All states › Missouri › Unionville › Putnam County Care Center
1814 Oak Street Unionville, MO 63565 · Putnam County
CMS certification number 265826 · See this home on Medicare Care Compare
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.
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.
About this 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DKeep residents' personal and medical records private and confidential.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
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.
September 12, 2024 · 10 citations
EAssure the security of all personal funds of residents deposited with the facility.
EKeep residents' personal and medical records private and confidential.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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.
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.
June 26, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
December 28, 2023 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DProvide safe and appropriate respiratory care for a resident when needed.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Questions to ask on a tour of Putnam County Care Center
- 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?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- 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
3 penalties in the last three years, including $72,664 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 28, 2025 | Fine | $38,243 |
| Sep 12, 2024 | Fine | $9,753 |
| Jun 26, 2024 | Fine | $24,668 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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0.1 mi
Putnam County Memorial Hospital UnionvilleEmergency roomMedian ER visit 1h 58m for patients treated and sent home
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20.4 mi
Mercy Medical Center-Centerville CentervilleEmergency roomMedian ER visit 2h 10m for patients treated and sent home
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20.5 mi
Sullivan County Memorial Hospital MilanEmergency roomMedian ER visit 1h 54m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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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.