Nursing homes › Missouri › Puxico Nursing and Rehabilitation Center
540 North Highway 51, Puxico, MO 63960 · 5732223125 · 60 certified beds
Per CMS filings, this facility is affiliated with Circle B Enterprises, a group operating 36 facilities in 2 states. Group record: average rating 2.5/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $518,766 in federal fines. This facility rates above its group average (2.5/5).
Total nurse staffing: 3.92 (Missouri median: 3.36). RN hours: 0.64. Weekend total: 3.52. Nursing staff turnover: 50%.
All-time on record: 16 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-12-29 |
| 2025-11-17 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | corrected 2025-12-29 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-09-17 |
| 2024-07-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-09-17 |
| 2024-07-24 | Ensure medication error rates are not 5 percent or greater. | D | Health | 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. | D | Health | 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. | F | Health | 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. | E | Health | corrected 2023-05-10 |
| 2023-03-31 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | 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. | D | Health | corrected 2023-05-10 |
| 2023-03-31 | Assess the resident when there is a significant change in condition | D | Health | 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. | D | Health | corrected 2023-05-10 |
| 2023-03-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-05-10 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/1996 |
| BEDELL, DONALD | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2001 |
| BEAIRD, TODD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 01/06/1997 |
| AGH1 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/02/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/1997 |
| CALDWELL, FRED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/19/2024 |
| FLEETWOOD, ELAINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
| GARRIS, DELLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
| KING, BOBBI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/15/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265496. Corrections: data@carerecords.org.