facebook tracking Putnam County Care Center, Unionville MO: CMS Ratings
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Putnam County Care Center

All states › Missouri › Unionville › Putnam County Care Center

1814 Oak Street Unionville, MO 63565 · Putnam County

(660) 947-2492

Accepts Medicare Accepts Medicaid 60 certified beds Government

CMS certification number 265826 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Putnam County Care 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 Putnam County Care Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6. Inspectors issued 24 citations in the last three years. CMS imposed 3 penalties, including $72,664 in fines, in that time.

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 3.30 hours per resident per day at Putnam County Care Center, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.91 hours, 12% below its all-week average.

Nursing care per resident per day 3.30 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.91 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds60
Residents per day 57 About 95% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceApril 2009
Legal business namePUTNAM COUNTY NURSING HOME

Paying for care at Putnam County Care Center: Medicare and Medicaid

Putnam County Care 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 September 12, 2024 and found 10 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 24 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 24 citations at Putnam County Care Center across 7 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 22, 2024 (complaint inspection). The most common areas cited were quality of life and care (8) and resident rights (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, October 22, 2024).

August 28, 2025 · 4 citations · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2025)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Sep 17, 2025)

April 3, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Apr 25, 2025)

October 22, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Nov 1, 2024)

September 12, 2024 · 10 citations

EAssure the security of all personal funds of residents deposited with the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0570 · Deficient, Provider has date of correction (Oct 18, 2024)

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Oct 18, 2024)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Oct 18, 2024)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Oct 18, 2024)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 1, 2024)

EEnsure 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0728 · Deficient, Provider has date of correction (Oct 18, 2024)

EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0809 · Deficient, Provider has date of correction (Oct 18, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 18, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Oct 18, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 18, 2024)

June 26, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jul 19, 2024)

December 28, 2023 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

March 30, 2023 · 6 citations

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 27, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 27, 2023)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Apr 27, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 27, 2023)

BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Apr 27, 2023)

BNotify 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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Apr 27, 2023)

Questions to ask on a tour of Putnam County Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on October 22, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

3 penalties in the last three years, including $72,664 in fines.

DateTypeAmount or length
Aug 28, 2025 Fine $38,243
Sep 12, 2024 Fine $9,753
Jun 26, 2024 Fine $24,668

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 2/5
August 2026 2/5 2/5 2/5 3/5
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Location

Hospitals near Putnam County Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Milan Health Care Center Milan · 21.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 100 beds · Medicaid
Schuyler County Nursing Home District Queen City · 23.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 5/5 60 beds · Medicaid
Pearl's II Eden for Elders Princeton · 30.7 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 60 beds · Medicaid
Kirksville Manor Care Center Kirksville · 31.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 119 beds · Medicaid
Twin Pines Adult Care Center Kirksville · 31.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 120 beds · Medicaid

More nursing homes near Putnam County Care Center ›   All nursing homes in Unionville ›

Compare Putnam County Care Center with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/missouri/unionville/putnam-county-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.