Puxico, MO

Puxico Nursing And Rehabilitation Center

4-star overall rating with 4-star inspections with $11,164 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

540 North Highway 51, Puxico, MO

(573) 222-3125

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

38

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Circle B Enterprises

Operator or chain grouping

Approved since

1992-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.68

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.89

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,233

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.82

Baseline 81.48% · Performance 74.00% · Measure score 0.82 · Achievement 0 · Improvement 0.82

Adjusted total nurse staffing

1.84

Baseline 3.30 hours · Performance 3.6 hours · Measure score 1.84 · Achievement 1.84 · Improvement 0.70

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.23%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 47 · Observed rate 12.77% · Lower 95% interval 7.62%
Discharge to community	38.45%	50.57% 12.1 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 27.27% · Lower 95% interval 25.44%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 41
Staff flu vaccination coverage	10%	42% 32 pts worse	Numerator 5 · Denominator 50
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	84.8% 6.1 pts better	93.4% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 96.9% · Q3 100.0% · Q4 75.7% · 4Q avg 90.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.9%	90.9% 3 pts worse	95.5% 7.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.9%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	4.1% 4.1 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	62.3%	14.7% 47.6 pts worse	11.4% 50.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.3% · Q2 58.1% · Q3 69.0% · Q4 78.1% · 4Q avg 62.3%
Percentage of long-stay residents who lose too much weight	2.6%	5.5% 2.9 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 3.3% · Q4 0.0% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.9%	25.3% 1.6 pts worse	19.6% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 26.7% · Q3 40.0% · Q4 28.1% · 4Q avg 26.9%
Percentage of long-stay residents who received an antipsychotic medication	24.7%	25.0% 0.3 pts better	16.7% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 30.4% · Q4 21.7% · 4Q avg 24.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	27.5%	20.3% 7.2 pts worse	16.3% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.2%	19.8% 2.4 pts worse	14.9% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 25.9% · Q3 22.2% · Q4 16.1% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	2.6% 1.8 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.7%	18.1% 3.6 pts worse	19.8% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 11.1% · Q3 20.5% · Q4 36.3% · 4Q avg 21.7%
Percentage of long-stay residents with pressure ulcers	6.8%	5.0% 1.8 pts worse	5.1% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 8.8% · Q3 6.8% · Q4 8.6% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.7%	66.4% 29.3 pts better	81.7% 14 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.1% · Q3 97.0% · 4Q avg 95.7%
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	2.2% 0.7 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	22.9%	63.5% 40.6 pts worse	79.7% 56.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 22.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-17 · Fire 2025-11-17

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-31 · Fire 2023-03-31

7 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-17

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-11-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-29

F · Potential for more than minimal harm 2024-07-24

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-07-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-17

F · Potential for more than minimal harm 2024-07-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-17

L · Immediate jeopardy 2023-03-31

K222 · Egress Deficiencies

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.

Corrected 2023-05-10

F · Potential for more than minimal harm 2023-03-31

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-29

E · Potential for more than minimal harm 2025-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-29

D · Potential for more than minimal harm 2025-11-17

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-12-29