Puxico Nursing and Rehabilitation Center
Nursing Home · Puxico, MO
CMS certification number265496
Contact & location
540 North Highway 51Puxico, MO 63960
Stoddard County
- Phone
- (573) 222-3125
- ZIP code
- 63960 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 36.0 (60% occupied)
- Ownership
- For profit - Individual
- Legal name
- Puxico #1 INC
- Chain
- Circle B Enterprises (36 facilities, avg 2.5★)
- Medicare certified since
- May 1, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.92 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.64 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.70 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.58 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.52 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 50.0 (state 56.0 · U.S. 45.8)%
- RN turnover
- 40.0 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- November 17, 2025
- Health deficiencies (last cycle)
- 3.0 (state 11.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 16 health · 7 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-11-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-11-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-07-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-07-24 | Ensure 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. F0728 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-07-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-07-24 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-07-24 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2023-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
| 2023-03-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Circle B Enterprises Holding Company INC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Agh1 LLC (organization) | Administrator · NOT APPLICABLE | |
| Beaird, Todd (individual) | Administrator · NOT APPLICABLE | |
| Caldwell, Fred (individual) | Administrator · NOT APPLICABLE | |
| Circle B Enterprises Holding Company INC (organization) | Administrator · NOT APPLICABLE | |
| FG LLC (organization) | Administrator · NOT APPLICABLE | |
| Fleetwood, Elaine (individual) | Administrator · NOT APPLICABLE | |
| Forvis Mazars LLP (organization) | Administrator · NOT APPLICABLE | |
| Garris, Della (individual) | Administrator · NOT APPLICABLE | |
| King, Bobbi (individual) | Administrator · NOT APPLICABLE | |
| Mid States INC (organization) | Administrator · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Van De Ven LLC (organization) | Administrator · NOT APPLICABLE | |
| Bedell, Donald (individual) | Corporate Director · NOT APPLICABLE | |
| Beaird, Todd (individual) | Corporate Officer · NOT APPLICABLE | |
| Bedell, Donald (individual) | Corporate Officer · NOT APPLICABLE | |
| Bedell, Bryan (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Agh1 LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Bedell, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Caldwell, Fred (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Fleetwood, Elaine (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Garris, Della (individual) | Operational/managerial Control · NOT APPLICABLE | |
| King, Bobbi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Puxico Nursing and Rehabilitation Center?
Puxico Nursing and Rehabilitation Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Puxico Nursing and Rehabilitation Center have?
It has 60 certified beds and cares for about 36 residents per day.
Has Puxico Nursing and Rehabilitation Center been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Puxico Nursing and Rehabilitation Center?
It is part of Circle B Enterprises and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Puxico Nursing and Rehabilitation Center?
(573) 222-3125. The facility is located at 540 North Highway 51, Puxico, MO 63960.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.