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Nursing homeFAID #7164

Puxico Nursing and Rehabilitation Center

540 NORTH HIGHWAY 51, PUXICO, MO, 63960
(573) 222-3125
60 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
State license
052637
CMS facility ID
265496
Care type
Nursing home
Facility name
Puxico Nursing and Rehabilitation Center
Street address
540 NORTH HIGHWAY 51
City / state / ZIP
Puxico, MO 63960
Phone
(573) 222-3125
State license #
052637

About this facility — Puxico Nursing and Rehabilitation Center

Puxico Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Puxico, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Puxico 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 Puxico Nursing and Rehabilitation Center 23 times across 6 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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
Puxico #1, Inc
Parent company
Circle B Enterprises
Ownership type
For profit - Individual
Administrator
Bobbi King

Registered owners & officers

Circle B Enterprises Holding Company Inc
Direct owner · Additional disclosable party — 100% stake — since 1996
Agh1 Llc
Operational control · Additional disclosable party — since 2016
Beaird, Todd
Officer · Additional disclosable party — since 2022
Bedell, Bryan
Owner of a disclosable party — since 2025
Bedell, Donald
Director · Officer · Operational control — since 1997
Caldwell, Fred
Operational control · Additional disclosable party — since 2024
Fg Llc
Additional disclosable party — since 2016
Fleetwood, Elaine
Operational control · Additional disclosable party — since 2023
Forvis Mazars Llp
Additional disclosable party — since 2021
Garris, Della
Operational control · Additional disclosable party — since 2024
King, Bobbi
Operational control · Additional disclosable party — since 2024
Mid States Inc
Additional disclosable party — since 2010
Sovereign Healthcare Group Llc
Operational control · Additional disclosable party — since 2021
Van De Ven Llc
Additional disclosable party — since 2000

Regulatory standing

Federal court records
12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1992-05-01
License expires
2027-04-28
CMS overall rating
4 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-11-17
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$282 per day (≈ $8,570/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 11% Medicare · 15% private/other
Occupancy
59% (fiscal year 2023)
Vs. state median
10% above 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 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-11-17Health inspection3 citations
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 2025-12-29
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 2025-12-29
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-29
2024-07-24Health inspection6 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-17
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-17
F-0728
D · No harm found
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 2024-09-17
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 2024-09-17
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-17
F-0761
D · 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 2024-09-17
4 earlier / fire-safety inspections (14 citations)
2023-03-31Health inspection7 citations
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 2023-05-10
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-05-10
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-05-10
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-05-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-10
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-10
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 2023-05-10
2025-11-17Fire-safety inspection2 citations
K-0753
F · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2025-12-29
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-29
2024-07-24Fire-safety inspection3 citations
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 2024-09-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-17
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-17
2023-03-31Fire-safety inspection2 citations
K-0222
L · Immediate jeopardy
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-10
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-10
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 265496.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 23 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 only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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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