Puxico Nursing and Rehabilitation Center

Name: Puxico Nursing and Rehabilitation Center
Address: 540 NORTH HIGHWAY 51, Puxico, MO, 63960, US
Telephone: 5732223125

540 North Highway 51, Puxico, MO 63960 · Stoddard County · 60 certified beds · avg 36 residents/day · certified since May 1, 1992

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.33

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 17, 2025	F · Potential for harm, facility-wide	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.
Nov 17, 2025	E · Potential for harm, repeated	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.
Nov 17, 2025	D · Potential for harm, one-off	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.
Jul 24, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 24, 2024	D · Potential for harm, one-off	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.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 24, 2024	D · Potential for harm, one-off	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.
Jul 24, 2024	D · Potential for harm, one-off	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.
Mar 31, 2023	F · Potential for harm, facility-wide	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.
Mar 31, 2023	E · Potential for harm, repeated	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.
Mar 31, 2023	E · Potential for harm, repeated	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.
Mar 31, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 31, 2023	D · Potential for harm, one-off	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.
Mar 31, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 31, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	7	F
2024	6	D
2025	3	F

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.33	3.66	3.95	bottom 37% in Missouri; bottom 28% in the U.S.
Registered Nurse hours	0.54	0.49	0.69	top 31% in Missouri; bottom 44% in the U.S.
Weekend total nurse staffing	2.99	3.22	3.50	bottom 41% in Missouri; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.33	0.48	top 22% in Missouri; top 50% in the U.S.
Total nursing staff turnover (%)	50.0	56.0	45.8	top 32% in Missouri; bottom 38% in the U.S.
RN turnover (%)	40.0	47.8	42.9	top 37% in Missouri; top 46% in the U.S.

Hours are per resident per day, 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 3.92, RN 0.64, weekend 3.52. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Circle B Enterprises Holding Company INC	Organization	5% or Greater Direct Ownership Interest	100%	04/01/1996
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2025
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Bryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/27/2025
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	01/01/2001
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	01/06/1997
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	01/06/1997
Caldwell, Fred	Individual	Operational/Managerial Control	NOT APPLICABLE	05/19/2024
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	Operational/Managerial Control	NOT APPLICABLE	09/01/2023
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	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Garris, Della	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
King, Bobbi	Individual	Operational/Managerial Control	NOT APPLICABLE	06/15/2024
King, Bobbi	Individual	ADP of the SNF	NOT APPLICABLE	06/15/2024

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Prairie View Skilled Nursing	13.1 mi	Bloomfield, MO	★★☆☆☆	4/5
Crowley Ridge Care Center	14.7 mi	Dexter, MO	★★★★☆	5/5
Cypress Point-Skilled Nursing by Americare	15.6 mi	Dexter, MO	★★★★☆	4/5
Memory Lane of Dexter	15.8 mi	Dexter, MO	★★★★☆	5/5
Aspire Senior Living Advance	16.6 mi	Advance, MO	★★★★☆	4/5
Oakdale Care Center	17.7 mi	Poplar Bluff, MO	★★★☆☆	4/5
Aspire Senior Living Poplar Bluff	18.7 mi	Poplar Bluff, MO	★★☆☆☆	3/5
Manor, the	18.8 mi	Poplar Bluff, MO	★★★☆☆	4/5
Cedargate Health Care Center	19.9 mi	Poplar Bluff, MO	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Puxico →

Facility data as of CMS processing date 2026-08-01. CCN 265496.

The Care File

Visit checklist — Puxico Nursing and Rehabilitation Center

540 North Highway 51, Puxico, MO 63960 · 5732223125

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265496 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)