Buffalo Prairie Center for Rehab and Healthcare

631 West Main Street, Buffalo, MO 65622 (opens Google Maps) · Dallas County · (417) 932-8040· 60 certified beds · avg 41 residents/day · certified since Oct 21, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

SFF Candidate

What Special Focus status means →

Part of chain: BLUE SKY BASIN, LLC (5 facilities, chain avg rating 1.4★)

1/5

Health inspection rating (on-site)

inspected Oct 7, 2024

Serious findings on record

most recent Feb 6, 2026

$92,080

Fines, last 3 years

3.69

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Feb 6, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 2, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Feb 6, 2026 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 2, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 66 inspection findings. Open the full record below to read every finding.

Feb 18, 2026D · Potential for more than minimal harm, isolated
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint F-0678
Feb 18, 2026D · Potential for more than minimal harm, isolated
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint F-0755
Feb 6, 2026J · Immediate jeopardy, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

View all 66 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Feb 18, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
Feb 18, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Feb 6, 2026	▲ J · Immediate jeopardy, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 6, 2026	▲ G · Actual harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Feb 6, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Feb 6, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690
Feb 6, 2026	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jan 22, 2026	F · Potential for more than minimal harm, widespread	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Jan 22, 2026	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Jan 22, 2026	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Jan 22, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jan 22, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 22, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Jan 8, 2026	E · Potential for more than minimal harm, pattern	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Jun 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jun 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
May 6, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
May 6, 2025	E · Potential for more than minimal harm, pattern	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804
May 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint · F-0636
May 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint · F-0637
May 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint · F-0640
May 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655
May 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Apr 12, 2025	F · Potential for more than minimal harm, widespread	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Apr 12, 2025	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint · F-0728
Apr 12, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jan 14, 2025	F · Potential for more than minimal harm, widespread	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Nov 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Nov 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Oct 7, 2024	F · Potential for more than minimal harm, widespread	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Oct 7, 2024	F · Potential for more than minimal harm, widespread	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Oct 7, 2024	F · Potential for more than minimal harm, widespread	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Oct 7, 2024	F · Potential for more than minimal harm, widespread	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 7, 2024	F · Potential for more than minimal harm, widespread	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Oct 7, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Oct 7, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 7, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Oct 7, 2024	E · Potential for more than minimal harm, pattern	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Oct 7, 2024	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Oct 7, 2024	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Oct 7, 2024	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Oct 7, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 7, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Oct 7, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 27, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Dec 13, 2022	F · Potential for more than minimal harm, widespread	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Dec 13, 2022	F · Potential for more than minimal harm, widespread	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Dec 13, 2022	F · Potential for more than minimal harm, widespread	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Dec 13, 2022	F · Potential for more than minimal harm, widespread	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678
Dec 13, 2022	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Dec 13, 2022	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Dec 13, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Dec 13, 2022	D · Potential for more than minimal harm, isolated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640
Dec 13, 2022	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Dec 13, 2022	C · Potential for minimal harm, widespread	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Nov 8, 2019	F · Potential for more than minimal harm, widespread	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Nov 8, 2019	E · Potential for more than minimal harm, pattern	The facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570
Nov 8, 2019	D · Potential for more than minimal harm, isolated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Nov 8, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Nov 8, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (16 → 15).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2019

2022

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2019	5	0	F
2022	16	0	F
2023	1	0	D
2024	17	0	F
2025	13	0	F
2026	14	2	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $92,080, plus 2 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Jan 8, 2026	Fine	$92,080
Jan 8, 2026	Payment Denial	6 days from Mar 27, 2026
Oct 7, 2024	Payment Denial	49 days from Jan 7, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityMissouri averageU.S. average

Total nurse staffing (hours per resident per day)

3.69

3.66

3.95

Registered Nurse hours

0.42

0.49

0.69

Weekend total nurse staffing

3.50

3.22

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.69	3.66	3.95	top 46% in Missouri; bottom 46% in the U.S.
Registered Nurse hours	0.42	0.49	0.69	top 50% in Missouri; bottom 25% in the U.S.
Weekend total nurse staffing	3.50	3.22	3.50	top 34% in Missouri; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.33	0.48	top 20% in Missouri; top 47% in the U.S.
Total nursing staff turnover (%)	77.2	56.0	45.8	bottom 7% in Missouri; bottom 3% in the U.S.
RN turnover (%)	87.5	47.8	42.9	bottom 5% in Missouri; bottom 3% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.03, RN 0.46, weekend 3.82.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.03 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Buffalo Prairie Center for Rehab and Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Blue Sky Basin LLC	Organization	5% or Greater Direct Ownership Interest	67%	08/31/2021
DKDP Missouri LLC	Organization	5% or Greater Direct Ownership Interest	23%	08/31/2021
Dkyh Missouri LLC	Organization	5% or Greater Direct Ownership Interest	10%	08/31/2021
Sloans Lake Trust	Organization	5% or Greater Indirect Ownership Interest	63%	08/31/2021
Berger, Eliot	Individual	Corporate Director	NOT APPLICABLE	08/31/2021
Burns, Karen	Individual	W-2 Managing Employee	NOT APPLICABLE	08/31/2021
Perlow, Bernard	Individual	Corporate Director	NOT APPLICABLE	08/31/2021
Stern, Samuel	Individual	Corporate Officer	NOT APPLICABLE	01/01/2023

All 8 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Blue Sky Basin, LLC — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Grove at Kirkwood, the — Kirkwood, MO · overall 1/5SFF
Nodaway Healthcare — Maryville, MO · overall 1/5
Pleasant View Nursing Home — Rock Port, MO · overall 3/5
Abode Health and Wellness Center — Independence, MO · overall 1/5abuseSFF

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What were the findings behind this administration citation, and what has leadership changed since?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 77% total nursing staff turnover here — who on the care team has been with you longest?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Colonial Springs Healthcare Center	0.5 mi	Buffalo, MO	★★☆☆☆	3/5
Parkview Health Care Facility	17.5 mi	Bolivar, MO	★★★★☆	4/5
Citizens Memorial Healthcare Facility	18.0 mi	Bolivar, MO	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Buffalo →

Facility data as of CMS processing date 2026-08-01. CCN 265471.