Puxico Nursing And Rehabilitation Center
540 North Highway 51, Puxico, MO, 63960
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Circle B Enterprises
- Certified beds
- 60 · avg 39 residents/day
- Total nursing staff turnover
- 52.9% — near the Missouri averageMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 265496
- Certified beds
- 60 beds · avg 39 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Puxico #1 Inc
- Chain affiliation
- Circle B Enterprises
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Circle b Enterprises chain — 36 facilities across 2 states. Chain-wide average overall rating 2.5 / 5.
Parent entity
Circle b Enterprises Holding Company Inc
Disclosed owners (15 on record)
- Sovereign Healthcare Group Llc
Adp of The Snf · since 2025
- Agh1 Llc
Adp of The Snf · since 2025
- Bobbi jo King
Adp of The Snf · since 2024
- Fred Caldwell
Operational/managerial Control · since 2024
- Della Garris
Adp of The Snf · since 2024
- Elaine Fleetwood
Operational/managerial Control · since 2023
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 16)
- F0812·Nov 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0690·Nov 17, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0880·Nov 17, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Jul 24, 2024
Pharmacy Service Deficiencies
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.
- D0759·Jul 24, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Jul 24, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0728·Jul 24, 2024
Nursing and Physician Services Deficiencies
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.
- D0698·Jul 24, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Fire-safety citations
7 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Nov 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Puxico Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.