beds · Part of Paradigm Senior Management
★★★★★4Above averageAspire Senior Living Advance
315 South Tilley Street, Advance, MO 63730 · 16.6 mi
For-profit · 55 beds · Part of Aspire Senior Living
★★★★★4Above averageOakdale Care Center
2702 Debbie Lane, Poplar Bluff, MO 63901 · 17.7 mi
For-profit · 70 beds · Part of Palladian Healthcare
★★★★★3Average
Frequently asked questions
What is Puxico Nursing and Rehabilitation Center's rating?
Puxico Nursing and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Puxico Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Puxico Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Puxico Nursing and Rehabilitation Center?
It is for profit - individual and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is Puxico Nursing and Rehabilitation Center and how do I contact it?
Puxico Nursing and Rehabilitation Center is at 540 North Highway 51, Puxico, MO 63960. Phone: (573) 222-3125.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.