All states › Missouri › Puxico › Puxico Nursing and Rehabilitation Center
540 North Highway 51 Puxico, MO 63960 · Stoddard County
CMS certification number 265496 · See this home on Medicare Care Compare
Is Puxico Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Puxico Nursing and Rehabilitation Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.89 hours per resident per day at Puxico Nursing and Rehabilitation Center, above the Missouri median of 3.37 (US median: 3.72). About 0.55 of those hours are from registered nurses. On weekends it falls to 3.44 hours, 11% below its all-week average. 53.5% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Puxico Nursing and Rehabilitation Center: Medicare and Medicaid
Puxico Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 17, 2025 and found 3 deficiencies. In total, inspectors issued 16 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 16 citations at Puxico Nursing and Rehabilitation Center across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 16 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and pharmacy service (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, November 17, 2025).
November 17, 2025 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
July 24, 2024 · 6 citations
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
March 31, 2023 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EAssure that each resident’s assessment is updated at least once every 3 months.
DHonor 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.
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
Questions to ask on a tour of Puxico Nursing and Rehabilitation Center
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 2/5 | 2/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 2/5 |
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Location
Hospitals near Puxico Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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14.6 mi
Mercy Hospital Stoddard DexterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 49m for patients treated and sent home
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19.2 mi
Poplar Bluff Regional Medical Center Poplar BluffEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 53m for patients treated and sent home
- 19.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Circle B Enterprises nursing homes in Missouri
- Communities of Wildwood Ranch · Joplin · 5 stars
- Southgate Living Center · Caruthersville · 5 stars
- Riverways Manor · Van Buren · 5 stars
- Houston House · Houston · 4 stars
- Riverview Nursing Center · Mokane · 4 stars
- Heart of the Ozarks Healthcare Center · Ava · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.