Nursing homeActive
Puxico Nursing And Rehabilitation Center
540 North Highway 51, Puxico, MO 63960573222312560 certified beds · 36 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
16
● 0● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-11-17
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-17 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-03-31 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265496-20251117-F690
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265496-20251117-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 265496-20251117-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F698
F728Ensure 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F728
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 265496-20240724-F761
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F584
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F637
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F638
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F657
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 265496-20230331-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.64
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.92
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.52
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover50%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover40%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.1% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.1% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.1% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.6% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 35.5% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| 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 | — | — |
| Agh1 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beaird, Todd Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bedell, Bryan Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bedell, Donald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Caldwell, Fred Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Circle B Enterprises Holding Company Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fleetwood, Elaine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Garris, Della Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| King, Bobbi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mid States Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sovereign Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Van De Ven LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Circle B Enterprises — 36 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Stoddard.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Prairie View Skilled Nursing Bloomfield | 13.1 mi | 2026-05-28 | 0160 |
| Crowley Ridge Care Center Dexter | 14.7 mi | 2025-06-10 | 090 |
| Cypress Point-Skilled Nursing By Americare Dexter | 15.5 mi | 2025-09-18 | 1101 |
| Memory Lane Of Dexter Dexter | 15.8 mi | 2026-04-17 | 080 |
| Aspire Senior Living Advance Advance | 16.6 mi | 2026-03-06 | 2150 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |