Puxico Nursing and Rehabilitation Center
540 NORTH HIGHWAY 51, Puxico, MO, 63960
Yes. Federal inspectors cited 3 deficiencies against Puxico Nursing and Rehabilitation Center in Puxico, Missouri at its most recent standard inspection on 2025-11-17. Medicare rates it 4 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 16 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0728 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · F0636 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2023-03-31 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Puxico Nursing and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | Organization | 100% | since 04/01/1996 |
| BEDELL, DONALD | Individual | NOT APPLICABLE | since 01/01/2001 |
| BEAIRD, TODD | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Individual | NOT APPLICABLE | since 01/06/1997 |
| AGH1 LLC | Organization | NOT APPLICABLE | since 12/02/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEDELL, DONALD | Individual | NOT APPLICABLE | since 01/06/1997 |
| CALDWELL, FRED | Individual | NOT APPLICABLE | since 05/19/2024 |
| FLEETWOOD, ELAINE | Individual | NOT APPLICABLE | since 09/01/2023 |
| GARRIS, DELLA | Individual | NOT APPLICABLE | since 01/01/2024 |
| KING, BOBBI | Individual | NOT APPLICABLE | since 06/15/2024 |
| BEDELL, BRYAN | Individual | NOT APPLICABLE | since 05/27/2025 |
Part of the CIRCLE B ENTERPRISES group.
Ask Puxico Nursing and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 265496.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction