Nursing homeFAID #7145
Buffalo Prairie Center for Rehab and Healthcare
631 WEST MAIN STREET, BUFFALO, MO, 65622
(417) 932-8040
60 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
60
State license
053311
CMS facility ID
265471
Care type
Nursing home
Facility name
Buffalo Prairie Center for Rehab and Healthcare
Street address
631 WEST MAIN STREET
City / state / ZIP
Buffalo, MO 65622
Phone
(417) 932-8040
State license #
053311
About this facility — Buffalo Prairie Center for Rehab and Healthcare
Buffalo Prairie Center for Rehab and Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Buffalo, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).
It is one of 5 senior care facilities in Buffalo and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Buffalo Prairie Center for Rehab and Healthcare 83 times across 18 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $92,080 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Buffalo Snf Operations Llc
Parent company
Blue Sky Basin, Llc
Ownership type
For profit - Limited Liability company
Administrator
Deanna Beckenholdtmarsh
Registered owners & officers
Blue Sky Basin Llc
Direct owner — 67% stake — since 2021
Sloans Lake Trust
Indirect owner — 63% stake — since 2021
Dkdp Missouri Llc
Direct owner — 23% stake — since 2021
Dkyh Missouri Llc
Direct owner — 10% stake — since 2021
Berger, Eliot
Director — since 2021
Burns, Karen
Managing employee — since 2021
Perlow, Bernard
Director — since 2021
Stern, Samuel
Officer — since 2023
Regulatory standing
Licensed / certified since
1991-10-21
License expires
2026-09-12
CMS overall rating
1 of 5 stars
Health deficiencies
29 at the last standard inspection
Federal fines
$92,080 total
Last standard inspection
2024-10-07
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$250 per day (≈ $7,600/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 7% Medicare · 29% private/other
Occupancy
82% (fiscal year 2023)
Vs. state median
3% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
60
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-18Health inspectionComplaint-triggered2 citations
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2026-02-18
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-18
2026-02-06Health inspectionComplaint-triggered5 citations
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-04-02
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-02
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-02
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-04-02
16 earlier / fire-safety inspections (76 citations)
2026-01-22Health inspectionComplaint-triggered6 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-04-01
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-01
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-01
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-01
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-04-01
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-04-01
2026-01-08Health inspectionComplaint-triggered1 citation
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-19
2025-06-03Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-06-13
2025-05-06Health inspectionComplaint-triggered7 citations
F-0636
D · No harm foundFrom a complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-06-17
F-0637
D · No harm foundFrom a complaint
Assess the resident when there is a significant change in condition
Corrected 2025-06-17
F-0640
D · No harm foundFrom a complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-06-17
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-17
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-17
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-17
2025-04-12Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-26
F-0728
E · No harm foundFrom a complaint
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.
Corrected 2025-05-26
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-05-26
2025-01-14Health inspectionComplaint-triggered1 citation
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-02-21
2024-11-25Health inspectionComplaint-triggered2 citations
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-06
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-06
2024-10-07Health inspection15 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-06
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-06
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-25
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-21
F-0697
E · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-25
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-02-21
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-21
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-06
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-02-21
F-0761
E · No harm found
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.
Corrected 2024-12-06
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-12-06
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-02-21
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-21
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-02-21
2023-12-27Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-02-09
2022-12-13Health inspection16 citations
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-02-05
F-0584
D · No harm found
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.
Corrected 2023-02-05
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-02-05
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-05
F-0625
E · No harm found
Notify 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.
Corrected 2023-02-05
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-02-05
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-02-05
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-05
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-05
F-0678
E · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-02-05
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-02-05
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2023-02-05
F-0761
E · No harm found
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.
Corrected 2023-02-05
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-05
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-05
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-02-05
2019-11-08Health inspection5 citations
F-0570
E · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2019-12-23
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-12-23
F-0688
D · No harm found
Provide 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.
Corrected 2019-12-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-12-23
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-12-23
2026-01-22Fire-safety inspectionComplaint-triggered3 citations
K-0324
F · No harm foundFrom a complaint
Provide properly protected cooking facilities.
Corrected 2026-03-23
K-0345
F · No harm foundFrom a complaint
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-23
K-0353
F · No harm foundFrom a complaint
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-23
2024-11-25Fire-safety inspectionComplaint-triggered1 citation
K-0211
F · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-06
2024-10-07Fire-safety inspection1 citation
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-21
2022-12-13Fire-safety inspection7 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2023-02-05
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-05
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-02-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-05
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-05
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-02-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-05
2019-11-08Fire-safety inspection5 citations
E-0036
D · No harm found
Establish emergency prep training and testing.
Corrected 2019-12-23
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-12-23
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2019-12-23
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-23
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-12-23
Federal penalties
2026-01-08Fine$92,080
2026-01-08Medicare payment denial — 6 days
2024-10-07Medicare payment denial — 49 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265471.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 83 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered