Federal inspection record · CMS data as of October 1, 2026
Buffalo Prairie Center For Rehab And Healthcare
631 West Main Street, Buffalo, MO · (417) 932-8040
- Special Focus Facility
- Certified beds
- 60
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Blue Sky Basin, LLC
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 21, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Buffalo Prairie Center For Rehab And Healthcare carries 405.75 inspection points. That is fewer than 3% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
66 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning11E
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service9E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- E
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.
Resident Rights9E
- E
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
Administration4F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Environmental4F
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary4F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services4F
- E
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.
- F
Have 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.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2024-10-07
29 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2022-12-13
31 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (9 deficiencies)
2019-11-08
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 14 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 80% of nursing staff and 100% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$59,852 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-08 | Fine | $59,852 |
| 2026-01-08 | Payment Denial · 6 day denial | $0 |
| 2024-10-07 | Payment Denial · 49 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.9 pts worse | 4.1 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.7 pts better | 97.7% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 4.5% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts worse | 40.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.8 pts worse | 10.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.3 pts worse | 43.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8 pts worse | 31.5% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 17.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse | 17.9% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse | 2.2% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 2.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 17.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 2.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.9 pts better | 86.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.9 pts worse | 6.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.8 pts better | 86.2% | 61.4% | 80.1% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 631 W Main Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Beckenholdt, Deanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Beckenholdt, Deanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bruce, Leland | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Cavero, Fernando | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Cavero, Fernando | Adp Of The SNF · Individual | 0% | 5 facilities |
| Gaytan, Lucy | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Harris, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Harris, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hixson, Brooke | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Ramos, Brian | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Ramos, Brian | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Ramos, Brian | Adp Of The SNF · Individual | 0% | 9 facilities |
| Strawberry Fields Reit Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Strawberry Fields Reit Ltd | Adp Of The SNF · Organization | 0% | 5 facilities |
| Thuet, Daniel | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Tide Health Group LLC | Direct Ownership Interest · Organization | 0% | 5 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1E
- E
Use approved construction type or materials.
Emergency Preparedness1D
- D
Establish emergency prep training and testing.
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Other homes nearby
-
Colonial Springs Healthcare Center
Buffalo, MO · Citizens Memorial Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Parkview Health Care Facility
Bolivar, MO · Citizens Memorial Health Care
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
Citizens Memorial Healthcare Facility
Bolivar, MO · Citizens Memorial Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0